Physical and mental health problems of Chinese front-line healthcare workers before, during and after the COVID-19 rescue mission: a qualitative study

Abstract

ObjectiveTo explore the physical and mental health problems of front-line healthcare workers fighting COVID-19 across the three phases of the epidemic rescue mission (before, during and after) in China.DesignA qualitative study was adopted using face to face, in-depth semistructured interviews. Phenomenological research methods and Colaizzi’s seven-step analysis method were used in the study.SettingThe setting of the study was the offices of healthcare workers in 12 tertiary hospitals.ParticipantsThirty-one front-line healthcare workers from 16 provinces in China, who carried out rescue missions in Hubei Province, were interviewed from October to November 2020.ResultsPhysical and mental health problems existed before, during and after the COVID-19 rescue mission. Eleven themes emerged during the three phases. Two themes appeared before rescue mission: basic diseases, anxiety before rescue mission. Five themes appeared during rescue mission: basic physical function disorder, physical exhaustion, negative cognition, negative emotions and negative behaviour. Four themes appeared after rescue mission: physical dysfunction, negative emotions, stigmatisation and hypochondriasis.ConclusionBoth physical and mental health problems occurred throughout the three phases. The study results pointed that a comprehensive prevention and control system that addresses both physical and mental health problems of front-line healthcare workers throughout the three phases of epidemic rescue mission (before, during and after), and that involves themselves, their families, hospitals, the government and social organisations is needed.

Development and psychometric testing of physiopsychological disorders scale for medical rescuers fighting epidemics in China

“…In phase 3, for the BR‐PDS‐MRFE, the EFA supported one domain (i.e., anxiety), which explained 52.07% of the cumulative variance with factor loadings that ranged from 0.435 to 0.789. Previous studies have indicated that medical rescuers experience severe mental health problems including tension, fear, and hopelessness before arriving at the rescue scene (Li et al., 2020; Sun et al., 2022). Among those, the most common mental health problem was anxiety (Sun et al., 2022).…”

“…Previous studies have indicated that medical rescuers experience severe mental health problems including tension, fear, and hopelessness before arriving at the rescue scene (Li et al., 2020; Sun et al., 2022). Among those, the most common mental health problem was anxiety (Sun et al., 2022). For the DR‐PDS‐MRFE, the EFA results found that six factors explained 69.75% of the cumulative variance, with factor loadings that ranged from 0.489 to 0.943.…”

Psychological experience of university students during prolonged quarantine in China: a qualitative study

“…However, healthcare workers are reported to be stigmatised by the public and face severe psychological and physical symptoms during quarantine. 42 Accordingly, some students may have wished to change their career goals. For university students in early adulthood (18–25 years old), the beginning of university study coincides with the transition stage of adulthood and independence; their minds are not yet mature.…”