Concerns and Experiences of the Nurses Caring For Patients Diagnosed With Covid-19 During the First Wave Of Covid-19

Year 2022, Volume: 7 Issue: 2, 603 - 616, 29.08.2022

Mehmet Korkmaz , Özge Öz , Dilek Çelik Eren , İlknur Aydın Avcı

https://doi.org/10.47115/jshs.1136349

Abstract

Aim: Health professionals who have direct contact with patients, provide primary care, and have the longest contact time are nurses. The pandemic caused by Covid-19, a virus with high mortality and high spreading rate have caused anxiety and fear in the nurses. This study aimed to evaluate the anxiety and experience of the nurses who care for the patients diagnosed with Covid-19.
Method: This study was carried out based on cross-sectional research principles. This study was carried out with 327 nurses providing care to the hospitalized patients diagnosed with Covid-19.
Results: The nurses stated that 70.6% of them had increased anxiety, 63.9% of the nurses stated that there was a change in sleep patterns and 51.1% of the nurses stated that they were concerned about the transmission of this disease to themselves while giving care to the patient diagnosed with Covid-19. Approximately half of the nurses (49.5%) stated that they needed psychological support.
Conclusion and Suggestions: Nurses experience problems such as impaired sleep pattern, increased anxiety level, and increased fear and anxiety about transmitting the virus to themselves, their families, loved ones, friends and colleagues. For this reason, nurses who care for the patients diagnosed with Covid-19 should be evaluated periodically in terms of psychological health with a risk approach and should be supported psychologically when necessary. In order to ensure that nurses cope with these problems and work efficiently during the Covid-19 pandemic process.

Keywords

Pandemic, Nurse’s Concerns, Nurse’s Experiences, Covid-19

Covid-19 Pandemisinin İlk Döneminde Covid-19 Tanılı Hastaya Bakım Veren Hemşirelerin Pandemi Sürecindeki Kaygıları ve Deneyimleri

Abstract

Amaç: Hastalara doğrudan temas eden ve birincil bakımı sağlayan; hastalarla en uzun temas süresini geçiren sağlık profesyonelleri hemşirelerdir. Mortalitesi, yayılım hızı yüksek olan, Covid-19’ un neden olduğu pandemi hemşirelerde kaygı ve korkuya yol açmaktadır. Bu çalışmada, Covid-19 tanısıyla hastaneye yatan bir hastaya bakım veren hemşirelerin Covid-19 sürecinde kaygılarını ve deneyimlerinin değerlendirilmesi amaçlanmıştır.
Yöntem: Bu araştırma kesitsel araştırma ilkelerine göre yapılmıştır. Bu araştırma Covid- 19 tanısıyla hastanede yatan hastalara bakım veren 327 hemşire ile gerçekleştirilmiştir.
Bulgular: Hemşirelerin %63.9’u uyku düzeninde değişiklik olduğunu, %70.6’sı anksiyetesinin arttığını, %51.1’i Covid-19 tanısıyla yatan hastaya bakım verirken bu hastalığın kendine bulaşması ile ilgili kaygı duyduğunu belirtmiştir. Hemşirelerin yaklaşık yarısı(%49.5) psikolojik desteğe ihtiyaç duyduğunu ifade etmiştir.
Sonuç ve Önerileri: Covid- 19 pandemisi sürecinin etkili bir şekilde yönetilmesinde öncül rol alan hemşireler bu süreçte uyku düzeninde bozulma, anksiyete düzeyinde artma, virüsün kendilerine bulaşması, ailelerine, sevdiklerine, arkadaşlarına ve meslektaşlarına bu virüsü bulaştırmaya yönelik korku ve kaygı yaşama gibi sorunlar yaşamaktadırlar. Hemşirelerin bu sorunlarla baş etmelerinin ve Covid-19 pandemisi sürecinde etkili bir şekilde çalışmalarının sağlanması için belirli aralıklarla risk yaklaşımı ile hemşirelerin ruhsal sağlık durumları değerlendirilmeli ve ihtiyaç duyan hemşirelere psikolojik destek sağlanmalıdır.

Keywords

Covid-19, Pandemi, Hemşirelerin Kaygıları, Hemşirelerin Deneyimleri

References

• Abdessater, M., Rouprêt, M., Misrai, V., Matillon, X., Gondran-Tellier, B., Freton, L., Vallée, M. Dominiqueg, I., Felbera, M., Khenee, Z. E., Fortier, E., Lannes, F., Michiels, C., Grevez, T., Szabla, N., Boustany, J., Bardet, F., Kaulanjan, K., Seizilles de Mazancourt, E., Ploussard, G., Pinar, U. & Pradere, B. (2020). COVID19 pandemic impacts on anxiety of French urologist in training: outcomes from a national survey. Progrès En Urologie, 30(8-9), 448-455. https://doi.org//10.1016/j.purol.2020.04.015.
• Backer, J. A., Klinkenberg, D. & Wallinga, J. (2020). Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China, 20–28 January 2020. Eurosurveillance, 25(5), 2000062. https://doi.org/ 10.2807/1560-7917.ES.2020.25.5.2000062.
• Centers for Disease Control and Prevention. Symptoms of coronavirus disease 2019 (COVID-19). (2021) https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html.
• Centers for Disease Control and Prevention. (2021). How to Protect Yourself & Others. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting sick/prevention.html?deliveryName=USCDC_2067-DM26911.
• Centers for Disease Control and Prevention (2021). Interim clinical guidance for management of patients with confirmed 2019 novel coronavirus (2019-nCoV) Infection. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html.
• Chavez, S., Long, B., Koyfman, A. & Liang, S. Y. (2020) Coronavirus Disease (COVID-19): A primer for emergency physicians. The American Journal of Emergency Medicine, 36(3), https://doi.org/ 10.1016/j.ajem..03.036.
• Chou, L. P., Li, C. Y. & Hu, S. C. (2014). Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. British Medical Journal Open, 4(2), https://doi.org/ 10.1136/bmjopen-2013-004185.
• Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Chai, 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.
• 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, Z. & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. The Journal of the American Medical Association Network Open, 3(3), e203976-e203976. https://doi.org/ 10.1001/jamanetworkopen.2020.3976.
• Liao, K. L., Huang, Y. T., Kuo, S. H., Lin, W. T., Chou, F. H. & Chou, P. L. (2019). Registered nurses are at increased risk of hospitalization for infectious diseases and perinatal complications: A population-based observational study. International Journal of Nursing Studies, 91:70-76. https://doi.org/10.1016/j.ijnurstu.2018.11.012.
• Lin, P. C., Chen, C. H., Pan, S. M., Chen, Y. M., Pan, C. H., Hung, H. C. & Wu, M. T. (2015). The association between rotating shift work and increased occupational stress in nurses. Journal of Occupational Health, 57(4):307-315. https://doi.org/ 10.1539/joh.13-0284-OA.
• Liu, T. B., Chen, X. Y., Miao, G. D., Zhang, L., Zhang, Q. & Cheung, T. (2003). Recommendations on diagnostic criteria and prevention of SARS-related mental disorders. Journal of Clinical Psychology in Medical Settings, 13(3), 188-91. https://doi.org/10.1016/j.psychres.2020.112902.
• Maltezou, H.C. & Tsiodras, S. (2014). Middle East respiratory syndrome coronavirus: implications for health care facilities. American Journal of Infection Control. 42(12), 1261–1265. https://doi.org/ 10.1016/j.ajic.2014.06.019.
• Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin M. & Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic. Journal of Nursing Management, 28(5), 1002-1009. https://doi.org/ 10.1111/jonm.13014.
• Neto, M. L. R., Almeida, H. G., Esmeraldo, J. D. A., Nobre, C. B., Pinheiro, W. R., de Oliveira, C. R. T., Costa Sousa, I., Lima, O. M. M. L., Lima, N. N. R., Moreira, M. M., Lima, C. K. T., Júnior, J. G. & Silva, C. G. L. (2020). When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Research, 288, 112972. https://doi.org/ 10.1016/j.psychres.2020.112972.
• Republic of Turkey Ministry of Health. COVID-19 (2021). What is Novel coronavirus? https://covid19bilgi.saglik.gov.tr/tr/covid-19-yeni-koronavirus-hastaligi-nedir. (Original work published in Turkish).
• Republic of Turkey Ministry of Health, General Directorate of Public Health. (2021) COVID-19 (SARS-CoV-2 Infection) Guide Scientific Committee Study. https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_Rehberi.pdf. (Original work published in Turkish).
• Shi, Y., Wang, J., Yang, Y., Wang, Z., Wang, G., Hashimoto, K., Zhang, K. & Liu, H. (2020). Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain, Behavior, & Immunity-Health, 100064, https://doi.org/ 10.1016/j.bbih.2020.100064.
• Wang, D., Ruan, W., Chen, Z., Peng, Y. & Li, W. (2018). Shift work and risk of cardiovascular disease morbidity and mortality: A dose–response meta-analysis of cohort studies. European Journal of Preventive Cardiology, 25(12);1293-1302. https://doi.org/ 10.1177/2047487318783892.
• World Health Organization. (2021). Coronavirus Disease (COVİD-19) Pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
• World Health Organization. (2021). Pneumonia of Unknown Cause- China. https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/.
• World Health Organization. (2021). Coronavirus Disease (COVID-19) Outbreak: Rights, Roles And Responsibilities Of Health Workers, İncluding Key Considerations For Occupational Safety And Health. https://www.who.int/publications-detail/coronavirus-disease-(covid-19)-outbreak-rights-roles-and-responsibilities-of-health-workers-including-key-considerations-for-occupational-safety-and-health.
• World Health Organization (2021). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. https://www.who.int/docs/default-source/coronaviruse/clinical-management-of-novel-cov.pdf.
• Wong, T. W., Yau, J. K., Chan, C. L., Kwong, R. S., Ho, S. M., Lau, C. C. & Lit, C. H. (2005). The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. European Journal of Emergency Medicine, 12(1), 13-18. https://doi.org/10.1097/00063110-200502000-00005.
• Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T. & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7(3), 228-229. https://doi.org/10.1016/S2215-0366(20)30046-8.