COVID-19 DÖNEMİNDE SAĞLIK YÖNETİMİ VE HALKIN DAYANIKLILIĞININ ARTIRILMASI (GÜMÜŞHANE İLİ ÖRNEĞİ)

Year 2022, , 1082 - 1093, 29.07.2022

Nilgün Ulutaşdemir , Nurşen Kulakaç , Sevda Uzun , Ensar Nazır Hasan Çiftçi

https://doi.org/10.30798/makuiibf.979635

Abstract

Bu araştırma İktisadi Kalkınma ve Sosyal Araştırmalar Derneği (İKSAD)’nin 30.06.2020 tarihli 56 karar numarası ile kabul olan “Uzmanların COVID-19 Mücadelesi ve Halkın Dayanıklılığının Artırılması (Gümüşhane İli Örneği)” isimli proje kapsamında yapılan tek grupta ön test – son test ölçümlü yarı deneysel olarak gerçekleştirilmiştir. Araştırmanın evrenini 10.07.2020-11.07.2021 tarihleri arasında Gümüşhane İli Merkez İlçe’de yaşayan bireyler oluşturmaktadır (N=20.692). Çalışmanın örneklemini belirlemek için OpenEpi programı ile %50 gözlenme oranı, %5 hata payı ve %99 güç aralığında örneklem hesabı yapıldığında 643 bireyin çalışmaya dahil edilmesi gerektiği belirlendi. Anket formlarını eksiksiz dolduran ve eğitime katılan 708 kişi ile çalışma tamamlandı. Kadınların erkeklere, evlilerin bekarlara göre BAÖ puan ortalamalarının yüksek olduğu saptanmıştır. Gümüşhane İli Merkez İlçe’de yaşayan bireylerin pandemi döneminde verilen eğitim sonrası bilgi puan ortalamalarında artış, BAÖ puan ortalamalarında düşüş olduğu bulunmuştur. Sonuç olarak, bu araştırmada Gümüşhane İli Merkez İlçe’de yaşayan bireylerin COVID-19 pandemi döneminde verilen eğitim sonrası hafif düzeyde anksiyete yaşadıkları saptanmıştır.

Keywords

COVID-19, Sağlık Yönetimi, Halkın Dayanıklığı, Eğitim

HEALTH MANAGEMENT AND IMPROVEMENT OF PEOPLE'S RESILIENCE DURING COVID-19 (GÜMÜŞHANE PROVINCIAL EXAMPLE)

Abstract

This research was carried out within the scope of the project titled “The Struggle of Experts against COVID-19 and Increasing the Resilience of the People (Gümüshane Province Example)”, which was accepted with the decision number 56 of the Economic Development and Social Research Association (EDSRA) dated 30.06.2020. measured quasi-experimental. The population of the research consists of individuals living in the Central District of Gümüşhane Province between 10.07.2020-11.07.2021 (N=20.692). In order to determine the sample of the study, it was determined that 708 individuals should be included in the study when the sample calculation was made with the OpenEpi program with a 50% observation rate, 5% margin of error and 99% power range. The study was completed with 708 people who filled out the questionnaires completely and participated in the training. It was determined that the mean BAS scores of women compared to men and married people compared to singles were higher. It was found that individuals living in the Central District of Gümüşhane had an increase in the average of knowledge points after the training given during the pandemic period, and a decrease in the average of BAS points. As a result, in this study, it was determined that individuals living in the Central District of Gümüşhane Province experienced mild anxiety after the training given during the COVID-19

Keywords

COVID-19, Health Management, People’s Resilience, Education

References

• Bäuerle, A., Teufel, M., Musche, V., Weismüller, B., Kohler, H., Hetkamp, M., Dörrie, N., Schweda, A. ve Skoda, E.M. (2020). Increased generalized anxiety, depression and distress during the COVID-19 pandemic: A cross-sectional study in Germany. Journal of Public Health, 42(4), 672-678.
• Beck, A.T., Epstein, N., Brown, G. ve Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. doi: 10.1037//0022006x.56.6.893
• Bernheim, A., Mei, X., Huang, M., Yang, Y., Fayad, Z.A., Zhang, N., Diao, K., Lin, B., Zhu, X., Li, K., Li, S., Shan, H., Jacobi, A. ve Chung M. (2020). Chest CT findings in coronavirus disease-19 (COVID-19): Relationship to duration of infection. Radiology 295, 685–691.
• Ekiz, T., Iliman, E. ve Donmez, E. (2020). Bireylerin sağlık anksiyetesi düzeyleri ile COVID-19 salgını kontrol algısının karşılaştırılması. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 6(1), 139-154.
• Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Whang, Y., Fu, H. ve Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. PLoS One, 15(4), e0231924. doi: 10.1371/journal.pone.0231924
• Huang, Y. ve Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. doi: 10.1016/j.psychres.2020
• 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., Gao, H., Guo, L., Xie, J., Wang, G., Jiang, R., Gao, Z., Jin, Q., Wang, J. ve Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497-506.
• Islam, S., Ferdous, Z. ve Potenza, N. (2020). Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. Journal of Affective Disorders, 276, 30-37. doi: 16/j.jad. 2020.06.049
• Jin, Y.H., Cai, L., Cheng, Z.S. et al. (2020). For the Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team, evidence-based medicine chapter of China international exchange and promotive association for medical and health care (CPAM). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version).Mil Med Res, 7(1), 4.
• Jungman, S.M. ve Witthöft, 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
• Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, Z., Hu, S., Zhang, K., Wang, G., Ma, C. ve Liu, Z. (2020). Im-pact on mental health and perceptions of psychologicalcare among medical and nursing staff in Wuhan duringthe 2019 novel coronavirus disease outbreak: a cross-sectional study. Brain Behav Immun, 1591(20), 30348-3052. doi: 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. ve Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. doi: 10.1001/jamanetworkopen.2020.3976
• Li, Q., Guan, X., Wu, P. et al. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus-ınfected pneumonia. N Engl J Med, 382(13), 1199-1207.
• Liang, T. (2020). Handbook of COVID-19 prevention and treatment. Hangzhou: Alibaba Cloud. Erişim adresi: https://files.alicdn.com/ tpsservice/ee33bb33f3583ea521f1e17e0800357 e.pdf?spm=a3c0i.14138300.8102420620.download.6df3647f7wa4Hs&file=ee33bb33f3583ea521f1e17e0800357e.pdf. Erişim tarihi: 13.07.2021
• Moghanibashi-Mansourieh, A. (2020). Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian Journal of Psychiatry, 51, 102076. doi: 10.1016/j.ajp.2020.102076
• Ozamiz-Etxebarria, N., Santamaria, M.D., Gorrochategui, M.P. ve Mondragon, N.I. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad. Saúde Pública, 36(4), e00054020. doi: 10.1590/0102-311X00054020
• Ozdin, S. ve Bayrak Ozdin, S. (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. doi: 0020764020927 051
• Pappaa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E. ve 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. doi:10.1016/j.bbi. 2020.05.026
• Satici, B., Gocet-Tekin, E., Deniz, M.E. ve Satici, S.A. (2020). Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction, Published online: 08 May 2020. doi: 10.1007/s11469-020-00294-0
• Solomou, I. ve Constantinidou, F. (2020). Prevalence and predictors of anxiety and depression symptoms during the COVID-19 pandemic and compliance with precautionary measures: Age and sex matter. International Journal Environmental Research and Public Health, 17, 1-19. doi: 10.3390/ ijerph17144924
• Tan, B.Y.Q., Chew, N.W.S., Lee, G.K.H., Jing, M., Goh, Y., Yeo, L.L.L. ve Sharma, V.K. (2020). Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine, 173(4), 317-320. doi:10.7326/M20-1083
• Vaccaro, A.R., Getz, C.L., Cohen, B.E., Cole, B.J. ve Donnally, C.J. (2020). Practice management during the COVID-19 pandemic. J Am Acad Orthop Surg, 28(11), 464-470. doi: 10.5435/ JAAOS-D-20-00379
• Velavan, T.P. ve Meyer C.G. (2020). The COVID-19 epidemic. Trop Med Int Health, 25(3), 278-280. doi: 10.1111/tmi.13383
• Ulusoy, M., Hisli Sahin, N. ve Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: Psychometric properties. Journal Cognitive Psychother, 12(2), 163-172.