Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study

Objective We assessed the psychological impact posed by COVID-19 and its associated factors on the healthcare workforce nationwide during the peak of Vietnam’s fourth outbreak. Design A cross-sectional study. Setting Our study was conducted in 61 provinces of Vietnam. Methods A total of 2814 healthcare professionals in 61/63 provinces of Vietnam. An online questionnaire using Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale-4 (PSS-4) and Generalised Anxiety Disorder-7 (GAD-7) scales was distributed randomly to a subgroup of 503 respondents. Primary and secondary outcome measures To determine the impact of COVID-19 on the psychological of health workers, we conducted analyses to test a primary hypothesis related to participants based on three main scales including PHQ-9, PSS-4 and GAD-7 scales. Results Nearly half (49.7%) of healthcare workers experienced mild depression symptoms, 34.0% underwent moderate anxiety symptoms and 49.3% reported high-stress levels. Respondents who had a monthly income below 5 million VND (~US$212) and had more than 3 days of duty per week had a higher score on the anxiety scales. Compared with medical doctors, nurses/midwives had lower PHQ-9 (Coef=−2.53; 95% CI=−3.71 to −1.36) and GAD-7 scores (Coef=−2.36; 95% CI=−3.56 L to −1.16). Increased workload and work time was the harmful factor that increase the PHQ-9, GAD-7 or PSS-4 scores. More than half (53.9%) of respondents stated no demand for mental healthcare services. Conclusions Health workers who gained less financial rewards are reported to have higher levels of mental distress than others, implying the need for a raise in basic salary as well as compensation and encouragement schemes. To tackle hesitancy in seeking mental help, integrating online mental health therapy with e-health consultations via social media can be strategically implemented to augment service delivery, and simultaneously enhance the standard of mental health services.

[1]  K. C. Nguyen,et al.  Assessing the mental effects of COVID-19-related work on depression among community health workers in Vietnam , 2022, Human Resources for Health.

[2]  L. G. Vu,et al.  Factor Structures of Patient Health Questionnaire-9 Instruments in Exploring Depressive Symptoms of Suburban Population , 2022, Frontiers in Psychiatry.

[3]  Hany M A Sonpol,et al.  Factors Affecting the Psychological Well-Being of Health Care Workers During the COVID-19 Crisis , 2022, Psychology research and behavior management.

[4]  Magnolia Ngcobo-Sithole,et al.  Challenges and opportunities in the provision of mental health care services during the COVID-19 pandemic and beyond , 2022, Lessons from COVID-19.

[5]  M. Kosinski,et al.  Mental health impact on healthcare workers due to the COVID-19 pandemic: a U.S. cross-sectional survey study , 2022, Journal of Patient-Reported Outcomes.

[6]  Ming-Yu Liu,et al.  Impact of the COVID-19 pandemic on career intention amongst undergraduate medical students: a single-centre cross-sectional study conducted in Hubei Province , 2022, BMC medical education.

[7]  B. Gaynes,et al.  Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam , 2021, BMC Psychiatry.

[8]  L. G. Vu,et al.  Psychosocial Impacts of COVID-19 on Healthcare Workers During the Nationwide Partial Lockdown in Vietnam in April 2020 , 2021, Frontiers in Psychiatry.

[9]  N. Kien,et al.  The Level of Expression of Anxiety and Depression in Clinical Health Care Workers during the COVID-19 Outbreak in 2 Hospitals in Hanoi, Vietnam , 2021, Health services insights.

[10]  Tuyet-Anh T. Le,et al.  Care for the Carers: An Evaluation of Job Satisfaction of Community Healthcare Workers in Charge of Infectious Disease Prevention and Control in Vietnam , 2021, Risk management and healthcare policy.

[11]  M. A. J. Gloria,et al.  Psychological Stress Risk Factors, Concerns and Mental Health Support Among Health Care Workers in Vietnam During the Coronavirus Disease 2019 (COVID-19) Outbreak , 2021, Frontiers in Public Health.

[12]  K. Kurpayanidi,et al.  Role of Social Media in Shaping Public Risk Perception during COVID-19 Pandemic: A Theoretical Review , 2021, THE INTERNATIONAL JOURNAL OF MANAGEMENT SCIENCE AND BUSINESS ADMINISTRATION.

[13]  Q. Pham,et al.  In the interest of public safety: rapid response to the COVID-19 epidemic in Vietnam , 2021, BMJ Global Health.

[14]  Tuyet-Anh T. Le,et al.  Policy Responses to the COVID-19 Pandemic in Vietnam , 2021, International journal of environmental research and public health.

[15]  S. Nghiem,et al.  Spread of COVID-19 and policy responses in Vietnam: An overview , 2020, International Journal of Infectious Diseases.

[16]  M. Saud,et al.  Usage of social media during the pandemic: Seeking support and awareness about COVID-19 through social media platforms , 2020 .

[17]  L. G. Vu,et al.  Evidence of COVID-19 Impacts on Occupations During the First Vietnamese National Lockdown , 2020, Annals of global health.

[18]  T. Shanafelt,et al.  Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. , 2020, JAMA.

[19]  Shao-hua Hu,et al.  Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 , 2020, JAMA network open.

[20]  Shao-hua Hu,et al.  Online mental health services in China during the COVID-19 outbreak , 2020, The Lancet Psychiatry.

[21]  V. Dzau,et al.  To Care Is Human - Collectively Confronting the Clinician-Burnout Crisis. , 2018, The New England journal of medicine.

[22]  M. Gisondi,et al.  Impact of Burnout on Self-Reported Patient Care Among Emergency Physicians , 2015, The western journal of emergency medicine.

[23]  Terry L. Blackwell,et al.  Test Review: Patient Health Questionnaire–9 (PHQ-9) , 2014 .

[24]  B. Löwe,et al.  A brief measure for assessing generalized anxiety disorder: the GAD-7. , 2006, Archives of internal medicine.

[25]  M. Chong,et al.  Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital , 2004, British Journal of Psychiatry.

[26]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[27]  C. Maier,et al.  How are countries supporting their health workers during COVID-19? (Special Issue: COVID-19 health system response.) , 2020 .

[28]  Ian Watson,et al.  TABOUT: Stata module to export publication quality cross-tabulations , 2004 .