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Anxiety During the Covid-19 Pandemic in Hospital Staff: Systematic Review Plus Meta-Analysis Publisher Pubmed



Raoofi S1 ; Pashazadeh Kan F2 ; Rafiei S3 ; Khani S4 ; Hosseinifard H5 ; Tajik F6 ; Masoumi M7 ; Raoofi N8 ; Ahmadi S9 ; Aghalou S10 ; Torabi F1 ; Dehnad A11 ; Hoseinipalangi Z9 ; Rezaei S1 Show All Authors
Authors
  1. Raoofi S1
  2. Pashazadeh Kan F2
  3. Rafiei S3
  4. Khani S4
  5. Hosseinifard H5
  6. Tajik F6
  7. Masoumi M7
  8. Raoofi N8
  9. Ahmadi S9
  10. Aghalou S10
  11. Torabi F1
  12. Dehnad A11
  13. Hoseinipalangi Z9
  14. Rezaei S1
  15. Shabaninejad H12
  16. Ghashghaee A13
Show Affiliations
Authors Affiliations
  1. 1. Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
  4. 4. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  6. 6. Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Clinical Research and Development Center, Qom University of Medical Sciences, Qom, Iran
  8. 8. Cardiovascular Research Center Kermanshah, Kermanshah, Iran
  9. 9. Student Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Psychiatric Research Center, Roozbeh Hospital, Tehran University of Medical Science, Tehran, Iran
  11. 11. School of Health Management and Information Sciences, Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran
  12. 12. Population Health Sciences Institute (PHSI), Newcastle University, Newcastle, United Kingdom
  13. 13. Social Determinants of Health Research Center, Research Institute for Prevention of Non-communicable Disease, Qazvin University of Medical Sciences, Qazvin, Iran

Source: BMJ Supportive and Palliative Care Published:2023


Abstract

Background This study was conducted to systematically review the existing literature examining the prevalence of anxiety among hospital staff and identifying the contributing factors to address the complications of this disorder and develop effective programmes for reducing the complications of this mental health problem. Methods We searched the electronic databases including PubMed, EMBASE, Scopus, Web of Science and Google Scholar from January 2020 to February 2021. To perform meta-analysis, the random effects model was used. To assess the statistical heterogeneity of the included studies, the I 2 index was used, and 95% CI was estimated. Data analysis was performed by R software. Results In the final analysis, 46 articles with the total sample size of 61 551 hospital staff members were included. Accordingly, anxiety prevalence among healthcare workers (HCWs) was 26.1% (95% CI 19% to 34.6%). The prevalence rates of anxiety in health technicians and medical students were 39% (95% CI 13% to 73%) and 36% (95% CI 15% to 65%), respectively, indicating a much higher prevalence than other hospital staff members. Furthermore, a positive significant relationship between prevalence of anxiety among HCWs and their age was approved (p<0.001). The prevalence rate of anxiety was higher among women 37.7% (95% CI 25.4% to 51.8%) than men 27.2% (95% CI 18.2% to 38.6%). Conclusion The findings show a moderately high prevalence rate of anxiety in hospital staff. Due to the high prevalence of this mental health problem in health technicians, medical students and frontline health workers, it is highly suggested that healthcare institutions offer mental health programmes for these working groups in order to appropriately manage anxiety during the COVID-19 pandemic. © 2023 BMJ Publishing Group. All rights reserved.
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