JMIR Publications

ABSTRACT

Background:

The pandemic of Novel Corona Virus Disease 19 (COVID-19) infection has resulted in an unprecedented psychological impact on health care workers (HCWs), already working under high stress levels.

Objective:

We aimed to identify and measure the effects of this pandemic on anxiety levels and sleep disturbance among the HCWs, brought upon by this pandemic.

Methods:

MWe conducted a 19-question online survey based upon 7-item Generalised Anxiety Disorder (GAD-7) scale to measure anxiety levels and associated factors among HCWs in India during this pandemic.

Results:

A total of 368 HCWs responded to the survey with a higher number (54.3%) being females; maximum (34.2%) respondents in 45-60 years age group with 52.2% doctors and 38% nurses. Severe anxiety scores were observed in 27(7.3%); moderate, mild and minimal anxiety was observed in 12.5%, 29.3% and 50.8% HCWs respectively and 31.5% had poor to fair sleep scores. Univariate analysis showed female gender and inadequate availability of PPE significantly associated with higher anxiety levels (P= 0.014 and 0.007). Sleep disturbance was significantly associated with age<30 years (P= 0.04) and inadequate PPE (P=0.001). Multivariate analysis showed correlation of anxiety scores and quality of sleep scores with a significant inverse relation reflecting poorer quality of sleep as the GAD-7 score increased (P< 0.001).

Conclusions:

COVID-19 pandemic has caused a significant level of anxiety and sleep disturbance amongst HCWs, associated with female gender, younger age group, inadequate PPE, constant risk of contracting the infection themselves or transmitting it to their families. Early detection of at risk HCWs and institution of situation–tailored mitigation measures will enable alleviation of the risk of long term, serious psychological sequelae as well as reduce HCWs’ current anxiety. Clinical Trial: Not Applicable