Acil Servise COVİD-19 Şüphesi ile Başvuran Bireylerin Hastalığa İlişkin Bilgilerinin İncelenmesi: Türkiye’nin Güneyi’nde Bir Pandemi Hastanesi Örneği

Year 2021, Volume: 5 Issue: 3, 488 - 500, 30.09.2021

Eda Para Yasemin Uslu Yasemin Altınbaş

https://doi.org/10.46237/amusbfd.879110

Abstract

Amaç: Bu araştırma acil servise COVID-19 şüphesi ile başvuran bireylerin bu hastalığa yönelik bilgilerinin incelenmesi amacıyla gerçekleştirilmiştir.
Yöntem: Tanımlayıcı ve kesitsel tipte gerçekleştirilen bu araştırma; Mayıs-Ağustos 2020 tarihleri arasında Türkiye’nin güney bölgesinde yer alan bir Araştırma ve Uygulama Hastanesi’nde yapılmıştır. Araştırmaya acil servise COVID-19 şüphesiyle başvuran 259 birey dahil edilmiş olup; veriler literatür doğrultusunda hazırlanan “Koronavirüs (COVID-19) Bilgi Formu” ile toplanmıştır. Verilerin analizinde SPSS 26.0 paket programından yararlanılmış ve tanımlayıcı istatistiklerde yüzde dağılımı, ortalama ve standart sapma değerleri kullanılmıştır.
Bulgular: Katılımcıların %64.1’i erkek, %54.8’i evli, %40.2’si lisans ve lisansüstü eğitim düzeyinde, %55.2’si ilçeden yaşamakta ve %48.6’sının geliri giderinden azdır. Katılımcıların acil servise en sık başvuru belirtileri %75.3 ile halsizlik, %51.4 ile öksürük, %49 ile boğaz ağrısı ve %17 ile nefes darlığı olduğu ifade edilmiştir. Katılımcıların büyük çoğunluğunun COVID-19 bulaşma yollarını doğru tanımladığı, hastalıktan korunma yöntemlerine ilişkin bilgilerinin iyi düzeyde olduğu ancak bazı uygulamalar konusunda bilgi eksikliklerinin olduğu belirlenmiştir. COVID-19 ile ilgili bilgi eksikliklerine rağmen, potansiyel tehlikelerden korunmaya kısmen dikkat ettikleri söylenebilir.
Sonuç: Hastalığın yayılımını kontrol altına alabilmek için bireylerin farkındalığının arttırılarak hastalıktan korunmaya yönelik bireysel önlemleri doğru ve etkili bir şekilde almaları sağlanmalı ve buna yönelik eğitim ve bilgilendirme faaliyetleri arttırılmalıdır.  

Keywords

COVID-19 Pandemisi, Koronavirüs, Acil Servis, Acil hemşireliği, Bilgi Düzeyi

Examining the Disease-Related Information of Individuals Who Applied to the Emergency Service with Suspicious COVID-19: Example of a Pandemic Hospital in the South of Turkey

Abstract

Objective: This research was carried out to determine the knowledge level of individuals who apply to the emergency department with the suspicion of COVID-19 about this disease.
Methods: This descriptive and cross-sectional study was held in a Research and Application Hospital, located in the southern region of Turkey between May-August 2020. 259 individuals who applied to the emergency department with suspected COVID-19 were included in the study. The data were collected with the "Coronavirus (COVID-19) Information Form" prepared in line with the literature. The SPSS 26.0 package program was used in the analysis of the data and the percentage distribution, mean and standard deviation values were used in descriptive statistics.
Results: The majority of the participants are male (64.1%), married (54.8%), graduate and post graduate (40.2%), living in the district (55.2%), and their income is less than their expenses (48.6%). It was stated that the most common symptoms of the participants presenting to the emergency service were fatigue (75.3%), cough (51.4%), sore throat (49%), and shortness of breath (17%). It was determined that the vast majority of the participants correctly defined the ways of COVID-19 transmission, their knowledge on disease prevention methods was at a good level, but they had a lack of knowledge on some applications. Despite the lack of information on COVID-19, it can be said that they are partially paying attention to protection from potential dangers.
Conclusion: In order to control the spread of the disease, the awareness of the individuals should be increased, it should be ensured that they take individual precautions for protection from the disease in a correct and effective way, and education and information activities should be increased.

Keywords

COVID-19 pandemic, Coronavirus, Emergency service, Emergency nursing, Knowledge level

References

• 1. Ali, M., Uddin, Z., Banik, P. C., Hegazy, F. A., & Zaman, S. (2020). Knowledge, attitude, practice and fear of COVID-19: A cross-cultural study. medRxiv, 1-27.
• 2. Aydin, S., & Balci, A. (2020). COVID-19 Knowledge level research in nurses. Journal of Surgery and Research (3), 198-203.
• 3. Bilik, Ö. (2020). Hasta ve yakınlarının eğitiminde COVID-19: Hemşireler ne anlatmalı? J Biotechnol and Strategic Health Res., 4(2), 78-88.
• 4. Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., & Dong, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry research, 287, 112934.
• 5. Cascella, M., Rajnık, M., Cuomo, A., Dulebohn, S. C., & Napoli, R. D. (2020). Features, evaluation and treatment coronavirus (COVID-19). Treasure Island (FL): StatPearls Publishing.
• 6. CDC. (2019). Guidance documents. https://www.cdc.gov/coronavirus/2019-ncov/communication/guidance-list.html?Sort=Date%3A%3Adesc (Erişim tarihi: 11 18, 2020)
• 7. Chan, J. F., Kok, K. H., Zhu, Z., Chu, H., To, K. K., & Yuan, S. (2020). Genomic characterization of the 2019 novel human-pathogenic coronavirus isolated from a patient with atypical pneumonia after visiting Wuhan. Emerg Microbes Infect, 9(1), 221-236.
• 8. Cheng, V. C., Wong, S. C., Chuang, V. W., So, S. Y., Chen, J. H., & Sridhar, S. (2020). The role of community-wide wearing of face mask for control of Coronavirus disease 2019 (COVID-19) epidemic due to SARS- CoV-2. J Infect, 81(1), 107-114.
• 9. Cihan, E., Pirinççi, C. Ş., Gerçek, H., Ünüvar, B., & Demıirdel, E. (2020). The knowledge levels, preventive behavior and risk perception on Covid-19 of the healthcare students in Turkey. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 342-347.
• 10. Cohut, M. (2020). Why social distancing is key in containing the new coronavirus. https://www.medicalnewstoday.com/articles/why-social-distancing-is-key-in-containing-the-new-coronavirus (Erişim tarihi: 11 20, 2020)
• 11. Colson, P., Rolaın, J. M., & Raoult, D. (2020). Chloroquine for the 2019 novel coronavirus SARS-CoV-2. International Journal of Antimicrobial Agents, 55(3), 105923.
• 12. Colson, P., Rolaın, J. M., Lagıer, J. C., Brouquı, P., & Raoult, D. (2020). Chloroquine and hydroxychloroquine as available weapons to fight COVID-19. Int J Antimicrob Agents, 55(4), 1-3.
• 13. Erfani, A., Shahriarirad, R., Ranjbar, K., Mirahmadizadeh, A., & Moghadami, M. (2020). Knowledge, attitude and practice toward the novel Coronavirus (COVID-19) outbreak: A population-based survey in Iran. Bull World Health Organ, 1-23.
• 14. Flaxman, S., Mishra, S., Gandy, A., Unwin, H. J., Mellan, T. A., & Coupland, H. (2020). Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature, 584(7820), 257-261.
• 15. Haque, T., Hossain, K. M., Bhuiyan, M. M., Ananna, S. A., Chowdhury, S. H., & Ahmed, A. (2020). Knowledge, attitude and practices (KAP) towards COVID-19 and assessment of risks of infection by SARS-CoV-2 among the Bangladeshi population: An online cross sectional survey. Research Square, 1-21.
• 16. Hui, D. S., Esam, I. A., Madan, T. A., Francine, N., Richard, K., & Dar, O. (2020). The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health – The latest 2019 novel coronavirus outbreak in Wuhan, China. International Journal of Infectious Diseases, 91(3), 264-266.
• 17. Huynh, G., Nguyen, T. N., Tran, V. K., Vo, K. N., Vo, V. T., & Pham, L. A. (2020). Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med.,
• 13(6), 260-265.
• 18. Karaca, B. (2020). Erişkin yaş grubunda COVID-19 klinik bulguları. J Biotechinol & Strategic Health Res., 4(1), 85-90.
• 19. Koo, J. R., Cook, A. R., Park, M., Sun, H., & Lim, J. T. (2020). Interventions to mitigate early spread of SARS-CoV-2 in Singapore: a modelling study. Lancet Infect Dis., 20(6), 678-688.
• 20. Kordzadeh-Kermani, E., Khalili, H., & Karimzadeh, I. (2020). Pathogenesis, clinical manifestations and complications of COVID-19. Future Microbiol, 15(13), 1287-1305.
• 21. Kutlu, R. (2020). What we have learned about the new Coronavirus pandemic, current diagnostic and therapeutic approaches and the situation in Turkey. TJFMPC, 14(2), 329-344.
• 22. Lauer, S. A., Grantz, K. H., Bi, Q., Jones, F. K., Zheng, Q., & Meredith, H. (2020). The ıncubation period of Coronavirus Disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med., 172(9), 577-582.
• 23. Ngwewondo, A., Nkengazong, L., Ambe, L. A., Ebogo, J. T., Mba, F. M., & Goni, H. O. (2020). Knowledge, attitudes, practices of/towards COVID 19 preventive measures and symptoms: A cross- sectional study
• during the exponential rise of the outbreak in Cameroon. PLoS Negl Trop Dis., 14(9), e0008700.
• 24. Noreen, K., Rubab, Z., Umar, M., Rehman, R., Baig, M., & Baig, F. (2020). Knowledge, attitudes, and practices against the growing threat of COVID-19 among medical students of Pakistan. PLoS ONE, 15(12), e0243696.
• 25. Özlü, A., & Öztaş, D. (2020). Yeni Corona pandemisi (Covid-19) ile mücadelede geçmişten ders çıkartmak. Ankara Med J., 20(20), 468-481.
• 26. Sağlık Bakanlığı. (2020). Yeni Koronavirüs (Covid-19). https://covid19bilgi.saglik.gov.tr/tr/formlar (Erişim tarihi: 08 28, 2020)
• 27. Shirazi, F. M., Banerji, S., Nakhaee, S., & Mehrpour, O. (2020). Effect of angiotensin II blockers on the prognosis of COVID-19: a toxicological view. Eur J Clin Microbiol Infect Dis., 39(10), 2001-2002.
• 28. WHO. (2020). Coronavirus disease (COVID-19) dashboard. https://covid19.who.int (Erişim tarihi: 11 18, 2020)
• 29. Wu, D., Wu, T., Liu, Q., & Yang, Z. (2020). The SARS-CoV-2 outbreak: What we know. International journal of infectious diseases. International Society for Infectious Diseases., 94, 44-48.
• 30. Xiao, Y., & Torok, M. E. (2020). Taking the right measures to control COVID-19. Lancet Infect Dis., 20(5), 523-524.
• 31. Zannatul, M., Islam, S., Sikder, T., & Syed, A. (2020). Knowledge, attitude and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. MedRxiv, (13), 1-29.
• 32. Zou, L., Ruan, F., Huang, M., Liang, L., Huang, H., & Hong, Z. (2020). SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med., 1177-1179.