Research Article
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COVID-19 Hastalarının Günlük Yaşam Aktiviteleri ve Hastane Anksiyete ve Depresyon Düzeylerinin İncelenmesi: Tanımlayıcı Bir Çalışma

Year 2022, Volume: 4 Issue: 2, 171 - 179, 22.06.2022
https://doi.org/10.35365/ctjpp.22.2.07

Abstract

Amaç: Çalışma, COVID-19 hastalarının hastane anksiyete, depresyon düzeyleri ve günlük yaşam aktivitelerindeki bağımsızlıklarını incelemeyi amaçladı.
Yöntem: Tanımlayıcı kesitsel tipteki bu çalışma 1-30 Ağustos 2020 tarihleri ​​arasında n=100 COVID-19 hastası ile yapılmıştır. Hasta sosyodemografik tanımlayıcı bilgi formu, “Katz Günlük Yaşam Aktivitelerinde Bağımsızlık İndeksi” ve “Hastane Verilerin toplanmasında Anksiyete ve Depresyon Ölçeği” kullanılmıştır.
Bulgular: Hastaların yaş ortalaması 41.77 ± 12.10(Min:20, Max:70) idi. Hastaların yarısından fazlası (%68) erkekti ve %86'sı servis izolasyon odalarında tedavi ve bakım alıyordu. Hastanın günlük yaşam aktivitelerinde bağımsızlık düzeyi arttıkça hastane anksiyete ve depresyon düzeylerinin azaldığı belirlendi. Bu değişkenlerin ortalama puanları arasında negatif orta düzeyde bir korelasyon (r = -0.530, r = -0.552) bulundu.
Sonuç: Covid-19 hastalarının günlük yaşam aktivitelerinde bağımsızlık ve hastane anksiyete ve depresyon düzeylerinin değerlendirilmesi önemlidir. Bu hastalar genellikle odalarında izole bir şekilde bakım aldıkları için günlük yaşam aktiviteleri takip edilmeli ve hastane anksiyete ve depresyon düzeyleri açısından desteklenmelidir.

Supporting Institution

YOKTUR

Project Number

YOKTUR

Thanks

YOKTUR

References

  • Alhajjaj, A. H., Al Abduljaber, T. H., Alsadeq, Z. A., Alkhabbaz, F. L., Alobaidan, H. H., Al Saeed, F. A., ... & Aljanobi, G. A. (2020). Psychological and mental health among isolated hospitalized suspected and confirmed COVID-19 patients, Qatif Central Hospital, Eastern Province, Saudi Arabia: A single-center descriptive study. Open Journal of Internal Medicine, 10(03), 245-255. https://doi.org/10.4236/ojim.2020.103026
  • Aydemir, Ö., Güvenir, T., Küey, L., & Kültür, S. (1997). Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Turkish Journal of Psychiatry, 8(4), 280-287.
  • Baykara, Z. G., & Eyüboğlu, G. (2020). Nursing care in the COVID-19 pandemic. Gazi Sağlık Bilimleri Dergisi, 9-17.
  • Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395, 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
  • Burtscher, J., Burtscher, M., & Millet, G. P. (2020). (Indoor) isolation, stress and physical inactivity: Vicious circles accelerated by COVID-19? Scandinavian Journal of Medicine & Science in Sports, 30(8), 1544-1545. https://doi.org/10.1111/sms.13706
  • Carvalho, F. (2020). Providing holistic care to patients undergoing surgery in the COVID-19 pandemic. Gastrointestinal Nursing, 18(7), 14-15. https://doi.org/10.12968/gasn.2020.18.7.14
  • Centers for Disease Control and Prevention (2020). Symptoms of Coronavirus. Retrieved November 20, 2020 from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
  • Dantzer, R. (2018). Neuroimmune interactions: From the brain to the immune system and vice versa. Physiological Reviews, 98(1), 477-504. https://doi.org/10.1152/physrev.00039.2016
  • Diker, J., Etiler, N., Yıldız, M., & Şeref, B. (2001). Association between cognitive status and activities of daily living, life quality and some demographic variables in older than 65. Anatolian Journal of Psychiatry, 2(2),79-86.
  • Gümüş, B. A., Keskin, G., & Orgun, F. (2012). Pain and living activities in elderly at a nursing home: An investigation in terms of depression, anxiety and somatization. Turkish Journal of Geriatrics, 15(3), 299-305.
  • Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. Gerontologist, 10(1), 20-30. https://doi.org/10.1093/geront/10.4_Part_1.274.
  • Khan, K. S., Mamun, M. A., Griffiths, M. D., & Ullah, I. (2020). The mental health impact of the COVID-19 pandemic across different cohorts. International Journal of Mental Health and Addiction, 1-7. https://doi.org/10.1007/s11469-020-00367-0
  • Khademi, F., Rassouli, M., Rafiei, F., Moayedi, S., Torres, M., Marzban, N., ... & Golitaleb, M. (2021). The effect of mandala colouring on anxiety in hospitalized COVID‐19 patients: A randomized controlled clinical trial. International Journal of Mental Health Nursing. 30(1), 1437-1444. https://doi.org/10.1111/inm.12901
  • Kong, X., Zheng, K., Tang, M., Kong, F., Zhou, J., Diao, L., ... & Dong, Y. (2020). Prevalence and factors associated with depression and anxiety of hospitalized patients with COVID-19. MedRxiv, 2020. https://doi.org/10.1101/2020.03.24.20043075.t
  • Kutlu, R., Özberk, D. I., Gök, H., & Demirbaş, N. (2016). Frequency of anxiety and depression, and affecting factors in inpatients in cardiology intensive care unit. Turkish Journal of Thoracic and Cardiovascular Surgery, 24(4), 672-679. https://doi.org/10.5606/tgkdc.dergisi.2016.13227
  • Lee, A. M., Wong, J. G., McAlonan, G. M., Cheung, V., Cheung, C., Sham, P. C., ... & Chua, S. E. (2007). Stress and psychological distress among SARS survivors 1 year after the outbreak. The Canadian Journal of Psychiatry, 52(4), 233-240. https://doi.org/10.1177/070674370705200405
  • Li, W., Yang, Y., Liu, Z. H., Zhao, Y. J., Zhang, Q., Zhang, L., ... & Xiang, Y. T. (2020). Progression of mental health services during the COVID-19 outbreak in China. International Journal of Biological Sciences, 16(10), 1732-1738. https://doi.org/10.7150/ijbs.45120
  • Ma, Y. F., Li, W., Deng, H. B., Wang, L., Wang, Y., Wang, P. H., … Xiang, Y. T. (2020). Prevalence of depression and its association with quality of life in clinically stable patients with COVID-19. Journal of Affective Disorders, (275), 145-148. https://doi.org/10.1016/j.jad.2020.06.033
  • Mak, I. W. C., Chu, C. M., Pan, P. C., Yiu, M. G. C., & Chan, V. L. (2009). Long-term psychiatric morbidities among SARS survivors. General Hospital Psychiatry, 31, 318–326. https://doi.org/10.1016/j.genhosppsych.2009.03.001
  • Mazza, M. G., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., ... & Benedetti, F. (2020). Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain, Behavior, and Immunity, 89, 594-600. https://doi.org/10.1016/j.bbi.2020.07.037
  • National Institute of Drug Abuse. COVID-19: Potential implications for individuals with substance use disorders. Retrieved November 20, 2020 from https://www.drugabuse.gov/about-nida/noras-blog/2020/04/covid-19-potential-implicationsindividuals-substance-use-disorders.
  • Nie, X. D., Wang, Q., Wang, M. N., Zhao, S., Liu, L., Zhu, Y. L., & Chen, H. (2020). Anxiety and depression and its correlates in patients with coronavirus disease 2019 in Wuhan. International Journal of Psychiatry in Clinical Practice, 1-6. https://doi.org/10.1080/13651501.2020.1791345
  • Organisation for Economic Co-operation and Development. Education indicators in focus. Retrieved November 20, 2020 from https://www.oecd-ilibrary.org/education/how-is-depression-related-to-education_782fc82d-en
  • Özdin, S., & Özdin, Ş. B. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504-511. https://doi.org/10.1177/0020764020927051
  • Özel, A., Yümin, E. T., & Tuğ, T. (2019). Konuk, S. Evaluation of physical activity, kinesiophobia, daily life activities and quality of life in individuals with chronic obstructive pulmonary disease in different phenotypes. Archives of Physiotherapy and Rehabilitation, 2(1), 7-17. https://doi.rg/10.26502/fapr003
  • Özdin S & Özdin ŞB (2020) Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry; 66(5), 504-511.
  • Patanavanich, R., & Glantz, S. A. (2020). Smoking is associated with COVID-19 progression: A meta-analysis. Nicotine & Tobacco Research, 22(9), 1653-1656. https://doi.org/ 10.1093/ntr/ntaa082
  • Quidley-Rodriguez, N. & de Tantillo, L. (2020) Preventing COVID-19 Infection in Mental Health Units: Recommendations for Best Practices. Issues in Mental Health Nursing 41(11), 969-975.
  • Wei, N., Huang, B. C., Lu, S. J., Hu, J. B., Zhou, X. Y., Hu, C. C., ... & Wang, D. D. (2020). Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. Journal of Zhejiang University Science B, 21(5), 400-404. https://doi.org/10.1631/jzus.B2010013
  • Wu, K. K., Chan, S. K., & Ma, T. M. (2005). Posttraumaticstress, anxiety, anddepression in survivors of severe acute respiratory syndrome (SARS). Journal of Traumatic Stress,18(1), 39–42. https://doi.org/10.1002/jts.20004
  • 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
  • Yava, A., Tosun, N., Ünver, V., & Çiçek, H. (2011). Patient and nurse perceptions of stressors in the intensive care unit. Stress Health, 27(2), e36-e47. https://doi.org/ 10.1002/smi.1333
  • Yıldırım, M., & Güler, A. (2020). Positivity explains how COVID-19 perceived risk increases death distress and reduces happiness. Personality and Individual Differences, 168, 110347. https://doi.org/10.1016/j.paid.2020.110347
  • Zhao, Q., Hu, C., Feng, R., & Yang, Y. (2020). Investigation of the mental health of patients with novel coronavirus pneumonia. Chinese Journal of Neurology, 53. https://doi.org/10.3760/cma.j.cn113694-20200220-00102
  • Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
  • Zhang J, Yang Z, Wang X, Li J, Dong L, Wang F et al: The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID‐19 in China: A cross‐sectional study. Journal of Clinical Nursing 2020; 29(21-22): 4020-4029.17 https://doi.org/10.1111/jocn.15425 17981

Investigation of Activities of Daily Living and Hospital Anxiety and Depression Levels of COVID-19 Patients: A Descriptive Study

Year 2022, Volume: 4 Issue: 2, 171 - 179, 22.06.2022
https://doi.org/10.35365/ctjpp.22.2.07

Abstract

Objectives: The study aimed to examine the COVID-19 patients’ hospital anxiety, and depression levels and independence in activities of daily living.
Method: This descriptive cross-sectional study was conducted with n=100 COVID-19 patients between 1-30 August 2020. Patient socio-demographic descriptive information form, the “Katz Index of Independence in Activities of Daily Living”, and the “Hospital Anxiety and Depression Scale” were used for data collection.
Results: The patients’ mean age was 41.77 ± 12.10(Min: 20, Max: 70). More than half of the patients were male (68%), and 86% were receiving treatment and care in the service isolation rooms. It was determined that as the patient's level of independence in daily living activities increased, hospital anxiety and depression levels decreased. A negative moderate correlation (r = -0.530, r = -0.552) was found between the mean scores of these variables.
Conclusions: It is important to evaluate independence in activities of daily living and hospital anxiety and depression levels of Covid-19 patients. Since these patients usually receive care in isolation in their rooms, activities of daily living should be monitored and supported in terms of hospital anxiety and depression levels.

Project Number

YOKTUR

References

  • Alhajjaj, A. H., Al Abduljaber, T. H., Alsadeq, Z. A., Alkhabbaz, F. L., Alobaidan, H. H., Al Saeed, F. A., ... & Aljanobi, G. A. (2020). Psychological and mental health among isolated hospitalized suspected and confirmed COVID-19 patients, Qatif Central Hospital, Eastern Province, Saudi Arabia: A single-center descriptive study. Open Journal of Internal Medicine, 10(03), 245-255. https://doi.org/10.4236/ojim.2020.103026
  • Aydemir, Ö., Güvenir, T., Küey, L., & Kültür, S. (1997). Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale. Turkish Journal of Psychiatry, 8(4), 280-287.
  • Baykara, Z. G., & Eyüboğlu, G. (2020). Nursing care in the COVID-19 pandemic. Gazi Sağlık Bilimleri Dergisi, 9-17.
  • Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395, 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
  • Burtscher, J., Burtscher, M., & Millet, G. P. (2020). (Indoor) isolation, stress and physical inactivity: Vicious circles accelerated by COVID-19? Scandinavian Journal of Medicine & Science in Sports, 30(8), 1544-1545. https://doi.org/10.1111/sms.13706
  • Carvalho, F. (2020). Providing holistic care to patients undergoing surgery in the COVID-19 pandemic. Gastrointestinal Nursing, 18(7), 14-15. https://doi.org/10.12968/gasn.2020.18.7.14
  • Centers for Disease Control and Prevention (2020). Symptoms of Coronavirus. Retrieved November 20, 2020 from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
  • Dantzer, R. (2018). Neuroimmune interactions: From the brain to the immune system and vice versa. Physiological Reviews, 98(1), 477-504. https://doi.org/10.1152/physrev.00039.2016
  • Diker, J., Etiler, N., Yıldız, M., & Şeref, B. (2001). Association between cognitive status and activities of daily living, life quality and some demographic variables in older than 65. Anatolian Journal of Psychiatry, 2(2),79-86.
  • Gümüş, B. A., Keskin, G., & Orgun, F. (2012). Pain and living activities in elderly at a nursing home: An investigation in terms of depression, anxiety and somatization. Turkish Journal of Geriatrics, 15(3), 299-305.
  • Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. Gerontologist, 10(1), 20-30. https://doi.org/10.1093/geront/10.4_Part_1.274.
  • Khan, K. S., Mamun, M. A., Griffiths, M. D., & Ullah, I. (2020). The mental health impact of the COVID-19 pandemic across different cohorts. International Journal of Mental Health and Addiction, 1-7. https://doi.org/10.1007/s11469-020-00367-0
  • Khademi, F., Rassouli, M., Rafiei, F., Moayedi, S., Torres, M., Marzban, N., ... & Golitaleb, M. (2021). The effect of mandala colouring on anxiety in hospitalized COVID‐19 patients: A randomized controlled clinical trial. International Journal of Mental Health Nursing. 30(1), 1437-1444. https://doi.org/10.1111/inm.12901
  • Kong, X., Zheng, K., Tang, M., Kong, F., Zhou, J., Diao, L., ... & Dong, Y. (2020). Prevalence and factors associated with depression and anxiety of hospitalized patients with COVID-19. MedRxiv, 2020. https://doi.org/10.1101/2020.03.24.20043075.t
  • Kutlu, R., Özberk, D. I., Gök, H., & Demirbaş, N. (2016). Frequency of anxiety and depression, and affecting factors in inpatients in cardiology intensive care unit. Turkish Journal of Thoracic and Cardiovascular Surgery, 24(4), 672-679. https://doi.org/10.5606/tgkdc.dergisi.2016.13227
  • Lee, A. M., Wong, J. G., McAlonan, G. M., Cheung, V., Cheung, C., Sham, P. C., ... & Chua, S. E. (2007). Stress and psychological distress among SARS survivors 1 year after the outbreak. The Canadian Journal of Psychiatry, 52(4), 233-240. https://doi.org/10.1177/070674370705200405
  • Li, W., Yang, Y., Liu, Z. H., Zhao, Y. J., Zhang, Q., Zhang, L., ... & Xiang, Y. T. (2020). Progression of mental health services during the COVID-19 outbreak in China. International Journal of Biological Sciences, 16(10), 1732-1738. https://doi.org/10.7150/ijbs.45120
  • Ma, Y. F., Li, W., Deng, H. B., Wang, L., Wang, Y., Wang, P. H., … Xiang, Y. T. (2020). Prevalence of depression and its association with quality of life in clinically stable patients with COVID-19. Journal of Affective Disorders, (275), 145-148. https://doi.org/10.1016/j.jad.2020.06.033
  • Mak, I. W. C., Chu, C. M., Pan, P. C., Yiu, M. G. C., & Chan, V. L. (2009). Long-term psychiatric morbidities among SARS survivors. General Hospital Psychiatry, 31, 318–326. https://doi.org/10.1016/j.genhosppsych.2009.03.001
  • Mazza, M. G., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., ... & Benedetti, F. (2020). Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain, Behavior, and Immunity, 89, 594-600. https://doi.org/10.1016/j.bbi.2020.07.037
  • National Institute of Drug Abuse. COVID-19: Potential implications for individuals with substance use disorders. Retrieved November 20, 2020 from https://www.drugabuse.gov/about-nida/noras-blog/2020/04/covid-19-potential-implicationsindividuals-substance-use-disorders.
  • Nie, X. D., Wang, Q., Wang, M. N., Zhao, S., Liu, L., Zhu, Y. L., & Chen, H. (2020). Anxiety and depression and its correlates in patients with coronavirus disease 2019 in Wuhan. International Journal of Psychiatry in Clinical Practice, 1-6. https://doi.org/10.1080/13651501.2020.1791345
  • Organisation for Economic Co-operation and Development. Education indicators in focus. Retrieved November 20, 2020 from https://www.oecd-ilibrary.org/education/how-is-depression-related-to-education_782fc82d-en
  • Özdin, S., & Özdin, Ş. B. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504-511. https://doi.org/10.1177/0020764020927051
  • Özel, A., Yümin, E. T., & Tuğ, T. (2019). Konuk, S. Evaluation of physical activity, kinesiophobia, daily life activities and quality of life in individuals with chronic obstructive pulmonary disease in different phenotypes. Archives of Physiotherapy and Rehabilitation, 2(1), 7-17. https://doi.rg/10.26502/fapr003
  • Özdin S & Özdin ŞB (2020) Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry; 66(5), 504-511.
  • Patanavanich, R., & Glantz, S. A. (2020). Smoking is associated with COVID-19 progression: A meta-analysis. Nicotine & Tobacco Research, 22(9), 1653-1656. https://doi.org/ 10.1093/ntr/ntaa082
  • Quidley-Rodriguez, N. & de Tantillo, L. (2020) Preventing COVID-19 Infection in Mental Health Units: Recommendations for Best Practices. Issues in Mental Health Nursing 41(11), 969-975.
  • Wei, N., Huang, B. C., Lu, S. J., Hu, J. B., Zhou, X. Y., Hu, C. C., ... & Wang, D. D. (2020). Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. Journal of Zhejiang University Science B, 21(5), 400-404. https://doi.org/10.1631/jzus.B2010013
  • Wu, K. K., Chan, S. K., & Ma, T. M. (2005). Posttraumaticstress, anxiety, anddepression in survivors of severe acute respiratory syndrome (SARS). Journal of Traumatic Stress,18(1), 39–42. https://doi.org/10.1002/jts.20004
  • 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
  • Yava, A., Tosun, N., Ünver, V., & Çiçek, H. (2011). Patient and nurse perceptions of stressors in the intensive care unit. Stress Health, 27(2), e36-e47. https://doi.org/ 10.1002/smi.1333
  • Yıldırım, M., & Güler, A. (2020). Positivity explains how COVID-19 perceived risk increases death distress and reduces happiness. Personality and Individual Differences, 168, 110347. https://doi.org/10.1016/j.paid.2020.110347
  • Zhao, Q., Hu, C., Feng, R., & Yang, Y. (2020). Investigation of the mental health of patients with novel coronavirus pneumonia. Chinese Journal of Neurology, 53. https://doi.org/10.3760/cma.j.cn113694-20200220-00102
  • Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
  • Zhang J, Yang Z, Wang X, Li J, Dong L, Wang F et al: The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID‐19 in China: A cross‐sectional study. Journal of Clinical Nursing 2020; 29(21-22): 4020-4029.17 https://doi.org/10.1111/jocn.15425 17981
There are 36 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Research Articles
Authors

Betül Tosun 0000-0002-4505-5887

İsmail Dusak This is me 0000-0002-5052-8175

Nursemin Ünal 0000-0003-3141-7194

Serap Güngör 0000-0003-0854-6350

Nuran Tosun 0000-0002-8414-8269

Project Number YOKTUR
Publication Date June 22, 2022
Acceptance Date April 8, 2022
Published in Issue Year 2022 Volume: 4 Issue: 2

Cite

APA Tosun, B., Dusak, İ., Ünal, N., Güngör, S., et al. (2022). Investigation of Activities of Daily Living and Hospital Anxiety and Depression Levels of COVID-19 Patients: A Descriptive Study. Kıbrıs Türk Psikiyatri Ve Psikoloji Dergisi, 4(2), 171-179. https://doi.org/10.35365/ctjpp.22.2.07