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DOI: 10.1055/a-2125-8906
Higher Subjective Burden in Psychiatric Compared to Somatic Healthcare Workers in Germany During the first wave of the COVID-19 Pandemic
Höhere subjektive Belastung des medizinischen Personals der psychiatrischen gegenüber der somatischen Versorgung in Deutschland während der ersten Welle der COVID-19 Pandemie Fundings This study was funded by a grant of the Bavarian Ministry of Science and Art awarded to Alkomiet Hasan and Miriam Kunz.
Abstract
The COVID-19 pandemic has posed unprecedented challenges for health care workers (HCWs) worldwide. While the adverse effects of the pandemic on the well-being of HCWs in general have now been established, little is known about the impact on HCWs of psychiatric hospitals (PHCWs). PHCWs are of special interest, given that they faced both an increase in infection rates among psychiatric patients as well as in mental strain of the general public due to consequences of the pandemic. The aim of the present study was to investigate how the pandemic affected PHCWs as well as possible differences between PHCWs and other health care workers (OHCWs) in Germany during the first wave of the pandemic. We conducted a country-wide anonymous online survey early during the first pandemic wave between April 15th and May 1st, 2020, to assess different aspects of subjective burden and perceived stress using 5-point Likert-scale questions. We analysed data of 1530 PHCWs and 2114 OHCWs and showed that PHCWs reported higher subjective burden and stress compared to OHCWs (p<0.001). Overall, nurses from both groups of HCWs showed higher ratings in subjective burden and stress than physicians. These higher ratings for subjective burden were even more pronounced for nurses working in psychiatric hospitals. Future research is needed to investigate the causes for PHCWs’ increased stress and subjective burden, especially when taking into account the long-term effects of the pandemic, which may lead to further challenges and an ever-increasing workload, especially for PHCWs.
Zusammenfassung
Die COVID-19-Pandemie stellte medizinisches Personal weltweit vor ungeahnte Herausforderungen. Während die negativen Folgen der Pandemie auf das Wohlbefinden des medizinischen Personals (HCWs) im Allgemeinen bereits nachgewiesen wurden, ist über die Auswirkungen auf das Gesundheitspersonal in psychiatrischen Krankenhäusern (PHCWs) wenig bekannt. PHCWs sind von besonderem Interesse, da jene Berufsgruppe sowohl mit einem Anstieg der Infektionsraten bei psychiatrischen Patient:innen als auch mit der psychischen Belastung der Allgemeinbevölkerung durch die Folgen der Pandemie konfrontiert waren. Ziel der vorliegenden Studie war die Untersuchung der Folgen der Pandemie auf PHCWs sowie der Unterschiede zwischen PHCWs und anderem medizinischen Personal (OHCWs) in Deutschland während der ersten Welle der Pandemie. Wir führten eine bundesweite, anonyme Online-Befragung zu Beginn der ersten Pandemiewelle zwischen dem 15. April und dem 1. Mai 2020 durch, um verschiedene Aspekte der subjektiven Belastung und des wahrgenommenen Stresses anhand von Fragen auf einer 5-Punkte-Likert-Skala zu erfassen. Wir analysierten die Daten von 1530 PHCWs und 2114 OHCWs und konnten zeigen, dass PHCWs im Vergleich zu OHCWs eine höhere subjektive Belastung und Stress aufwiesen (p<.001). Insgesamt bewertete pflegerisches Personal aus beiden Gruppen die subjektive Belastung und den Stress höher als ärztliches Personal. Die höchsten Werte subjektiver Belastung wiesen Pflegekräfte in psychiatrischen Krankenhäusern auf. Weitere Studien sind erforderlich, um die Ursachen für den erhöhten Stress und die subjektive Belastung von PHCWs zu untersuchen. Dabei sollten insbesondere die langfristigen Auswirkungen der Pandemie, die zu weiteren Herausforderungen und einer kontinuierlich ansteigenden Arbeitsbelastung führen könnten, berücksichtigt werden.
Schlüsselwörter
Medizinisches Personal - COVID-19 - Psychische Gesundheit - Psychische Belastung - PsychiatriePublication History
Received: 23 December 2022
Accepted: 24 June 2023
Article published online:
11 August 2023
© 2023. Thieme. All rights reserved.
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Germany
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