Investigation of the effects of the COVID-19 Pandemic on the operation decision of the patients

Abstract

Introduction The COVID-19 pandemic has had significant impacts on healthcare organizations and patients. In our study, the effect of the pandemic period and the application of PCR test results on the decision to perform the operation were investigated. Material Method 300 patients who applied to the Anesthesia outpatient clinic of … Hospital were included in our study. In the collection of data, the Individual Introduction Form with 17 questions prepared by the research team in line with the literature was used. Statistical analyzes were performed using IBM® SPSS® 22 (SPSS Inc., Chicago, IL, USA) software. The conformity of the variables to the normal distribution was examined using analytical methods (Kolmogorov-Smirnov/Shapiro-Wilk tests). Results In our study, 50 patients (16.7%) reported that the pandemic caused a change in the decision to undergo surgery. This rate was found to be 12.1% (n=20) in patients who will undergo elective surgery and 22.2% (n=30) in patients who will undergo emergency or oncological surgery. In our study, it was determined that the effect of the pandemic on the operation decision was not affected by gender, age and educational status. The effect of the pandemic on the operation decision was found to be statistically significantly higher in patient groups who had Covid-19 infection in themselves or in their immediate surroundings during the pandemic period. Likewise, all of the people who lost their lives due to Covid-19 in their immediate vicinity stated that there was a change in the operation decision. It was observed that the pandemic had no effect in the process of giving a new operation in patients who had been operated during the pandemic period. 90.4% (n=122) of those who will undergo emergency or oncological surgery answered "I would not have been operated on if there was an elective operation". It was observed that PCR had an effect on the decision-making process in all patient groups. Result The results of our study showed that the pandemic was closely followed by all patient groups and that demographic data did not affect the operation decision of the patient groups; It has been shown that he or his close friends have been affected by the Covid 19 infection and the losses are effective in the decision-making process. The reliability of health institutions during the pandemic process is also effective in the decision-making process. According to the PCR test results, admission to the operating room was effective in the decision-making process for all patient groups.

Keywords

• covid 19 pandemic
• PCR
• OPERATION DECISION

References

1. 1. Yürük Bal E, Çelik H. COVID-19 salgını ile mücadelede hemşirenin rolü. Türkiye Klinikleri J Nurs Sci. 2020;12(2):300-4. doi: 10.5336/ nurses.2020-75315.
2. 2. Alimoğlu, O., & Erol, C. I. (2020). COVID-19 pandemisi sırasında genel cerrahi uygulamalarına yaklaşım. Anadolu Kliniği Tıp Bilimleri Dergisi, 25(Special Issue on COVID 19), 102-10.
3. 3. World Health Organization. [WHO] (2020b). Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health. World Health Organization, Interim guidance, 19. Retrieved June, 8, 2020
4. 4. Kaptan, H , Kasımcan, M , Yılmaz, M . "COVID-19 VE CERRAHİ YAKLAŞIM". Gazi Sağlık Bilimleri Dergisi (2020 ): 97-102
5. 5. He F, Deng Y, Li W. Corona virus Disease 2019 (COVID-19): What we know? J Med Virol 2020.
6. 6. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 2020;395:565-74
7. 7. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Corona virus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020.
8. 8. Karaca, A. S., Özmen, M. M., Uçar, A. D., Yastı, A. Ç., & Demirer, S. (2020). COVID-19’lu hastalarda genel cerrahi ameliyathane uygulamaları. Turk J Surg, 36(1), 6-10.

9. 9. ALBUZ, Ö., & ULUDAĞ, M. (2020). Covid-19 Pandemisi ve Cerrahi Perspektivite Üzerine Etkileri. Avrasya Sağlık Bilimleri Dergisi, 3, 116-19.
10. 10. Nepogodiev D, Bhangu A. Elective surgery cancellations due to the covıd-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg 2020; 107:1440-9
11. 11. İlhan, E , Oztop, M , Üreyen, O , Yıldırım, M . (2020). COVİD-19 PANDEMİSİNİN GENEL CERRAHİ KLİNİĞİNDE ACİL VE ELEKTİF CERRAHİ GİRİŞİMLERE OLAN ETKİSİNİN DEĞERLENDİRLİMESİ: KESİTSEL ÇALIŞMA . Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi , 53 (3) , 202-205 . DOI: 10.20492/aeahtd.817933
12. 12. Brown E. at al Schizophr Res. 2020 Aug;222:79-87. doi: 10.1016/j.schres.2020.05.005.
13. 13. Karayağız, F., Altuntaş, M., Güçlü, Y. A., Yılmazer, T. T., & Öngel, K. (2011). Cerrahi servisinde yatan hastalarda görülen anksiyete dağılımı Anxiety distrubution observed at surgery patients. Smyrna Tıp Dergisi, 22-25.
14. 14.Cimilli, C. (2001). Cerrahide Anksiyete. Klinik Psikiyatri, 4: 182 – 86.
15. 15.Kırlı, S. (2000). Anksiyete Bozukluklarının Oluşumu ve Farmakolojik Tedavisi – Anksiyetenin Oluşumu ve Anksiyete ile İlişkili Psikolojik ve Fizyolojik Süreçler. Bursa: Psikiyatri ve Sanat Yayınevi.
16. 16. Weanar, C. (2003). Kaygı Bozuklukları ve Aşırı Kontrol: Stres ve Stresle Başa Çıkma Yolları. Çeviren: Türköz, Y., Türk Psikoloji Bülteni, 9(30 – 31): 97 – 106. 17.Gürsoy, A. (2001). Ameliyat Öncesi Hastaların Kaygı Düzeyleri ve Kaygıya Neden Olabilecek Etmenlerin Belirlenmesi. Hemşirelikte Araştırma – Geliştirme Dergisi, 1: 23 – 30
17. 18.Yardakçı, R. ve Akyolcu, N. (2004). Ameliyat Öncesi Dönemde Yapılan Hasta Ziyaretlerinin Hastanın Anksiyete Düzeyine Etkisi. Hemşirelikte Araştırma Geliştirme Dergisi, 1: 7 – 14.
18. 19. Karancı, N. ve Dirik, G. (2003). Predictors of Pre – and Postoperative Anxiety in Emergency Surgery Patient [Acil Cerrahi Hastalarında Pre ve Postoperatif Anksiyete Yordayıcıları]. Journal Psychosom Research, 55(4): 363 – 69.
19. 20. Turhan Y. Elektif cerrahi operasyon planlanan hastalarda preoperatif ve postoperatif anksiyetenin hasta memnuniyeti ile ilişkisi. Uzmanlık Tezi, Çukurova Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Ana Bilim Dalı 2007; Adana, Türkiye.
20. 21. Yılmaz E., Aydın E. Fırat Sağlık Hizmetleri Dergisi, Cilt:8, Sayı:23 (2013)
21. 22. Demir A, Akyurt D, Ergün B, Haytural C, Yiğit T, Taşoğlu İ, Elhan AH., Erdemli Ö. Kalp cerrahisi geçirecek olgularda anksiyete sağaltımı. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2010; 18(3): 177-82
22. 23. Doglietto F. At al Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic Neurosurg Focus. 2020 Dec;49(6):E19.doi: 10.3171/2020.9.FOCUS20681.