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COVID-19 Pandemisinde Karadeniz Teknik Üniversitesi Tıp Fakültesi Öğrencilerinin COVID-19 Risk Algısı ve Sağlık İletişimi Hakkındaki Tutumlarının Değerlendirilmesi

Year 2025, Volume: 4 Issue: 1, 1 - 11, 30.03.2025
https://doi.org/10.59518/farabimedj.1584144

Abstract

Tıp fakültesi öğrencilerinin hasta/hasta yakınlarıyla kurdukları iletişim, sağlık sorunlarına tanı konulması ve tedavi aşamasında göz ardı edilemeyecek öneme sahiptir. Hasta/hasta yakınları iletişimde ne kadar iyi anlaşıldıklarını hissederlerse o ölçüde tedavi sürecinde pozitif yönde iyileşme sağlanabilir. Öğrencilerin hasta/hasta yakınlarıyla iletişimlerini etkileyen faktörlerden birinin COVID-19 pandemisi olduğu düşünülmektedir. Bu çalışmada tıp fakültesi öğrencilerinin COVID-19 risk algı düzeyleri ve pandemi döneminde sağlık iletişimine yönelik tutumlarının incelenmesi amaçlanmıştır. Çalışmaya 903 öğrenci dahil edilmiştir. Pandemi sürecinde yüz yüze veri toplamanın uygun olmayacağı düşüncesiyle çevrimiçi anket yöntemi kullanılmıştır. Solunum sistemi ile ilgili bir hastalık ya da risk faktörü bulunan, SARS-CoV-2 enfeksiyonu geçirmemiş, günlük COVID-19 vaka tablosunu takip eden ve SARS-CoV-2 enfeksiyonu şüpheli ya da doğrulanmış bir hasta ile karşılaşan öğrencilerin COVID-19 risk algısı puan ortalamaları istatistiksel açıdan önemli derecede yüksek bulunmuştur (p değerleri sırasıyla 0.009; 0.041; <0.001 ve 0.020). "Pandemi döneminde hastalarla mümkün olduğunca kısa ve yüzeysel iletişim kurarım" diyen öğrencilerin risk algısı puan ortalaması önemli derecede yüksek bulunmuştur (p=<0.001). "Hasta/hasta yakınları maske ve fiziksel mesafe kurallarına uyarsa her koşulda iletişim kurarım" diyen öğrencilerin risk algısı puanı ortalaması önemli derecede düşük bulunmuştur (p=0.013). Çalışmada öğrencilerin COVID-19 risk algısı düzeyleri belirlenmiş ve risk algılarının sağlık iletişimine yönelik tutumlarını yönlendirebildiği ortaya konmuştur. Bu bağlamda öğrencilere, risk yönetimi ve doğru iletişimin önemi hakkında eğitimler verilebilir. Risk yönetiminin teknolojik ve idari özelliklerinin sosyo-psikolojik düşünceler ve önlemlerle zenginleştirilmesi amacına yönelik uygun psikolojik destek sunulabilir.

References

  • Boykins AD. Core communication competencies in patient-centered care. ABNF J. 2014;25(2):40-45.
  • Harolds JA. Quality and safety in health care, Part VI: More on crossing the quality chasm. Clinical Nuclear Medicine. 2016;41(1):41-43.
  • Hoşgör DG. İletişim ve Sağlık iletişimi. Yüksek Lisans Tezi. Beykent Üniversitesi, İstanbul. 2014.
  • Okay A. Sağlık İletişimi. 2014. Derin Yayınları. İstanbul.
  • Tabak RS. Sağlık İletişimi. 2006. Literatür Yayınları. İstanbul.
  • Cegala DJ, Coleman MT, Turner JW. The development and partial assessment of the medical communication competence scale. Health Communication. 1998; 10(3):261-288.
  • Cegala DJ, McGee DS, McNeilis KS. Components of patients’ and doctors’ perceptions of communication competence during a primary care medical interview. Health Communication. 1996;8(1):1-27.
  • Dryhurst S, Schneider CR, Kerr J, et al. Risk perceptions of COVID-19 around the world. Journal of Risk Research. 2020;23(7-8):994-1006.
  • Burns WJ, Slovic P. Risk perception and behaviors: anticipating and responding to crises. Risk Anal. 2012;32(4):579-582.
  • He S, Chen S, Kong L, Liu W. Analysis of risk perceptions and related factors concerning COVID-19 epidemic in Chongqing, China. J Community Health. 2021;46(2):278-285.
  • Gómez Ochoa SA, Franco OH, Rojas LZ, et al. COVID-19 in health-care workers: a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. American journal of epidemiology. 2021;190(1):161-175.
  • Toraks.org. Sağlık Çalışanları Aileleriyle Birlikte COVID-19 Hastalığına Yakalanıyor. 2020. https://www.toraks.org.tr/site/community/news/10018#:~:text.
  • Lee CK, Song HJ, Bendle LJ, Kim MJ, Han H. The impact of nonpharmaceutical interventions for 2009 H1N1 influenza on travel intentions: A model of goal-directed behavior. Tourism Management. 2012;33(1):89-99.
  • Rubinelli S, Myers K, Rosenbaum M, Davis D. Implications of the current COVID-19 pandemic for communication in healthcare. Patient Educ Couns. 2020;103(6):1067-1069.
  • Hoşgör H, Aközlü Z. Sağlık programlarında öğrenim gören öğrencilerin covıd-19’a dair bilgi, önlemlere uyum ve risk algısı düzeylerinin sosyo-demografik özellikler açısından incelenmesi. USAYSAD. 2021;7(1):181-192.
  • Leppin A, Aro AR. Risk perceptions related to sars and avian influenza: theoretical foundations of current empirical research. International Journal of Behavioral Medicine. 2009;16(1):7-29.
  • Mhango M, Dzobo M, Chitungo I, Dzinamarira T. COVID-19 risk factors among health workers: A rapid review. Safety and Health at Work. 2020; 11(3):262-265.
  • Van der Weerd W, Timmermans DR, Beaujean DJ, Oudhoff J, Van Steenbergen JE. Monitoring the level of government trust, risk perception and intention of the general public to adopt protective measures during the influenza A (H1N1) pandemic in the Netherlands. BMC Public Health. 2011;11(1):575.
  • Tevfik O, Murat T, Kubra S, Demet AS, Nazim Ercument B. Development of a COVID-19 disease risk perception scale. Iran Red Crescent Med J. 2023;25(5):e1736.
  • Kavaklı M, Ak M, Uğuz F, et al. The mediating role of self-compassion in the relationship between perceived COVID-19 threat and death anxiety (eng). Turkish J Clin Psy. 2020;23(50):15-23.
  • Kim JS, Choi JS. Middle East respiratory syndrome-related knowledge, preventive behaviours and risk perception among nursing students during outbreak. Journal of Clinical Nursing. 2016;25(17-18):2542-2549.
  • Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020;17(5):1729.
  • Alsoghair M, Almazyad M, Alburaykan T, et al. Medical Students and COVID-19: Knowledge, Preventive Behaviors, and Risk Perception. Int J Environ Res Public Health. 2021;18(2):842.
  • Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020;23(4):249-254.
  • Utma S. Sağlık İletişimi Kavramı: Koronavirüs (Covıd 19) salgınında ülkemizde sağlık i̇letişimi uygulamaları. Journal of Social, Humanities and Administrative Sciences. 2020; 6(31):1591-1605.
  • Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: A review. Allergy. 2021;76(2):428-455.
  • Bloom CI, Drake TM, Docherty AB, et al. Risk of adverse outcomes in patients with underlying respiratory conditions admitted to hospital with COVID-19: a national, multicentre prospective cohort study using the ISARIC WHO Clinical Characterisation Protocol UK. Lancet Respir Med. 2021;9(7):699-711.
  • Işık T. Sağlık İletişimi Bağlamında Hekim-Hasta, Hasta-Hekim İletişimi İnceleme Çalışması: Özel Bir Hastane Analizi. Iğdır Üniversitesi Sosyal Bilimler Dergisi. 2021; (26):720-753.
  • Kurt Yılmaz B, Güler ME, Sürvegil O. Sağlık Çalışanlarının Covıd-19 Küresel Salgınına Bakış Açılarının ve Tutumlarının Değerlendirilmesi. Journal of Yaşar University. 2021;16(62):960-981.
  • Eryilmaz Eren E, Celik I, Yildiz M, et al. Evaluation of health care workers with COVID-19. Klimik Derg. 2020;33:230-234.
  • Jary A, Flandre P, Chabouis A, et al. Clinical presentation of Covid-19 in health care workers from a French University Hospital. Journal of Infection. 2020; 81(3):e61-e63.
  • Ripperger TJ, Uhrlaub JL, Watanabe M, et al. Detection, prevalence, and duration of humoral responses to SARS-CoV-2 under conditions of limited population exposure. Preprint. medRxiv. 2020;2020.08.14.20174490.
  • Stokel-Walker C. What we know about covid-19 reinfection so far. BMJ. 2021;372:n99.
  • Braquehais MD, Vargas-Cáceres S, Gómez Durán E, et al. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine. 2020;113(9):613-617.
  • Çalışkan Pala S, Metintas S. COVID-19 pandemisinde sağlık çalışanları. ESTÜDAM Halk Sağlığı Dergisi. 2020;5:156-68.
  • Chew NWS, Lee GKH, Tan BYQ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559-565.
  • Sakaoğlu HH, Orbatu D, Emiroglu M, et al. Spielberger State and Trait Anxiety Level in Healthcare Professionals During the Covid-19 Outbreak: A Case of Tepecik Hospital. Anatol J Gen Med Res. 2020;30(60):1-9.
  • Que J, Shi L, Deng J, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020;33(3):e100259.
  • Scott AM, Van Scoy LJ. What Counts as “Good” Clinical Communication in the Coronavirus Disease 2019 Era and Beyond? Chest. 2020;158(3):879-880.
  • Wang H, Liu Y, Hu K, et al. Healthcare workers' stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics. 2020;27(7):1490-1500.
  • White SJ, Barello S, Cao di San Marco E, et al. Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper. Patient Educ Couns. 2021;104(2):217-222.

Evaluation of COVID-19 Risk Perception and Attitudes About Health Communication of Karadeniz Technical University Faculty of Medicine Students in the COVID-19 Pandemic

Year 2025, Volume: 4 Issue: 1, 1 - 11, 30.03.2025
https://doi.org/10.59518/farabimedj.1584144

Abstract

The communication of medical students with patients/patient relatives is very important in the diagnosis and treatment of health problems. The better the patient/relatives feel understood in communication, the more positive improvement can be achieved in the treatment process. It is thought that one of the factors affecting students' communication with patients/patient relatives is the COVID-19 pandemic. The aim of this study is to examine medical school students' COVID-19 risk perception levels and their attitudes towards health communication during the pandemic period. 903 students were included. An online survey method was used because it was thought that face-to-face data collection would not be appropriate during the pandemic. The mean COVID-19 risk perception scores of students who had a disease or risk factor related to the respiratory system, who hadn’t had SARS-CoV-2 infection, who followed the daily COVID-19 case table, and who encountered a patient with suspected or confirmed SARS-CoV-2 infection were statistically significantly higher (p values 0.009; 0.041; <0.001; 0.020, respectively). The mean risk perception score of the students who said “I communicate with patients as briefly and superficially as possible during the pandemic” was significantly higher (p=<0.001). The mean risk perception score of the students who said, “I can communicate under all circumstances if the patient/patient relatives follow the mask and physical distancing rules” was found to be significantly lower (p=0.013). The level of COVID-19 risk perception of students can direct their attitudes towards health communication. Students can be trained on risk management and the importance of correct communication, and appropriate psychological support can be provided to enrich the technological and administrative features of risk management with sociopsychological considerations and precautions.

Ethical Statement

This study was approved by the Scientific Research Ethics Committee of Karadeniz Technical University Faculty of Medicine (decision dated 09.12.2021 and numbered 24237859-894).

References

  • Boykins AD. Core communication competencies in patient-centered care. ABNF J. 2014;25(2):40-45.
  • Harolds JA. Quality and safety in health care, Part VI: More on crossing the quality chasm. Clinical Nuclear Medicine. 2016;41(1):41-43.
  • Hoşgör DG. İletişim ve Sağlık iletişimi. Yüksek Lisans Tezi. Beykent Üniversitesi, İstanbul. 2014.
  • Okay A. Sağlık İletişimi. 2014. Derin Yayınları. İstanbul.
  • Tabak RS. Sağlık İletişimi. 2006. Literatür Yayınları. İstanbul.
  • Cegala DJ, Coleman MT, Turner JW. The development and partial assessment of the medical communication competence scale. Health Communication. 1998; 10(3):261-288.
  • Cegala DJ, McGee DS, McNeilis KS. Components of patients’ and doctors’ perceptions of communication competence during a primary care medical interview. Health Communication. 1996;8(1):1-27.
  • Dryhurst S, Schneider CR, Kerr J, et al. Risk perceptions of COVID-19 around the world. Journal of Risk Research. 2020;23(7-8):994-1006.
  • Burns WJ, Slovic P. Risk perception and behaviors: anticipating and responding to crises. Risk Anal. 2012;32(4):579-582.
  • He S, Chen S, Kong L, Liu W. Analysis of risk perceptions and related factors concerning COVID-19 epidemic in Chongqing, China. J Community Health. 2021;46(2):278-285.
  • Gómez Ochoa SA, Franco OH, Rojas LZ, et al. COVID-19 in health-care workers: a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. American journal of epidemiology. 2021;190(1):161-175.
  • Toraks.org. Sağlık Çalışanları Aileleriyle Birlikte COVID-19 Hastalığına Yakalanıyor. 2020. https://www.toraks.org.tr/site/community/news/10018#:~:text.
  • Lee CK, Song HJ, Bendle LJ, Kim MJ, Han H. The impact of nonpharmaceutical interventions for 2009 H1N1 influenza on travel intentions: A model of goal-directed behavior. Tourism Management. 2012;33(1):89-99.
  • Rubinelli S, Myers K, Rosenbaum M, Davis D. Implications of the current COVID-19 pandemic for communication in healthcare. Patient Educ Couns. 2020;103(6):1067-1069.
  • Hoşgör H, Aközlü Z. Sağlık programlarında öğrenim gören öğrencilerin covıd-19’a dair bilgi, önlemlere uyum ve risk algısı düzeylerinin sosyo-demografik özellikler açısından incelenmesi. USAYSAD. 2021;7(1):181-192.
  • Leppin A, Aro AR. Risk perceptions related to sars and avian influenza: theoretical foundations of current empirical research. International Journal of Behavioral Medicine. 2009;16(1):7-29.
  • Mhango M, Dzobo M, Chitungo I, Dzinamarira T. COVID-19 risk factors among health workers: A rapid review. Safety and Health at Work. 2020; 11(3):262-265.
  • Van der Weerd W, Timmermans DR, Beaujean DJ, Oudhoff J, Van Steenbergen JE. Monitoring the level of government trust, risk perception and intention of the general public to adopt protective measures during the influenza A (H1N1) pandemic in the Netherlands. BMC Public Health. 2011;11(1):575.
  • Tevfik O, Murat T, Kubra S, Demet AS, Nazim Ercument B. Development of a COVID-19 disease risk perception scale. Iran Red Crescent Med J. 2023;25(5):e1736.
  • Kavaklı M, Ak M, Uğuz F, et al. The mediating role of self-compassion in the relationship between perceived COVID-19 threat and death anxiety (eng). Turkish J Clin Psy. 2020;23(50):15-23.
  • Kim JS, Choi JS. Middle East respiratory syndrome-related knowledge, preventive behaviours and risk perception among nursing students during outbreak. Journal of Clinical Nursing. 2016;25(17-18):2542-2549.
  • Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020;17(5):1729.
  • Alsoghair M, Almazyad M, Alburaykan T, et al. Medical Students and COVID-19: Knowledge, Preventive Behaviors, and Risk Perception. Int J Environ Res Public Health. 2021;18(2):842.
  • Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020;23(4):249-254.
  • Utma S. Sağlık İletişimi Kavramı: Koronavirüs (Covıd 19) salgınında ülkemizde sağlık i̇letişimi uygulamaları. Journal of Social, Humanities and Administrative Sciences. 2020; 6(31):1591-1605.
  • Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: A review. Allergy. 2021;76(2):428-455.
  • Bloom CI, Drake TM, Docherty AB, et al. Risk of adverse outcomes in patients with underlying respiratory conditions admitted to hospital with COVID-19: a national, multicentre prospective cohort study using the ISARIC WHO Clinical Characterisation Protocol UK. Lancet Respir Med. 2021;9(7):699-711.
  • Işık T. Sağlık İletişimi Bağlamında Hekim-Hasta, Hasta-Hekim İletişimi İnceleme Çalışması: Özel Bir Hastane Analizi. Iğdır Üniversitesi Sosyal Bilimler Dergisi. 2021; (26):720-753.
  • Kurt Yılmaz B, Güler ME, Sürvegil O. Sağlık Çalışanlarının Covıd-19 Küresel Salgınına Bakış Açılarının ve Tutumlarının Değerlendirilmesi. Journal of Yaşar University. 2021;16(62):960-981.
  • Eryilmaz Eren E, Celik I, Yildiz M, et al. Evaluation of health care workers with COVID-19. Klimik Derg. 2020;33:230-234.
  • Jary A, Flandre P, Chabouis A, et al. Clinical presentation of Covid-19 in health care workers from a French University Hospital. Journal of Infection. 2020; 81(3):e61-e63.
  • Ripperger TJ, Uhrlaub JL, Watanabe M, et al. Detection, prevalence, and duration of humoral responses to SARS-CoV-2 under conditions of limited population exposure. Preprint. medRxiv. 2020;2020.08.14.20174490.
  • Stokel-Walker C. What we know about covid-19 reinfection so far. BMJ. 2021;372:n99.
  • Braquehais MD, Vargas-Cáceres S, Gómez Durán E, et al. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine. 2020;113(9):613-617.
  • Çalışkan Pala S, Metintas S. COVID-19 pandemisinde sağlık çalışanları. ESTÜDAM Halk Sağlığı Dergisi. 2020;5:156-68.
  • Chew NWS, Lee GKH, Tan BYQ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559-565.
  • Sakaoğlu HH, Orbatu D, Emiroglu M, et al. Spielberger State and Trait Anxiety Level in Healthcare Professionals During the Covid-19 Outbreak: A Case of Tepecik Hospital. Anatol J Gen Med Res. 2020;30(60):1-9.
  • Que J, Shi L, Deng J, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020;33(3):e100259.
  • Scott AM, Van Scoy LJ. What Counts as “Good” Clinical Communication in the Coronavirus Disease 2019 Era and Beyond? Chest. 2020;158(3):879-880.
  • Wang H, Liu Y, Hu K, et al. Healthcare workers' stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics. 2020;27(7):1490-1500.
  • White SJ, Barello S, Cao di San Marco E, et al. Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper. Patient Educ Couns. 2021;104(2):217-222.
There are 41 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Articles
Authors

Nalan Özen 0000-0001-9238-3915

Murat Topbaş 0000-0003-4047-4027

Behiye Şahbaz 0000-0001-9364-3053

Nazım Ercüment Beyhun 0000-0002-4664-9070

Publication Date March 30, 2025
Submission Date November 13, 2024
Acceptance Date January 25, 2025
Published in Issue Year 2025 Volume: 4 Issue: 1

Cite

AMA Özen N, Topbaş M, Şahbaz B, Beyhun NE. Evaluation of COVID-19 Risk Perception and Attitudes About Health Communication of Karadeniz Technical University Faculty of Medicine Students in the COVID-19 Pandemic. Farabi Med J. March 2025;4(1):1-11. doi:10.59518/farabimedj.1584144

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