A quarter of the surveyed HCWs met criteria for acute stress disorder.
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More than half of respondents reported symptoms related to a poor general health.
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Organizational issues and perceived risks seem to affect HCW emotional and general health.
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Modifiable factors are critical in preparing HCWs for a future epidemiological crisis.
Abstract
Background
The aims of this study were to evaluate the short-term impact of 2019-nCoV outbreak on the mental/psychological state of Spaniard health care workers (HCWs) and to explore the influencing factors, including organizational factors.
Methods
: A web-based survey (Google forms questionnaire) spread via professional and scientific associations, professional WhatsApp and email lists, following a snowball technique was used. Data were collected from May 11th and May 31st, 2020
Results
: A total of 1407 subjects were included in final analyses. 24.7% (348 out of 1407) of HCWs reported symptoms of acute stress (SARS-Q measurement) and 53.6% (754 out of 1407) reported symptoms related to poorer general health (GHQ-28 measurement). A higher risk of having an acute stress disorder was associated to being female, not having access to protective material, and several subjects´ perceived risks. Additionally, poorer overall general health (GHQ>24) was related to being female, working in a geographical area with a high incidence of infection, not being listened to by your co-workers, having a greater perception of stress at work and being able to transmit the infection to others.
Limitations
: We must consider a likely memory bias.
Conclusion
: The high prevalence of affective and general health symptoms among the HCWs and the critical influence of organizational issues and subjects´ perceived risk should lead health authorities to design future strategies to protect health professional force for facing a potential upcoming epidemiological crisis.