ACİL SERVİS VE YOĞUN BAKIM ÜNİTELERİNDE ÇALIŞAN HEMŞİRELERİN COVİD-19 PANDEMİSİNDE İZOLASYON ÖNLEMLERİNE UYUMU VE SAĞLIK KAYGISI DÜZEYLERİ

Year 2021, Volume: 23 Issue: 1,2,3, 17 - 28, 17.05.2023

Ela Yılmaz Coşkun , Nilüfer Berberkayar

Abstract

Amaç: Covid-19 pandemisinde ön cephede savaşan hemşireler fiziksel ve ruhsal yönden bazı problemlerle karşı karşıya kalmıştır. Bu zorlu mücadelede hemşirelerin izolasyon önlemlerine uyumu gerek kendi sağlıkları gerekse bulaş hızı açısından önem arz etmektedir. Çalışmada; hemşirelerin pandemide izolasyon önlemlerine uyumu ve sağlık kaygısı düzeyinin incelenmesi amaçlanmıştır.

Yöntem: Çalışma; tanımlayıcı ve ilişki arayıcı türdedir.Kasım-Aralık 2020tarihleri arasında, Türkiye’de bir devlet üniversitesi eğitim ve araştırma hastanesinde acil servis ve yoğun bakım ünitelerinde çalışan hemşirelerle gerçekleştirildi (N=116). Örnek seçilmeksizin hemşirelerin çalışmaya katılım oranı %88,8 (n=103)’dir. Veriler anket formu, “İzolasyon Önlemlerine Uyum Ölçeği” ve “Sağlık Anksiyetesi Ölçeği” ile elde edildi. Elde edilen veriler SPSS 23,0 paket veri programında, tanımlayıcı, parametrik ve non-parametrik istatiksel yöntemlerden yararlanılarak analiz edildi.

Bulgular: Çalışmada; hemşirelerin izolasyon önlemlerine uyumu literatürden daha yüksek olarak bulgulandı. Hemşirelerin sağlık kaygısı düzeylerinin ise düşük olduğu tespit edildi. Ayrıca iki ölçek arasında anlamlı bir ilişkiye rastlanılmadı.

Sonuç: Hemşirelerin izolasyon önlemlerine uyumunu artıracak ve kaygıyı azaltıcı eğitim programlarının düzenli olarak planlaması, çalışmanın daha büyük örneklem grubunda gözleme dayalı yapılması önerilmektedir.

Keywords

Covid-19, Hemşirelik, İzolasyon, Sağlık kaygısı

Compliance of Nurses Working in Emergency Services and Intensive Care Units to Isolation Precautıons in Covid-19 Pandemic and Health Anxiety Levels

Abstract

Aim: Nurses faced with some physical and mental problems fighting on the front line in the Covid-19 pandemic. In this difficult fighting, it is important to compliance of nurses with the isolation precautions both in terms of their health and the speed of contagion. It was aimed to examine the nurses' compliance with the isolation precautions the pandemic and the level of health anxiety.

Methods: It is descriptive and relationship type. It was carried out with nurses working in emergency service and intensive care units in a state university training and research hospital in Turkey between November-December 2020 (N = 116). The rate of participation of nurses in the study is 88.8% (n = 103) regardless of choosing a sample. The data obtained with the questionnaire form, "Compliance Scale to Isolation Precautions" and "Health Anxiety Scale". The data obtained were analyzed using descriptive, parametric, and nonparametric statistical methods in SPSS 23.0 package data program.

Results: In the study; the compliance of nurses with isolation precautions was found to be higher than in the literature. It was found that the health anxiety levels of the nurses were low. In addition, no significant relationship was found between the two scales.

Conclusions: It is recommended regularly to plan training programs that will increase nurses' compliance with isolation precautions and reduce anxiety and to conduct the study based on observation in a larger sample group.

Keywords

Covid-19, nursing, isolation, health anxiety.

References

• Abdelghani, M., Mahdy, R.S., El-Gohari, & H.M. (2021). Health anxiety to COVID-19 virus infection and its relationship to quality of life in a sample of health care workers in Egypt: a cross-sectional study. Archives of Psychiatry and Psychotherapy, 1, 19-28. doi: 10.12740/APP/130304.
• Anagnostopoulos, F., & Botse, T. (2016). Exploring the role of neuroticism and insecure attachment in health anxiety, safety-seeking behavior engagement, and medical services utilization: A study based on an extended interpersonal model of health anxiety. SAGE Open, 6(2), 1-13. doi: 10.1177/2158244016653641
• Arpacioglu, S., Baltalı, Z., & Unubol, B. (2021). Burnout, fear of Covid, depression, occupational satisfaction levels and related factors in healthcare professionals in the COVID-19 pandemic. Cukurova Medical Journal, 46, 88-100. doi: 10.17826/cumj.785609.
• Asmundson, G. J., & Taylor, S. (2020). How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. Journal of Anxiety Disorders, 71, 102211. doi: 10.1016/j.janxdis.2020.102211.
• Askeroglu, A., Balkaya, F., & Tercan, F. (2022). Compliance of intensive care nurses with isolation precautions and examination of related factors. Adnan Menderes University Faculty of Health Sciences Journal, 6(2), 193-201. Retrieved from https://dergipark.org.tr/en/pub/amusbfd/article/1004869.
• Ates, A. Y., & Okur, F. (2020). Hidden heroes in the Covid-19 pandemic: Nurse leaders. International Journal of Health Management and Strategies Research, 6, 625-638. Retrieved from https://dergipark.org.tr/en/download/article-file/1473922.
• Aydemir, O., Kirpinar, I., Satı, T., Uykur, B., & Cengisiz, C. (2013). Reliability and validity of the Turkish version of the health anxiety inventory. Archives of Neuropsychiatry, 50, 325-331. doi: 10.4274/npa.y6383
• Cevirme, A., & Kurt, A. (2020). Covid-19 pandemia and its reflections to nursing profession. Eurasian Journal of Researches in Social and Economics, 7, 46-52. Retrieved from https://dergipark.org.tr/en/download/article-file/1128108.
• Choi, K. R., Jeffers, K. S., & Logsdon, M. C. (2020). Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. Journal of Advanced Nursing, 76, 1486-1487. doi: 10.1111/jan.14369
• Dogu, O., & Tiryaki, O. (2017). Job satisfaction relationship between use of gloves attitude and compliance with ısolation precautions of nurses intensive care. Journal of Intensive Care Nursing, 21, 16-22. Retrieved from https://dergipark.org.tr/en/download/article-file/335739.
• Erden, S., Kahraman, B., & Bulut, H. (2015). Evaluation of compliance of physicians and nurses with isolation precautions in intensive care units. Gumushane University Journal of Health Sciences, 4, 388-398. Retrieved from https://dergipark.org.tr/en/download/article-file/220156.
• Gurer, A., & Gemlik, H.N. (2020). A qualitative study on the problems and solution proposals of healthcare employees in the field during the Covid-19 pandemic process. Journal of Health Services and Education, 4, 45-52. doi: 10.29228/JOHSE.3
• Herron, J., Hay-David, A.G.C., Gilliam, A.D., & Brennan, P.A. (2020). Personal protective equipment and Covid 19-a risk to healthcare staff?. British Journal of Oral and Maxillofacial Surgery, 58, 500-502. doi: 10.1016/j.bjoms.2020.04.015
• Jamshidian, Y., Kiani, A., & Dargahi, S. (2018). Relationship of cognitive emotion regulation and meaning in life with health anxiety among emergency nurses. Health in Emergencies and Disasters, 3, 199-206. http://hdq.uswr.ac.ir/article-1-196-en.html
• Jungmann, S. M., & Witthoft, M. (2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 73, 102239. doi: 10.1016/j.janxdis.2020.102239
• Kılıncel, S., Issı, Z.T., Kılıncel, O., Aslan, E.A., Ay, R., Erzin, G. …, Akkaya, C. (2020). Effects of Coronavirus (COVID-19) Pandemic on Health Anxiety Levels of Healthcare Professionals. Journal of Contemporary Medicine, 10, 1-7. doi: 10.16899/jcm.767377
• Liu, Z., Han, B., Jiang, R., Huang, Y., Ma, C., Wen, J., ..., Ma, Y. (2020). Mental health status of doctors and nurses during COVID-19 epidemic in China. Available at SSRN 3551329
• Mokhtari, R., Moayedi, S., & Golitaleb, M. (2020). COVID‐19 pandemic and health anxiety among nurses of intensive care units. International journal of mental health nursing, 29, 1275-1277. doi: 10.1111/inm.12800
• Ozden, D., & Ozveren, H. (2016). Determining the professional and organizational factors in nurses' compliance with isolation precautions. Journal of Academic Research in Nursing, 2, 24-32. Retrieved from https://jag.journalagent.com/jaren/pdfs/JAREN_2_1_24_32.pdf
• Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, And İmmunity, 88, 901-907. doi:10.1016/j.bbi.2020.05.026
• Sarıer, T., & Kursun, S. (2020). Intensive care nurses’ levels of compliance with isolation precautions. Acibadem University Health Sciences Journal, 11, 682-688. doi:10.31067/0.2020.319
• Satır, D. G., Guneri, S.E., Ozturk, S., Maras, G.B., Mertoglu, A., & Sevil, U. (2019). Evaluating the compliance and factors affecting with isolation precautions of nurses: Izmir sample. The Journal of Tepecik Education and Research Hospital, 29, 218-222. doi:10.5222/terh.2019.08870
• Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Journal of the American Medical Association, 323, 2133-2134. doi:10.1001/jama.2020.5893
• Shayganfard, M., Mahdavi, F., Haghighi, M., Sadeghi-Bahmani, D., & Brand, S (2021). Sources of health anxiety for hospital staff working during the covid-19 pandemic. International Journal of Environmental Research and Public Health, 18, 3094. doi: 10.3390/ijerph18063094
• Shen, X., Zou, X., Zhong, X., Yan, J., & Li, L. (2020). Psychological stress of ICU nurses in the time of COVID-19. Critical Care, 24, 200. doi: 10.1186/s13054-020- 02926-2
• Suliman, M., Aloush, S., Aljezawi, M., & Albastawy, M. (2018). Knowledge and practices of isolation precautions among nurses in Jordan. American Journal of İnfection Control 46, 680-684. doi: 10.1016/j.ajic.2017.09.023
• Ulupınar, S., & Tayran, N. (2011). Development of a scale study: Validity and reliability of a scale compliance with isolation precautions. Florence Nightingale Journal of Nursing, 19, 89-98. Retrieved from https://dergipark.org.tr/en/download/article-file/95063
• Yuruk B.E., & Celik, H. (2020). The role of the nurse in combating the covıd-19 pandemic. Turkiye Klinikleri Journal of Nursing Science, 12, 300-304. doi: 10.5336/nurses.2020-75315
• Virtanen, M., Ferrie, J., Singh-Manoux, A., Shipley, M., Stansfeld, S., Marmot, M., . . . Kivimäki, M. (2011). Long working hours and symptoms of anxiety and depression: A 5-year follow-up of the Whitehall II study. Psychological Medicine, 41, 2485-2494. doi:10.1017/S0033291711000171
• World Health Organization (2020). Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health: interim guidance. Retrieved from https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf
• Yıldırım Yenigun, M., & Arslan, S. (2021). Nurses’ compliance with ısolation precautions worked in hospital. Healty ve Society, 31(3), 137-145. Retrieved from https://ssyv.org.tr/wp-content/uploads/2021/10/15-Hastanede-Calisan-Hemsirelerin-Izolasyon-Onlemlerine-Uyumu.pdf.
• Zencir, G., Bayraktar, D., & Khorshid, L. (2013). Nurses’ complıance with isolation precautions worked in a public hospital. Journal of Ege University Nursing Faculty, 29, 61-70. Retrieved from https://dergipark.org.tr/en/download/article-file/825262