Prevalence and associated factors of depression among nursing staff during the COVID-19 pandemic


Norhafizah Sahril, Mohd Shaiful Azlan Kassim, Noor Ani Ahmad, Chan Ying Ying, Mohamad Aznuddin Abd Razak, Nik Adilah Shahein, Muhammad Solihin Rezali, Fatin Athirah Tahir, Muhammad Azri Adam Adnan, Muhamad Khairul Nazrin Khalil, Nor Ab Wahab, Norliza: Prevalence and associated factors of depression among nursing staff during the COVID-19 pandemic. published online at https://apcph.cphm.my, 2022, (Type: POSTER PRESENTATION; Organisation: Institute for Public Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia).

Abstract

Introduction: Increased rates of depression among nurses working in the COVID-19 environment are not surprising, and psychological stressors contributing to mental health distress have varied widely throughout the pandemic. The objectives of this study were to determine the effects of COVID-19 on the prevalence of depression and to investigate the relationships between sociodemographic variables and stressor factors in nurses.
Method: This study was part of a larger investigation into the Mental Health Status of Malaysian Healthcare Workers During the COVID-19 Pandemic. It was a cross-sectional study with a single point data collection via computer assisted self-interview (CASI) conducted from July to September 2021. The Patient Health Questionnaire (PHQ-9) was used to screen for depression, and scores of 10 or higher indicated positive symptoms of depression. Workload, safety, lack of skill, fear of infection, discrimination from society, work-family interference, and lack of appreciation were all evaluated as factors of stressors. A descriptive and multiple logistic regression was conducted in this study using IBM SPSS version 25. Results: A total of 453 nurses participated in the study. The overall prevalence of depression among nurses was 13.2%, with a higher prevalence among nurses directly involved in COVID-19 patient care (16.7%). Multiple logistic regression analysis revealed that nurses who directly care for COVID-19 patients were 3 times more likely to be depressed (aOR 3.36, 95% CI: 1.47,7.66). Fear of infecting family members (aOR=3.16; 95% CI:1.28,7.82) and a lack of appreciations (aOR=2.24; 95% CI:1.45,3.47) were stressors factors associated with depression among nurses during the COVID-19 pandemic. Conclusion: During the pandemic, nurses, particularly those who were intimately involved in the care of COVID-19 patients, were at risk of depression. Fear of infecting family members, as well as a lack of recognition, contribute to pandemic nursing depression. As part of disaster preparedness, mental health action plans must be prepared and implemented in advance to strengthen the healthcare system and nursing workforce.

BibTeX (Download)

@proceedings{APCPH2022-P-86,
title = {Prevalence and associated factors of depression among nursing staff during the COVID-19 pandemic},
author = {Norhafizah Sahril and Mohd Shaiful Azlan Kassim and Noor Ani Ahmad and Chan Ying Ying and Mohamad Aznuddin Abd Razak and Nik Adilah Shahein and Muhammad Solihin Rezali and Fatin Athirah Tahir and Muhammad Azri Adam Adnan and Muhamad Khairul Nazrin Khalil and Nor Ab Wahab and Norliza},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-86.pdf 
 
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/eposter-Norhafizah-Sahril-2e64c21bdeada9f3201e2c836a932c6d.pdf},
year  = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Increased rates of depression among nurses working in the COVID-19 environment are not surprising, and psychological stressors contributing to mental health distress have varied widely throughout the pandemic. The objectives of this study were to determine the effects of COVID-19 on the prevalence of depression and to investigate the relationships between sociodemographic variables and stressor factors in nurses. 
Method: This study was part of a larger investigation into the Mental Health Status of Malaysian Healthcare Workers During the COVID-19 Pandemic. It was a cross-sectional study with a single point data collection via computer assisted self-interview (CASI) conducted from July to September 2021. The Patient Health Questionnaire (PHQ-9) was used to screen for depression, and scores of 10 or higher indicated positive symptoms of depression. Workload, safety, lack of skill, fear of infection, discrimination from society, work-family interference, and lack of appreciation were all evaluated as factors of stressors. A descriptive and multiple logistic regression was conducted in this study using IBM SPSS version 25. Results: A total of 453 nurses participated in the study. The overall prevalence of depression among nurses was 13.2%, with a higher prevalence among nurses directly involved in COVID-19 patient care (16.7%). Multiple logistic regression analysis revealed that nurses who directly care for COVID-19 patients were 3 times more likely to be depressed (aOR 3.36, 95% CI: 1.47,7.66). Fear of infecting family members (aOR=3.16; 95% CI:1.28,7.82) and a lack of appreciations (aOR=2.24; 95% CI:1.45,3.47) were stressors factors associated with depression among nurses during the COVID-19 pandemic. Conclusion: During the pandemic, nurses, particularly those who were intimately involved in the care of COVID-19 patients, were at risk of depression. Fear of infecting family members, as well as a lack of recognition, contribute to pandemic nursing depression. As part of disaster preparedness, mental health action plans must be prepared and implemented in advance to strengthen the healthcare system and nursing workforce.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Public Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia},
keywords = {Covid-19, Depression, nurse, Pandemic},
pubstate = {published},
tppubtype = {proceedings}
}