Psychological Stress among Frontline Physical Therapists during the Coronavirus (COVID-19) Pandemic in Japan

Objective: The purpose of this study was to identify psychological stress among physical therapists who provide physical therapy to patients with novel coronavirus disease (COVID-19) in the containment zone.Methods: A survey was conducted using an internet-based questionnaire system. In addition to...

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Published inPhysical Therapy Japan Vol. 48; no. 6; pp. 620 - 627
Main Authors MORISAWA, Tomoyuki, NOJIRI, Shuko, SAWA, Ryuichi, KITAHARA, Eriko, SAITOH, Masakazu, MORISAWA, Fumito, TAKAHASHI, Tetsuya, NISHIZAKI, Yuji, DAIDA, Hiroyuki, TANIGUCHI, Kaori, MINAMINO, Tohru, FUJIWARA, Toshiyuki
Format Journal Article
LanguageJapanese
Published Japanese Physical Therapy Association 2021
公益社団法人日本理学療法士協会
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ISSN0289-3770
2189-602X
DOI10.15063/rigaku.12145

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Abstract Objective: The purpose of this study was to identify psychological stress among physical therapists who provide physical therapy to patients with novel coronavirus disease (COVID-19) in the containment zone.Methods: A survey was conducted using an internet-based questionnaire system. In addition to basic personal information, the content of the physical therapy, the burden of infection control, and psychological stress were surveyed.Results: Of the 584 individuals analyzed, only six physical therapists did not state that they feel “stressed” about physical therapy conducted in the containment zone. In addition to anxiety over the possibility of being infected, social stress – such as being discriminated against due to prejudice from others – were also identified. The most common types of psychological stress were “infection of family members and others” (88.5%) and “infection of oneself” (82.0%).Conclusion: Almost all physical therapists who provide direct physical therapy in the containment zone to patients with COVID-19 showed signs of psychological stress.
AbstractList Objective: The purpose of this study was to identify psychological stress among physical therapists who provide physical therapy to patients with novel coronavirus disease (COVID-19) in the containment zone.Methods: A survey was conducted using an internet-based questionnaire system. In addition to basic personal information, the content of the physical therapy, the burden of infection control, and psychological stress were surveyed.Results: Of the 584 individuals analyzed, only six physical therapists did not state that they feel “stressed” about physical therapy conducted in the containment zone. In addition to anxiety over the possibility of being infected, social stress – such as being discriminated against due to prejudice from others – were also identified. The most common types of psychological stress were “infection of family members and others” (88.5%) and “infection of oneself” (82.0%).Conclusion: Almost all physical therapists who provide direct physical therapy in the containment zone to patients with COVID-19 showed signs of psychological stress. 【目的】レッドゾーン内で新型コロナウイルス感染症患者を診る理学療法士の心理的ストレスを明らかにすること。【方法】対象は新型コロナウイルス感染症患者にレッドゾーンで理学療法を行っている理学療法士とした。調査はインターネットアンケートシステムを用いたアンケート調査とし,個人の基本情報に加えて,レッドゾーンでの理学療法の内容,感染対策の負担や心理的ストレスなどを調査した。【結果】分析対象584 例のうち,レッドゾーン内の理学療法で「ストレスがある」と回答しなかったものはわずか6 例であった。感染することへの不安だけでなく,周囲からの偏見から差別を受けたなど「社会的ストレス」も少なくなかった。ストレス内容で特に多かったのは,家族や周りへの感染(88.5%),自分への感染(82.0%)であった。【結論】新型コロナウイルス感染症患者にレッドゾーンで理学療法を行っているほぼすべての理学療法士でなんらかの心理的ストレスを抱えていた。
Objective: The purpose of this study was to identify psychological stress among physical therapists who provide physical therapy to patients with novel coronavirus disease (COVID-19) in the containment zone.Methods: A survey was conducted using an internet-based questionnaire system. In addition to basic personal information, the content of the physical therapy, the burden of infection control, and psychological stress were surveyed.Results: Of the 584 individuals analyzed, only six physical therapists did not state that they feel “stressed” about physical therapy conducted in the containment zone. In addition to anxiety over the possibility of being infected, social stress – such as being discriminated against due to prejudice from others – were also identified. The most common types of psychological stress were “infection of family members and others” (88.5%) and “infection of oneself” (82.0%).Conclusion: Almost all physical therapists who provide direct physical therapy in the containment zone to patients with COVID-19 showed signs of psychological stress.
Author MORISAWA, Tomoyuki
DAIDA, Hiroyuki
SAITOH, Masakazu
SAWA, Ryuichi
NOJIRI, Shuko
MORISAWA, Fumito
KITAHARA, Eriko
MINAMINO, Tohru
TAKAHASHI, Tetsuya
NISHIZAKI, Yuji
TANIGUCHI, Kaori
FUJIWARA, Toshiyuki
Author_FL SAITOH Masakazu
TAKAHASHI Tetsuya
北原 エリ子
野尻 宗子
森沢 知之
南野 徹
藤原 俊之
NISHIZAKI Yuji
澤 龍一
谷口 香
森澤 文登
代田 浩之
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References_xml – reference: 15) 成田寿次,秋山浩一,他:新型コロナウイルス(SARS-CoV-2)感染患者に対し理学療法を施行した一症例.理学療法科学.2020; 35: 751–755.
– reference: 13) Physiotherapy Management for COVID-19 in the Acute Hospital Setting. Recommendations to guide clinical practice. https://www.wcpt.org/sites/wcpt.org/files/files/wcptnews/images/Physiotherapy_Guideline_COVID-19_FINAL.pdf?fbclid=IwAR2OKmCAzg6TfPqZCVbz8FYtdSbkPEs5ZUVUnaeOjiVu2lDNZKolVEwHr3Q (accessed July 7, 2021).
– reference: 1) 忽那賢志:新型コロナウイルス感染症の基礎知識.総合健診.2021; 48: 220–228.
– reference: 17) 本田明広,岩田健太郎,他:COVID-19 に対する理学療法士としての挑戦 1 を救い10 も救うことができたか? 急性期から地域連携まで.理学療法ジャーナル.2020; 54: 819–826.
– reference: 2) 北原エリ子,山崎優太,他:理学療法士が支える 当院におけるCOVID-19 患者に対する理学療法士の関わり. PAIN RESEARCH.2020; 35: 218.
– reference: 6) Correia I, Almeida AE: Organizational Justice, Professional Identification, Empathy, and Meaningful Work During COVID-19 Pandemic: Are They Burnout Protectors in Physicians and Nurses? Front Psychol. 2020; 11: 566139.
– reference: 9) Tan BYQ, Kanneganti A, et al.: Burnout and Associated Factors Among Health Care Workers in Singapore During the COVID-19 Pandemic. J Am Med Dir Assoc. 2020; 21: 1751–1758.e5.
– reference: 3) 横山仁志,堅田紘頌,他:重症患者の管理 リハビリテーション.Expert Nurse.2020; 36: 32–38.
– reference: 7) Miguel-Puga JA, Cooper-Bribiesca D, et al.: Burnout, depersonalization, and anxiety contribute to post-traumatic stress in frontline health workers at COVID-19 patient care, a follow-up study. Brain Behav. 2020, e02007.
– reference: 11) Matsuo T, Kobayashi D, et al.: Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan. JAMA Netw Open. 2020; 3: e2017271.
– reference: 8) Naldi A, Vallelonga F, et al.: COVID-19 pandemic-related anxiety, distress and burnout: Prevalence and associated factors in healthcare workers of North-West Italy. BJPsych Open. 2021; 7: e27.
– reference: 5) Celmece N, Menekay M: The Effect of Stress, Anxiety and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life. Front Psychol. 2020; 11: 597624.
– reference: 14) 急性期病院におけるCOVID-19 の理学療法管理:臨床実践のための推奨(Physiotherapy Management for COVID-19 in the Acute Hospital Setting. Recommendations to guide clinical practice. の邦訳)https://www.jsicm.org/news/upload/Physiotherapy_Guideline_COVID-19_V1_ja.pdf (2021 年7 月7 日引用).
– reference: 16) 伊藤真也,温品悠一:体外式膜型人工肺管理下で理学療法を実施した新型コロナウイルス感染症による重症肺炎の1 症例.理学療法学.2021; 48: 117–123.
– reference: 4) Amanullah S, Shankar, RR: The Impact of COVID-19 on Physician Burnout Globally: A Review. Healthcare. 2020; 8: 421.
– reference: 10) Sung CW, Chen CH, et al.: Burnout in Medical Staffs During a Coronavirus Disease (COVID-19) Pandemic. Avaliable at: https://ssrn.com/abstract=3594567 (accessed July 7, 2021).
– reference: 19) 日本環境感染学会「医療機関における新型コロナウイルス感染症への対応ガイド(第3 版).http://www.kankyokansen.org/uploads/uploads/files/jsipc/COVID-19_taioguide3.pdf (2021年7月7 日引用).
– reference: 12) Nishimura Y, Miyoshi T, et al.: Burnout of Healthcare Workers amid the COVID-19 Pandemic: A Japanese Cross-Sectional Survey. Int J Environ Res Public Health. 2021; 18: 2434.
– reference: 20) Chu E, Lee KM, et al.: Hospital-Based Health Care Worker Perceptions of Personal Risk Related to COVID-19. J Am Board Fam Med. 2021; 34(Suppl): S103–S112.
– reference: 18) 岩田健太郎,北原エリ子,他:新型コロナウイルス 各現場から,with コロナ時代の理学療法を展望する COVID-19 治療最前線での理学療法 第2 波,その先に向けて.理学療法ジャーナル.2020; 54: 796–801.
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Snippet Objective: The purpose of this study was to identify psychological stress among physical therapists who provide physical therapy to patients with novel...
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SubjectTerms Containment zone
COVID-19
Physical therapists
Psychological stress
ストレス
レッドゾーン
新型コロナウイルス感染症
理学療法士
Title Psychological Stress among Frontline Physical Therapists during the Coronavirus (COVID-19) Pandemic in Japan
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