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DOI: 10.1055/a-1522-8174
Angsterleben von Hausärzten, Psychiatern und Chirurgen zu Beginn der COVID-19-Pandemie in Deutschland
COVID-19 and Anxiety Amongst General Practitioners, Psychiatrists and Surgeons – A German Perspective
Zusammenfassung
Ziel Die COVID-19-Pandemie stellt eine besondere Belastung für die Ärzteschaft dar. Wir untersuchten Unterschiede und Bedingungsfaktoren im pandemiebezogenen Angsterleben von Hausärzten (HA), Psychiatern (PS) und Chirurgen (CH) in Deutschland.
Methode Schriftliche Befragung (April–Mai 2020) von 608 Ärzten (HA n = 162, PS n = 299, CH n = 147).
Ergebnisse Ein hohes Angstniveau im Zusammenhang mit COVID-19 berichteten 31,1 % der HA, 19,2 % der PS und 11,6 % der CH. CH berichteten am häufigsten Kontakt mit COVID-19-Patienten (68,5 %), gefolgt von HA (51,0 %) und PS (8,1 %). Das Belastungserleben war bei HA insgesamt am größten. CH fühlten sich hingegen am besten informiert und schätzten ihre Resilienz am höchsten ein. Innerhalb der Fachdisziplinen war ein hohes Maß erlebter Angst in Bezug auf COVID-19 positiv mit dem Grad der wahrgenommenen Infektionsgefahr assoziiert.
Schlussfolgerung Studien zur Belastung von Ärzten verschiedener Fachgruppen geben wichtige Hinweise zur Optimierung des Pandemiemanagements.
Abstract
Objective The COVID-19 pandemic represents an exceptional challenge for the medical fraternity. We examined the differences in experiencing anxiety of general practitioners (GP), psychiatrists (PS) and surgeons (SU) during the COVID-19 pandemic in Germany.
Methods E-mail-based survey (April–May 2020) of 608 physicians (GP n = 162, PS n = 299, SU n = 147) on anxiety experience in relation to COVID-19 and potential determinants.
Results High levels of COVID-19-related anxiety were reported by 31.1 % of GP, 19.2 % of PS, and 11.6 % of SU. The frequency of contact with COVID-19 patients was highest in SU (68.5 %), followed by GP (51.0 %) and PS (8.1 %). The experience of COVID-19-related distress was overall highest among GP. SU felt best informed and rated their resilience most highly. A high level of anxiety was positively associated with the perceived risk of infection.
Conclusion Studies on the distress of physicians provide important information to optimize pandemic management.
Publication History
Article published online:
05 August 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
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Literatur
- 1 Chew QH, Wei KC, Vasoo S. et al. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J 2020;
- 2 Lapolla P, Mingoli A, Lee R. Deaths from COVID-19 in healthcare workers in Italy – What can we learn?. Infect Control Hosp Epidemiol 2020; 1-2
- 3 Dewa CS, Loong D, Bonato S. et al. How does burnout affect physician productivity? A systematic literature review. BMC Health Serv Res 2014; 14: 325
- 4 Gan Y, Jiang H, Li L. et al. Prevalence of burnout and associated factors among general practitioners in Hubei, China: a cross-sectional study. BMC Public Health 2019; 19: 1607
- 5 Aoyagi Y, Beck CR, Dingwall R. et al. Healthcare workers’ willingness to work during an influenza pandemic: a systematic review and meta-analysis. Influenza Other Respir Viruses 2015; 9: 120-130
- 6 Modenese A, Gobba F. Increased Risk of COVID-19-Related Deaths among General Practitioners in Italy. Healthcare (Basel) 2020; 8: 155
- 7 Ing EB, Xu QA, Salimi A. et al. Physician deaths from corona virus (COVID-19) disease. Occup Med (Lond) 2020; 70: 370-374
- 8 Kramer V, Papazova I, Thoma A. et al. Subjective burden and perspectives of German healthcare workers during the COVID-19 pandemic. Eur Arch Psychiatry Clin Neurosci 2020; 1-11
- 9 Paffenholz P, Peine A, Hellmich M. et al. Perception of the 2020 SARS-CoV-2 pandemic among medical professionals in Germany: results from a nationwide online survey. Emerg Microbes Infect 2020; 9: 1590-1599
- 10 Bohlken J, Schömig F, Seehagen T. et al. Erfahrungen und Belastungserleben niedergelassener Neurologen und Psychiater während der COVID-19-Pandemie. Psychiat Prax 2020; 47: 214-217
- 11 Peine A, Paffenholz P, Hellmich M. et al. Wahrnehmung der COVID-19-Pandemie unter pneumologischen Fachkräften in Deutschland. Pneumologie 2020;
- 12 Randau TM, Jaenisch M, Haffer H. et al. Collateral effect of COVID-19 on orthopedic and trauma surgery. PLoS One 2020; 15
- 13 Paffenholz P, Peine A, Fischer N. et al. Impact of the COVID-19 Pandemic on Urologists in Germany. Eur Urol Focus 2020; 6: 1111-1119
- 14 Zhang SX, Huang H, Wei F. Geographical distance to the epicenter of Covid-19 predicts the burnout of the working population: Ripple effect or typhoon eye effect?. Psychiatry Res 2020; 288: 112998
- 15 Bohlken J, Schömig F, Lemke MR. et al. COVID-19-Pandemie: Belastungen des medizinischen Personals. Psychiat Prax 2020; 47: 190-197
- 16 Pappa S, Ntella V, Giannakas T. et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 2020;
- 17 Kisely S, Warren N, McMahon L. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ 2020; 369
- 18 Luo M, Guo L, Yu M. et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – A systematic review and meta-analysis. Psychiatry Res 2020; 291: 113190
- 19 Petzold MB, Plag J, Ströhle A. Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie. Nervenarzt 2020; 91: 417-421
- 20 Härter M, Bremer D, Scherer M. et al. Auswirkungen der COVID-19-Pandemie auf die klinische Versorgung, Arbeitsprozesse und Mitarbeitenden in der Universitätsmedizin: Ergebnisse einer Interviewstudie am UKE. Gesundheitswesen 2020; 82: 376
- 21 Wu B, Zhao Y, Xu D. et al. Factors associated with nurses’ willingness to participate in care of patients with COVID-19: A survey in China. J Nurs Manag 2020; 28: 1704-1712
- 22 Yu EYT, Leung WLH, Wong SYS. et al. How are family doctors serving the Hong Kong community during the COVID-19 outbreak? A survey of HKCFP members. Hong Kong Med J 2020; 26: 176-183
- 23 Amerio A, Bianchi D, Santi F. et al. Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners. Acta Biomed 2020; 91: 83-88
- 24 Skoda EM, Teufel M, Stang A. et al. Psychological burden of healthcare professionals in Germany during the acute phase of the COVID-19 pandemic: differences and similarities in the international context. J Public Health (Oxf) 2020; 42: 688-695