Background and Objectives: Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. Materials and Methods : This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. Results : A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. Conclusions : Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.
【저자키워드】 COVID-19, Anxiety, Depression, Healthcare workers, emergency department, Post-traumatic stress disorder, 【초록키워드】 Treatment, coronavirus disease, COVID-19 pandemic, healthcare worker, Spread, Characteristics, response, Fever, Respiratory disease, group, disease, change, Care, risk of infection, cross-sectional survey, changes, intensity, Factor, transfer, Final, material, working hours, medical system, Effect, Psychosocial stress, Result, resulting, collected, the disease, condition, changes in, overcome, promote, increase in, groups, analyses, 【제목키워드】 Impact, Emergency, workload, Psychosocial, Department, Area,