Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.07.011
Brazilian Journal of Anesthesiology
Original Investigation

Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: a cross-sectional study

Ansiedade e burnout em anestesistas e enfermeiros de unidade de terapia intensiva durante a pandemia de COVID-19: um estudo transversal

Sultan Acar Sevinc; Seyhan Metin; Nermin Balta Basi; Ayse Surhan Cinar; Melis Turkel Ozkan; Sibel Oba

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Abstract

Background
This study aimed to measure the levels of anxiety and burnout among healthcare workers, including attending physicians, residents, and nurses, in intensive care units during the coronavirus disease 2019 (COVID-19) pandemic.

Methods
This is a cross-sectional survey analysis of healthcare workers in our institution. Data were collected on demographic variables, COVID-19 symptoms and test, disease status, anxiety level (assessed by the Beck Anxiety Inventory), and burnout level (measured by the Maslach Burnout Inventory). Subscales of the burnout inventory were evaluated separately.

Results
A total of 104 participants completed the survey. Attending physicians, residents, and nurses constituted 25%, 33.7%, and 41.3% of the cohort, respectively. In comparison to untested participants, those tested for COVID-19 had a lower mean age (p =  0.02), higher emotional exhaustion and depersonalization scores (p =   0.001, 0.004, respectively), and lower personal accomplishment scores (p =  0.004). Furthermore, moderate to severe anxiety was observed more frequently in tested participants than untested ones (p =  0.022). Moderate or severe anxiety was seen in 23.1% of the attending physicians, 54.3% of the residents, and 48.8% of the nurses (p =  0.038). Emotional exhaustion, personal accomplishment, and depersonalization scores differed depending on the position of the healthcare workers (p =  0.034, 0.001, 0.004, respectively).

Conclusion
This study revealed higher levels of anxiety and burnout in younger healthcare workers and those tested for COVID-19, which mainly included residents and nurses. The reasons for these observations should be further investigated to protect their mental health.

Keywords

Anesthetist;  Anxiety;  Burnout syndrome;  COVID-19;  Intensive care unit

Resumo

Justificativa: Este estudo teve como objetivo medir os níveis de ansiedade e esgotamento entre os profissionais de saúde, incluindo médicos assistentes, residentes e enfermeiros, em unidades de terapia intensiva durante a pandemia da doença por coronavírus 2019 (COVID-19). Métodos: Trata-se de uma pesquisa transversal com análise de profissionais de saúde em nossa instituição. Os dados foram coletados sobre variáveis demográficas, sintomas e teste de COVID-19, status da doença, nível de ansiedade (avaliado pelo Inventário de Ansiedade de Beck) e nível de burnout (medido pelo Maslach Burnout Inventory). As subescalas do inventário de burnout foram avaliadas separadamente. Resultados: Um total de 104 participantes completaram a pesquisa. Médicos assistentes, residentes e enfermeiros constituíram 25%, 33,7% e 41,3% da coorte, respectivamente. Em comparação com os participantes não testados, aqueles testados para COVID-19 tiveram uma idade média mais baixa (p= 0,02), maiores pontuações de exaustão emocional e despersonalização (p =0,001, 0,004, respectivamente) e menores pontuações de realização pessoal (p = 0,004). Além disso, ansiedade moderada a grave foi observada com mais frequência nos participantes testados do que nos não testados (p = 0,022). Ansiedade moderada ou grave foi observada em 23,1% dos médicos assistentes, 54,3% dos residentes e 48,8% dos enfermeiros (p = 0,038). Os escores de exaustão emocional, realização pessoal e despersonalização diferiram de acordo com a posição dos profissionais de saúde (p = 0,034, 0,001, 0,004, respectivamente). Conclusão: Este estudo revelou níveis mais elevados de ansiedade e burnout em profissionais de saúde mais jovens e testados para COVID-19, que incluíram principalmente residentes e enfermeiros. As razões para essas observações devem ser mais investigadas para proteger sua saúde mental.

Palavras-chave

Anestesista; Ansiedade; Síndrome de Burnout; COVID-19; Unidade de Tratamento Intensivo

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