P.860Compassion fatigue, burnout and hopelessness of the health workers in COVID-19 pandemic emergency

Background: Providing assistance and support to people with complex disabling organic and mental disorders can increase the work-stress burden The current health emergency due to the coronavirus pandemic can aggravate and increase the exposure of health workers (stressful workload, with increased anxiety, increased responses to stress and Compassion Fatigue (CF)) [1] All this can lead to negative effects on mental and physical well-being, incorrect behavior and looking for help that can overburden healthcare facilities and on available resources [2] In mental health workers the hope is one of the main coping strategies and is a resource that influences people's ability to interact with stress in life-threatening situations [3] Objective: The aim of our study was to investigate the stress of mental health workers (particularly psychiatrists, psychologists, social workers, psychiatric nurses, and healthcare support workers To evaluate the role of the fatigue of compassion of health workers with patients hospitalized in different medical and surgical hospital departments or in psychiatric residential inpatients affected by subacute or chronic organic diseases To assess the role of hope in the coronavirus pandemic explosion period Methods: In a natural observational study, we assessed the effects of the COVID pandemic on the psychological health of Multidisciplinary (psychiatric, cardiologic, orthopedic, neurological and respiratory) Rehabilitation Centre “Villa dei Pini”, Avellino, Italy In 102 (54 F, 48 M) healthcare workers (doctors, psychologists, nurses, rehabilitators, social and health workers), we researched the levels of stress, fatigue of compassion and hope with the following rating scales: Fatigue Compassion Scale (FCs);Caregiver Burden Inventory (CBI);Professional Quality of Life (PROQoL)-Compassion Satisfaction and Fatigue Subscales;Beck Hopelessness Scale (BHS) Statistical significance was ascertained by t-tests or repeated measures ANOVA (to test multiple groups) with EZAnalyze 3 1 Excel Platform The second phase of the study involves evaluating the results of these scales after one year Results: Compassion fatigue (FCs): Data showed an increase of overall compassion fatigue scores in all workers;however, there was a more increase CF in psychiatric health workers (22% and 33%, respectively) With PROQoL data are superimposable (24% vs 37%, respectively) The most significant data of FC scale is represented by the percentage of vicarious trauma in psychologist group (39 26%);this group has also a high percentage also in job burnout (in 35 23%) These data are similar to those of our previous study Burnout (CBI): With CBI we observed a greater increase in the mean values ​​in all the groups analyzed (p= 003) The highest mean total result is that of nurses (39 81%) at CBI scale Hopelessness (BHS): About half of the respondents scored above the average (47,5%) in mental health workers vs (34%) multidisciplinary workers Conclusions: During a health crisis, health workers are subjected to high levels of stress In our small observational group, the fatigue of compassion and burnout are higher to previous data in mental health workers The hopelenesses can be an important indicator for implementing psychological and pharmacological intervention strategies No conflict of interest