Healthcare workers (HCWs) treating and caring for patients with emerging infectious diseases often experience psychological distress. However, the psychological impact and behavior change of the coronavirus disease 2019 (COVID-19) pandemic among HCWs are still unknown. This study aimed to investigate the worries and concerns of HCWs regarding the COVID-19 pandemic. In this cross-sectional survey, a web-based questionnaire was distributed among HCWs working in hospitals or clinics across Japanese medical facilities from April 20 to May 1, 2020. The questionnaire comprised items on demographics, worries and concerns, perceptions regarding the sufficiency of information, and behavioral changes pertaining to the COVID-19 pandemic. A total of 4386 HCWs completed the survey; 1648 (64.7%) were aged 30–39 years, 2379 (54.2%) were male, and 782 (18.1%) were frontline HCWs, directly caring for patients with COVID-19 on a daily basis. 3500 HCWs (79.8%) indicated that they were seriously worried about the pandemic. The most frequent concern was the consequence of becoming infected on their family, work, and society (87.4%). Additionally, the majority (55.5%) had restricted social contact and almost all HCWs endorsed a shortage in personal protective equipment (median, 8/9 (interquartile range; 7–9) on a Likert scale). There was no significant difference in the degree of worry between frontline and non-frontline HCWs (8/9 (7–9) vs. 8/9 (7–9), p = 0.25). Frontline HCWs, compared to non-frontline HCWs, were more likely to have the need to avoid contact with families and friends (24.8% vs. 17.8%, p < 0.001) and indicated that they cannot evade their professional duty during the COVID-19 pandemic (9/9 (7–9) vs. 8/9 (6–9), p < 0.001). Further, the extremely low proportion of frontline HCWs reported that they would take a leave of absence to avoid infection (1.2%). In conclusions, both frontline and non-frontline HCWs expressed comparable concerns regarding the COVID-19 pandemic. Because HCWs, especially frontline HCWs, reported that they cannot be obliged to do avoid their duty, effective mental health protection strategies should be developed and implemented for HCWs.

护理和护理正在出现的传染病患者的医护人员通常会遭受心理困扰。然而，在HCW中大流行冠状病毒病2019（COVID-19）的心理影响和行为变化仍然未知。这项研究旨在调查医护人员对COVID-19大流行的担忧和担忧。在此横断面调查中，从2020年4月20日至5月1日，在日本医疗机构中在医院或诊所工作的医务工作者中分发了基于网络的调查问卷。该调查问​​卷包含有关人口统计学，忧虑和担忧，对是否足够的看法信息以及与COVID-19大流行有关的行为变化。共有4386名HCW完成了调查。30至39岁的年龄段为1648（64.7％），男性为2​​379（54.2％），而782（18。1％是一线医务工作者，每天直接照顾COVID-19患者。3500名医护人员（占79.8％）表示严重担心大流行。最令人担忧的是感染了他们的家庭，工作和社会的后果（87.4％）。此外，大多数人（55.5％）的社交接触受到限制，几乎所有医护人员都认可个人防护设备的短缺（中位值为8/9（四分位间距； 7-9），这是李克特量表的水平。前线和非前线医护人员的担忧程度没有显着差异（8/9（7-9）与8/9（7-9），与社会（87.4％）。此外，大多数人（55.5％）的社交接触受到限制，几乎所有医护人员都认可个人防护设备的短缺（中位值为8/9（四分位间距； 7-9），这是李克特量表的水平）。前线和非前线医护人员的担忧程度没有显着差异（8/9（7-9）与8/9（7-9），与社会（87.4％）。此外，大多数人（55.5％）的社交接触受到限制，几乎所有医护人员都认可个人防护装备的短缺（中位值为8/9（四分位间距； 7-9），这是李克特量表的水平）。前线和非前线医护人员的担忧程度没有显着差异（8/9（7-9）与8/9（7-9），p  = 0.25）。与非一线HCW相比，一线HCW更有可能需要避免与家人和朋友接触（24.8％vs. 17.8％，p  <0.001），并指出在COVID-19期间他们无法逃避专业职责大流行（9/9（7-9）与8/9（6-9），p  <0.001）。此外，一线医务工作者的比例极低，他们报告说他们会请假以避免感染（1.2％）。总之，一线和非一线医务工作者都对COVID-19大流行表示了类似的关注。由于医护人员，特别是一线医护人员报告说，他们没有义务逃避其职责，因此应为医护人员制定并实施有效的精神健康保护策略。