The stress management program in a COVID-19 Field Hospital: a proof of concept trial

Authors

  • Marcelo Bruno Generoso Department of Public Health of the City of São Paulo, São Paulo, Brazil https://orcid.org/0000-0002-6270-8026
  • Carla Caroline Vieira Silva Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-9131-1036
  • Raphael Castiglioni Nascimento Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-6896-4813
  • Leonardo Wanderley Juliani Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Renan Fernandes Cardoso Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-8367-1488
  • Rebecca Soares Oliveira Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-4880-5698
  • Danillo Alves Bastos Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Isabel Marrach Pasqual Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Amanda Silva Sardinha Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0003-2808-3883
  • Paulo Marcelo Naoum Mazaferro Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Marsal Sanches Department of Psychiatry and Behavior Sciences, Baylor College of Medicine, Houston, TX, Estados Unidos https://orcid.org/0000-0002-6993-6822
  • Ricardo Riyoiti Uchida Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-4209-8830
  • Pedro Shiozawa Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0001-5349-6669

DOI:

https://doi.org/10.25118/2763-9037.2022.v12.413

Keywords:

COVID-19, mental health, healthcare workers, field hospital

Abstract

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.

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Author Biographies

Marcelo Bruno Generoso, Department of Public Health of the City of São Paulo, São Paulo, Brazil

Carla Caroline Vieira Silva, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Raphael Castiglioni Nascimento, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Leonardo Wanderley Juliani, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Renan Fernandes Cardoso , Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Rebecca Soares Oliveira , Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Danillo Alves Bastos, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Isabel Marrach Pasqual, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Amanda Silva Sardinha, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Paulo Marcelo Naoum Mazaferro, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Marsal Sanches, Department of Psychiatry and Behavior Sciences, Baylor College of Medicine, Houston, TX, Estados Unidos

Ricardo Riyoiti Uchida , Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil

Pedro Shiozawa, Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil

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Published

2022-10-30

How to Cite

1.
Generoso MB, Silva CCV, Nascimento RC, Juliani LW, Cardoso RF, Oliveira RS, Bastos DA, Pasqual IM, Sardinha AS, Mazaferro PMN, Sanches M, Uchida RR, Shiozawa P. The stress management program in a COVID-19 Field Hospital: a proof of concept trial. Debates em Psiquiatria [Internet]. 2022 Oct. 30 [cited 2025 Feb. 5];12:1-13. Available from: https://revistardp.org.br/revista/article/view/413

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