Health Anxiety and Sleep Quality of Nurses and Midwives in Pandemic

Year 2024, Volume: 6 Issue: 2, 268 - 278, 25.08.2024

Nurten Terkeş , Sabriye Uçan Yamaç

Abstract

The aim of the study is to determine the health anxiety and sleep quality of nurses and midwives during the pandemic. The study sample comprised 126 nurses and midwives working in a district state hospital between February and June 2021. Data were collected using the Health Anxiety Scale and the Pittsburgh Sleep Quality Index. The data were evaluated using the SPSS 21 program. The mean age of the participants was 33.00±8.72, with 40.5% being over 40 years old. A majority, 88.1%, were female, 76.2% were married, and 69% were university graduates. There was a significant relationship between the working time of the nurses and midwives participating in the research and their colleagues' COVID-19 test positivity, as well as the Health Anxiety Scale. Educational status, marital status, length of work in the profession, and the department they work in showed statistically significant differences in the average scores obtained from the Pittsburgh Sleep Quality Index. A moderately significant relationship in the positive direction was found between the total mean scores of the Health Anxiety Inventory of the nurses and midwives and the Pittsburgh Sleep Quality Index (r= .559, p<0.001). In our study, it was determined that healthcare workers experienced health anxiety and sleep problems during the pandemic, with certain variables having a more significant impact on this situation. Considering the influencing variables in this process, it is recommended that nurses and midwives receive psychosocial support.

Keywords

Nursing, Midwifery, Anxiety, Sleep.

Pandemide Hemşire ve Ebelerin Sağlık Anksiyetesi ve Uyku Kalitesi

Abstract

Araştırmanın amacı, pandemide hemşire ve ebelerin sağlık anksiyetesi ve uyku kalitesini belirlemektir. Çalışma örneklemini, Şubat-Haziran 2021 tarihleri arasında bir ilçe devlet hastanesinde çalışan 126 hemşire ve ebe oluşturmuştur. Veriler, Sağlık Anksiyetesi Ölçeği ve Pittsburgh Uyku Kalitesi İndeksi kullanılarak toplanmıştır. Verilerin değerlendirmesinde SPSS 21 programı kullanılmıştır. Katılımcıların yaş ortalaması 33.00±8.72, %40.5’inin 40 yaş üzeri, %88.1’inin kadın, %76.2’sinin evli, %69’unun üniversite mezunu olduğu görülmektedir. Araştırmaya katılan hemşire ve ebelerin meslekteki çalışma süresi ve iş arkadaşında COVID-19 testi pozitif çıkma durumu ile Sağlık anksiyetesi ölçeği arasında anlamlı ilişki olduğu bulunmaktadır. Eğitim durumu, medeni durum, meslekteki çalışma süresi ve çalıştığı bölüm ile Pittsburgh Uyku Kalitesi İndeksinden aldıkları puan ortalamalarındaki farkın istatistiksel olarak anlamlı olduğu görülmektedir. Hemşire ve ebelerin Sağlık Kaygısı Envanteri toplam puan ortalamaları ile Pittsburgh Uyku Kalitesi İndeksi arasında pozitif yönde orta düzeyde anlamlı bir ilişki olduğu belirlendi (r= .559, p<0.001). Çalışmamızda sağlık çalışanlarının pandemide sağlık anksiyetesi uyku problemleri yaşadığı ve bazı değişkenlerin bu duruma daha çok etki ettiği bulunmuştur. Bu süreçte etkileyen değişkenler göz önüne alınarak hemşire ve ebelerin psikososyal açıdan desteklenmesi önerilmektedir.

Keywords

Hemşirelik, Ebelik, Anksiyete, Uyku.

References

• Agargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7, 107-115. https://www.turkpsikiyatri.com/turkceOzet?Id=327
• Aydemir, Ö., Kirpinar, I., Sati, T., Uykur, B., & Cengisiz, C. (2013). Sağlık Anksiyetesi Ölçeği'nin türkçe için güvenilirlik ve geçerlilik çalışması. Archives of Neuropsychiatry, 50(4), 325-331. https://doi.org/10.4274/npa.y6383
• Bay, F.., & Atas A.N. (2020). 2020 Uluslararası ebelik ve hemşirelik yılı: COVID-19’un gölgesinde ebelik mesleği. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(1), 49-53. Retrieved from https://dergipark.org.tr/en/pub/ikcusbfd/issue/60165/794630
• Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
• Choi, K. R., Skrine Jeffers, K., & Cynthia Logsdon, M. (2020). Nursing and the novel coronavirus: Risks and responsibilities in a global outbreak. Journal of Advanced Nursing, 76(7), 1486-1487. https://doi.org/10.1111/jan.14369
• Çetinol, T., & Özvurmaz, S. (2018). Hemşirelerde uyku kalitesi ve ı̇lişkili faktörler. Medical Sciences (NWSAMS), 13(4), 80-90, https://doi.org/10.12739/NWSA.2018.13.4.1B0054
• Çitak, Ş., & Pekdemir, Ü. (2020). An analysis on sleep habits and generalized anxiety levels of individuals during the COVID-19 pandemic. Journal of Family Counseling and Education, 5(1), 60-73. https://doi.org/10.32568/jfce.742086
• Ergün, R., Ergün, D., & Ergan, B. (2016). Yoğun bakım ünitesi çalışanlarında anksiyete ve depresyon. Dahili ve Cerrahi Bilimler Yoğun Bakim Dergisi, 7(3), 93-98. https://doi.org/10.5152/dcbybd.2017.1328
• Faraji, A., Karimi, M., Azizi, S. M., Janatolmakan, M., & Khatony, A. (2019). Occupational stress and its related demographic factors among Iranian CCU nurses: A cross-sectional study. BMC Research Notes, 12(1), 634. https://doi.org/10.1186/s13104-019-4674-5
• Galehdar, N., Kamran, A., Toulabi, T., & Heydari, H. (2020). Exploring nurses' experiences of psychological distress during care of patients with COVID-19: A qualitative study. BMC Psychiatry, 20(1), 489. https://doi.org/10.1186/s12888-020-02898-1
• Hachisu, T., & Suzuki, K. (2018). Tactile apparent motion through human-human physical touch. In Haptics: Science, Technology, and Applications (pp. 163–174). https://doi.org/10.1007/978-3-319-93445-7_15
• Havlioğlu, S., & Demir, H. A. (2020). Determining the anxiety levels of emergency service employees’ working during the COVID-19 pandemic. Harran Üniversitesi Tıp Fakültesi Dergisi, 17(2), 251-255. https://doi.org/10.35440/hutfd.752467
• Ho, C. S., Chee, C. Y., & Ho, R. C. (2020). Mental health strategies to combat the psychological ımpact of coronavirus disease 2019 (COVID-19) beyond paranoia and panic. Annals of the Academy of Medicine, Singapore, 49(3), 155–160. https://annals.edu.sg/pdf/49VolNo3Mar2020/V49N3p155.pdf
• Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England), 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
• International Council of Nurses (ICN) Nursing the World to Health - ICN announces theme for International Nurses Day 2020. (2020). Retrieved October 16, 2022, from https://l24.im/mE4cYIM
• Jackson, D., Bradbury-Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., & Smith, G. D. (2020). Life in the pandemic: some reflections on nursing in the context of COVID-19. Journal of Clinical Nursing, 29(13-14): 2041–2043. http://doi.org/10.1111/jocn.15257
• Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., Hu, S., Zhang, K., Wang, G., Ma, C., & Liu, Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, 87, 11–17. https://doi.org/10.1016/j.bbi.2020.03.028
• Khan, S., Siddique, R., Ali, A., Xue, M., & Nabi, G. (2020). Novel coronavirus, poor quarantine, and the risk of pandemic. The Journal of Hospital Infection, 104(4), 449–450. https://doi.org/10.1016/j.jhin.2020.02.002
• Kiraner, E., Terzi, B., Türkmen, E., Kebapçi, A., & Bozkurt, G. (2020). Türk yoğun bakım hemşirelerinin COVID-19 salgınındaki deneyimleri. Koç Üniversitesi Hemşirelikte Eğitim ve Araştirma Dergisi, 17(3), 284-286. https://doi.org/10.5222/HEAD.2020.35556
• Krupa, S., & Ozga, D. (2019). Review of the literature on the occurrence of delirium after veno-venous and veno-arterial extracorporeal membrane oxygenation: A systematic review. Dementia and Geriatric Cognitive Disorders Extra, 9(3), 374–380. https://doi.org/10.1159/000502685
• Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
• Li, R., Chen, Y., Lv, J., Liu, L., Zong, S., Li, H., & Li, H. (2020). Anxiety and related factors in frontline clinical nurses fighting COVID-19 in Wuhan. Medicine, 99(30), e21413. https://doi.org/10.1097/MD.0000000000021413
• Ministry of Interior (İçişleri Bakanlığı). (2021a). 81 İl Valiliğine Kademeli Normalleşme Tedbirleri Genelgesi Gönderildi, Erişim Tarihi: 22.09.2023. Retrieved From https://l24.im/qlhvx5A
• Ornell, F., Halpern, S. C., Kessler, F. H. P., & Narvaez, J. C. M. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de Saude Publica, 36(4), e00063520. https://doi.org/10.1590/0102-311X00063520
• Özdelikara, A.,Ağaçdiken, A.S., & Mumcu, N. (2018). Hemşirelik öğrencilerinde sağlık algısı, sağlık anksiyetesi ve etkileyen faktörlerin belirlenmesi. Bakırköy Tıp Dergisi, 14, 275-282. https://doi.org/10.5350/BTDMJB.20170310015347
• 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 Immunity, 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026
• Pedrazza, M., Berlanda, S., Trifiletti, E., & Minuzzo, S. (2018). Variables of individual difference and the experience of touch in nursing. Western Journal of Nursing Research, 40(11), 1614–1637. http://doi.org/10.1177/0193945917705621. Salkovskis, P. M., Rimes, K. A., Warwick, H. M., & Clark, D. M. (2002). The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32(5), 843–853. https://doi.org/10.1017/s0033291702005822
• Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, 323(21), 2133-2134. https://doi.org/10.1001/jama.2020.5893
• She, J., Jiang, J., Ye, L., Hu, L., Bai, C., & Song, Y. (2020). 2019 novel coronavirus of pneumonia in Wuhan, China: Emerging attack and management strategies. Clinical and Translational Medicine, 9(1), 19. http://doi.org/10.1186/s40169-020-00271-z
• Smith, G. D., Ng, F., & Ho Cheung Li, W. (2020). COVID-19: Emerging compassion, courage and resilience in the face of misinformation and adversity. Journal of Clinical Nursing, (9-10), 1425-1428. http://doi.org/10.1111/jocn.15231
• Vagni, M., Maiorano, T., Giostra, V., & Pajardi, D. (2020). Coping with COVID-19: Emergency stress, secondary trauma and self-efficacy in healthcare and emergency workers in Italy. Frontiers in Psychology, 11, 566912. https://doi.org/10.3389/fpsyg.2020.566912
• Xiao, H., Zhang, Y., Kong, D., Li, S., ve Yang, N. (2020). Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in january 2020 in China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e923921- e923921-1- e923921-8). https://doi.org/10.12659/MSM.923921
• Yücel, B., & Görmez, A. (2019). SARS-corona virüsüne genel bakış. Türkiye Teknoloji ve Uygulamalı Bilimler Dergisi, 2(1), 32–39. https://dergipark.org.tr/tr/download/article-file/709178
• Zengin, L., & Gümüş F. (2019). Hemşirelerde anksiyete, depresif belirti ve ilişkili faktörler. Jaren, 5(2), 116-22. https://doi.org/10.5222/jaren.2019.40469
• Zhao, X., Lan, M., Li, H., & Yang, J. (2021). Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: A moderated mediation model. Sleep Medicine, 77, 339–345. https://doi.org/10.1016/j.sleep.2020.05.021
• Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team (2020). A novel coronavirus from patients with pneumonia in China, 2019. The New England Journal of Medicine, 382 (8), 727–733. https://doi.org/10.1056/NEJMoa2001017