The stress management program in a COVID-19 Field Hospital: a proof of concept trial
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.413Keywords:
COVID-19, mental health, healthcare workers, field hospitalAbstract
Introduction: During the COVID-19 pandemic several cities resorted to Field Hospitals in order to expand the healthcare system capability. This strategy proved to be effective but imposed a significant challenge to healthcare workers (HW) who were exposed to a highly stressful environment in these facilities. Objectives: We present a stress management program implemented in a COVID-19 Field Hospital designed to reduce anxiety and stress levels and boost motivation among HW. Methods: We conducted a phase II open trial based on four integrative interventions groups; guided meditation - body scan, guided meditation - respiration, music medicine and therapeutic listening. Outcomes were evaluated with Visual Analogue Scales and the Spielberger State-Trait Anxiety Inventory. Results: A total of 441 volunteers were included in the study and without regard to the type of intervention itself, positive effect was found for all outcomes with a mean reduction of 16.75% for anxiety (reduction of 7.17 points, sd=10.20, p<0.0001), a reduction of 27.5% for stress (reduction of 1.23 point, sd=0.89, p<0.0001) and an 9.4% increase of motivation (increase of 0.72 point, sd=0.60, p<0.0001). Conclusion: We found the present stress management program designed with brief, easy to apply and low cost activities to be capable of significantly reduce anxiety, stress and enhance motivation of HW in a COVID-19 Field Hospital.
Downloads
Metrics
References
The Lancet Planetary, H. A tale of two emergencies. Lancet Planet Health. 2020;4(3):e86. https://doi.org/10.1016/S2542-5196(20)30062-0
Silva-Gomes RN, Silva-Gomes, VT. COVID-19 pandemic: burnout syndrome in healthcare professionals working in field hospitals in Brazil. Enfermería Clínica (English Edition). 2021;31(2):128-9. https://doi.org/10.1016/j.enfcle.2020.10.002 - PMCid:PMC7862880
Huremović D. Psychiatry of pandemics. A mental health response to infection outbreak. 2019. https://doi.org/10.1007/978-3-030-15346-5 - PMid:30918996
Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, He L, Sheng C, Cai Y, Li X, Wang J, Zhang Z. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15-e6. https://doi.org/10.1016/S2215-0366(20)30078-X
Appelbom S, Bujacz A, Finnes A, Ahlbeck K, Bromberg F, Holmberg J, Larsson L, Olgren B, Wanecek M, Wetterborg D, Wickse R. The rapid implementation of a psychological support model for frontline healthcare workers during the COVID-19 pandemic: a case study and process evaluation. Frontiers in psychiatry. 2021;12:713251. https://doi.org/10.3389/fpsyt.2021.713251 - PMid:34539465 PMCid:PMC8446385
Flynn J, O'Connor L, Hanlon M, Bellani G, Contreras M, Doherty A, Durand H, Fallon E, Gormley C, Laffey J, Molloy G, Sarma K, Strepparava MG, Russo S, Walsh J, McGuire BE. The identification of needs and development of best practice guidance for the psychological support of frontline healthcare workers during and after COVID-19: a protocol for the FLoWS project. HRB Open Res. 2020;3:54. https://doi.org/10.12688/hrbopenres.13117.1 PMid:33870088 - PMCid:PMC8030118
Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology. 1992;31(3):301-6. https://doi.org/10.1111/j.2044-8260.1992.tb00997.x PMid:1393159
Lesage FX, Berjot S, Deschamps F. Clinical stress assessment using a visual analogue scale. Occup Med (Lond). 2012;62(8):600-5. https://doi.org/10.1093/occmed/kqs140 - PMid:22965867
Chiappetta M, D'Egidio V, Sestili C, Cocchiara R, La Torre G. Stress management interventions among healthcare workers using mindfulness: a systematic review. Senses and Sciences. 2018;5:517-49. Available in: https://sensesandsciences.com/index.php/Senses/article/view/138 Acessed: 1 sep. 2022.
Nizamie SH, Tikka SK. Psychiatry and music. Indian J Psychiatry. 2014;56(2):128-40. https://doi.org/10.4103/0019-5545.130482 PMid:24891698 - PMCid:PMC4040058
MacDonald RA. Music, health, and well-being: a review. Int J Qual Stud Health Well-being. 2013;8:20635. https://doi.org/10.3402/qhw.v8i0.20635 - PMid:23930991 PMCid:PMC3740599
Mesquita AC, Carvalho ECd. Therapeutic listening as a health intervention strategy: an integrative review. Revista da Escola de Enfermagem da USP. 2014;48:1127-36. https://doi.org/10.1590/S0080-623420140000700022 PMid:25626514
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
Copyright (c) 2022 Marcelo Bruno Generoso, Carla Caroline Vieira Silva, Raphael Castiglioni Nascimento, Leonardo Wanderley Juliani, Renan Fernandes Cardoso , Rebecca Soares Oliveira , Danillo Alves Bastos, Isabel Marrach Pasqual, Amanda Silva Sardinha, Paulo Marcelo Naoum Mazaferro, Marsal Sanches, Ricardo Riyoiti Uchida , Pedro Shiozawa
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.