Bir Dahiliye-Onkoloji Kliniğine Yatan 40 Yaş Üstü Yetişkinlerin Pandemi Sürecinde Sağlık Anksiyeteleri ve Uyku Kalitelerinin Değerlendirilmesi

Year 2022, Volume: 5 Issue: 1, 78 - 85, 01.01.2022

Tuğba Aydın Yıldırım Nurcan Gebeşoğlu

https://doi.org/10.19127/bshealthscience.1018052

Abstract

Bu çalışma, bir dahiliye-onkoloji kliniğine yatan 40 yaş üstü yetişkinlerin Covid-19 pandemi sürecinde sağlık anksiyeteleri ve uyku kalitelerinin değerlendirilmesi amacıyla yapılmıştır. Tanımlayıcı-kesitsel tipte olan bu çalışma 200 katılımcı ile tamamlanmıştır. Çalışmada, katılımcıların sosyo-demografik özelliklerini ve genel sağlık durumunu sorgulayan kişisel veri formu, “Sağlık Anksiyetesi Ölçeği (SAÖ)” ve “Pittsburgh Uyku Kalitesi İndeksi (PUKİ)” kullanılmıştır. Veriler, tanımlayıcı istatistikler, Mann Whitney U testi, Kruskal Wallis H testi ve Spearman’s korelasyon testi ile analiz edilmiştir. Anlamlılık düzeyi P < 0,05 olarak kabul edilmiştir. Elde edilen verilere göre, katılımcıların PUKİ toplam ölçek puanı 6,585±3,265 olarak saptanmıştır. PUKİ toplam puanı 5 eşik değerinin üzerinde olan 96 kişinin (%48) uyku kalitesi kötü olarak değerlendirilmiştir. SAÖ toplam puanı ise, 17,315±4,243 olarak belirlenmiştir. PUKİ toplam puanı, uyku süresi, uyku bozukluğu alt boyutları ile SAÖ toplam puanı, bedensel belirtilere aşırı duyarlılık ve kaygı alt boyutu arasında istatistiksel olarak anlamlı pozitif korelasyon saptanmıştır (P < 0,05). Pandemi sürecinin olumsuz etkileri ile mücadele için destek mekanizmaları oluşturulurken ve yaşam kalitesini yükseltmek adına atılacak adımlar planlanırken, salgın sürecinin uyku kalitesi üzerine olumsuz etkisi de göz önünde bulundurulmalıdır.

Keywords

Sağlık anksiyetesi, Uyku kalitesi, Pandemi

Supporting Institution

Yok

Evaluation of Health Anxiety and Sleep Quality of Adults Over 40 Years Old in An Internal-Oncology Clinic during the Covid 19 Pandemic Process

Abstract

This study was conducted to evaluate the health anxiety and sleep quality of adults over the age of 40 who were hospitalized in an internal medicine-oncology clinic during the Covid-19 pandemic period. This descriptive-cross-sectional study was completed with 200 participants. In the study, the personal data form which questioned the socio-demographic characteristics and general health status of the participants, “Health Anxiety Scale” and “Pittsburgh Sleep Quality Index (PSQI)”, were used. Data were analyzed with descriptive statistics, Mann Whitney U test, Kruskal Wallis H test, and Spearman's correlation test. The significance level was accepted as P < 0.05. According to the data obtained, the participants' PSQI total scale score was determined as 6.585±3.265. The sleep quality of 96 (48%) individuals whose PSQI total score was above the cutoff value of 5 was evaluated as poor. The Health Anxiety Scale total score was determined as 17.315±4.243. A statistically significant positive correlation was found between the PSQI total score, sleep duration, sleep disturbance sub-dimensions, and the Health Anxiety Scale total score, hypersensitivity to somatic symptoms and anxiety sub-dimensions (P < 0.05). While establishing support mechanisms to combat the negative effects of the pandemic process and planning the steps to be taken to improve the quality of life, the negative impact of the epidemic process on sleep quality should also be considered.

Keywords

Health anxiety, Sleep quality, Pandemic

References

• Abramowitz JS, Braddock AE. 2011. Hypochondriasis and health anxiety. Hogrefe Publishing, Cambridge, US, pp. 70.
• Ağargün YM, Kara H, Anlar Ö. 1996. Pitsburg uyku kalitesi indeksi'nin geçerliliği ve güvenirliği. Turk Psikiyatri Derg, 7(2): 107-111.
• Akıncı T, Başar HM. 2021. Relationship between sleep quality and the psychological status of patients hospitalised with covid-19. Sleep Med, 80: 167-170. DOI: 10.1016/j.sleep.2021.01.034.
• Alan S, Gökyıldız Surucu S, Avcıbay Vurgec B, Cevik A. 2021. An investigation of individuals' health anxiety during the covid‐19 pandemic within the framework of the functional health patterns. Perspect Psychiatr Care, 57: 1103‐1113.
• Atalıkoğlu Başkan S, Güneş D. 2021. The effect of stress perceived by adults due to the covid-19 pandemic on their sleep quality. J Turkish Sleep Med, 1: 57-66.
• Avçin E, Erkoç B. 2021. Covid-19 pandemi sürecinde sağlık anksiyetesi, yaşam doyumu ve ilişkili değişkenler. Tıbbi Sos Hizm Derg, 17: 1-13. DOI: 10.46218/tshd.898389.
• Aydemir Ö, Kırpınar İ, Satı T, Uykur B, Cengisiz C. 2013. Sağlık anksiyetesi ölçeği’nin Türkçe için güvenilirlik ve geçerlilik çalışması. Noro Psikiyatr Ars, 50(4): 325-331.
• Bigalke JA, Greenlund IM, Carter JR. 2020. Sex differences in self-report anxiety and sleep quality during coviıd-19 stay-at-home orders. Biol Sex Differ, 11(1): 1-11.
• Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. 1989. The pittsburgh sleep quality ındex: a new ınstrument for psychiatric practice and research. Psychiatry Res, 28(2):193-213.
• Canlı D, Karaşar B. 2020. Health anxiety and emotion regulation during the period of covid-19 outbreak in Turkey. Psychiatr Danub, 32(3-4): 513-520. DOI: 10.24869/psyd.2020.513.
• CDCP. 2020. Centers for Disease Control and Prevention. Coronavirus disease 2019: who is at increased risk for severe illness? URL: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-increased-risk.html (erişim tarihi: 04 Ocak 2021).
• Çıtak Ş, Pekdemir Ü. 2020. An analysis on sleep habits and generalized anxiety levels of individuals during the covid-19 pandemic. J Family Counsel Educ, 5(1): 60-73.
• Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, Wang Y, Fu H, Dai J. 2020. Mental health problems and social media exposure during covid-19 outbreak. PLoS One, 15: e0231924. DOI: 10.1371/journal.pone.0231924.
• Huang Y, Zhao N. 2020. Generalized anxiety disorder, depressive symptoms and sleep quality during covid-19 epidemic in China: A web-based cross-sectional survey. Psychiatry Res, 288: 112954. DOI: 10.1016/j.psychres.2020.112954.
• Kabeloğlu V, Gül G. 2021. Covid-19 salgını sırasında uyku kalitesi ve ilişkili sosyal ve psikolojik faktörlerin araştırılması. JTurkish Sleep Med, 2: 97-104. DOI: 10.4274/jtsm.galenos.2021.53244.
• Kazan Kızılkurt O, Yılmaz A, Noyan CO, Dilbaz N. 2020. Health anxiety during the early phases of covid‐19 pandemic in Turkey and its relationship with postpandemic attitudes, hopelessness, and psychological resilience. Perspect Psychiatr Care, 2020: 1-9. DOI: 10.1111/ppc.12646.
• Önder H. 2018. Nonparametric statistical methods used in biological experiments, BSJ Eng Sci, 1(1): 1-6.
• Özdin S, Bayrak Özdin Ş. 2020. Levels and predictors of anxiety, depression and health anxiety during covıd-19 pandemic in Turkish society: the importance of gender. Int J Soc Psychiatry, 66(5): 504-511. DOI: 10.1177/0020764020927051.
• Sakaoğlu HH, Orbatu D, Emiroglu M, Çakır Ö. 2020. Covid-19 salgını sırasında sağlık çalışanlarında spielberger durumluk ve sürekli kaygı düzeyi: Tepecik Hastanesi örneği. Tepecik Eğit Araşt Hast Derg, 30: 1-9. DOI: 10.5222/terh.2020.56873.
• Salkovskis PM, Rimes KA, Warwick HM, Clark DM. 2002. The health anxiety inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med, 32: 843-853. DOI: 10.4274/npa.y6383.
• Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir A, Iosifidis C, Agha R. 2020. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg, 76: 71-76.
• Söğütlü L, Şifa Göktaş S. 2021. The effect of covid-19 pandemic on health anxiety, death anxiety and somatic symptoms in university students. J Contemp Med, 11(3): 323-329.
• Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. 2020. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Social Psychiatry, 66(4): 317-320.
• Tyrer P, Salkovskis P, Tyrer H, Wang D, Crawford MJ, Dupont S Barrett B. 2017. Cognitive-behaviour therapy for health anxiety in medical patients (champ): a randomised controlled trial with outcomes to 5 years. Health Tech Asses, 21: 1-58.
• URL 1. https://covid19.saglik.gov.tr/Eklenti/39551/0/ covid19rehberigenelbilgilerepidemiyolojivetanipdf.pdf (erişim tarihi: 03 Ekim 2021).
• Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. 2020. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (covid-19) epidemic among the general population in China. Int J Environ Res Public Health, 17: 1729. DOI: 10.3390/ijerph17051729.
• WHO. 2020. World Health Organization Coronavirus disease (COVID-19) Situation Reports URL: https://www.who.int/emergencies/diseases/novelcoronavirus-2019/situation-reports (erişim tarihi: 30 Temmuz 2020).
• WHO. 2019. World Health Organization Coronavirus disease 2019 (COVID-19) Situation Report 51URL: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10 (erişim tarihi: 23 Kasım 2020).
• Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, Zhou Y. 2020. Prevalence of comorbidities and ıts effects in patients infected with sars-cov-2: a systematic review and meta-analysis. Int J Infect Dis, 94: 91-95.
• Yazıcı Çelebi G, Kaya F, Yılmaz M. 2021. Covid 19 pandemisi sürecinde mizahla başa çıkma ile sağlık anksiyetesi arasındaki ilişki: iyimserliğin aracılık rolü. Süleyman Demirel Üniv Sos Bil Enst Derg, 40: 24-48.
• Zhang F, Shang Z, Ma H, Jia Y, Sun L, Guo X, Wu L, Sun Z, Zhou Y, Wang Y. 2020. High risk of infection caused posttraumatic stress symptoms in individuals with poor sleep quality: a study on ınfluence of coronavirus disease (COVID-19) in China. MedRxiv, doi:10.1101/2020.03.22.20034504.
• Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, Zhang LJ. 2020. Coronavirus disease 2019 (COVID-19): a Perspective from China. Radiology, 296: E15–E25.