Aile Hekimlerine Uygulanan COVID-19 Konulu Uzaktan Eğitim Çalışmalarının Retrospektif Değerlendirilmesi

Öz

Amaç: COVID-19 hastalığının önlenmesi ve tedavisinde bilgi, eğitim ve uygulama faaliyetlerinin geliştirilmesi önemlidir. Pandemi ile mücadelenin merkezinde yer alan sağlık çalışanları bilgi ve eğitim eksikliği riski ile karşı karşıya kalmıştır. Bu çalışmada Mersin ilinde pandemi döneminde aile hekimlerine uygulanan COVID-19 konulu uzaktan eğitim çalışmalarının retrospektif olarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipte olan bu çalışmanın evrenini Mersin ilinde 2021 yılında COVID-19 konulu uzaktan eğitim çalışmasına katılan aile hekimleri oluşturmaktadır. Uzaktan eğitim çalışmasına Mersin’de görev yapan 595 aile hekiminden 399’u (%67,1) katıldı. Çalışma için gerekli izinler alındıktan sonra Sağlık Müdürlüğü verilerinden yararlanıldı. Uzaktan eğitim çalışmasına katılım sonunda başarı durumu eğitim sonunda uygulanan test ile belirlendi. Çalışmada COVID-19 eğitimine katılım ve başarı durumunu etkileyen faktörler değerlendirildi. Bağımlı ve bağımsız değişkenlerin karşılaştırılması Ki-kare ve Mann Whitney U testleri ile yapıldı. Bulgular: 2021 yılında Mersin ilinde 595 aile hekimine COVID-19 konulu uzaktan eğitim hizmeti sunulmuştur. 595 aile hekiminden 399’u (%67,1) uzaktan eğitime katılım sağlamış, 196’sı (%32,9) ise eğitime katılmamıştır. Eğitime katılım sağlayan 399 aile hekiminin 364’ü (%91,2) tabip, 35’i (%8,8) uzman tabip olup; yaş ortancası 51’dir (min:26, max:72). 399 aile hekiminin 274’ü erkek (%68,7), 125’i (%31,3) kadındır. Eğitime katılan 399 aile hekiminin 382’sinin (%95,7) eğitim durumu başarılı, 17’sinin (%4,3) eğitim durumu başarısız olarak değerlendirilmiştir. Yaş, cinsiyet, eğitim durumuna göre eğitim başarı düzeylerinde istatistiksel olarak anlamlı farklılık bulunmadı (p>0,05). Sonuç: Çalışmaya alınan aile hekimlerinin yalnızca üçte ikisi uzaktan eğitime katılım sağlamıştır. Eğitime katılım sağlayan aile hekimlerinin yaklaşık yirmide biri eğitimi başarısız olarak tamamlamıştır. Aile hekimlerine pandemiyle ilgili etkin eğitimlerin yapılması bilgi düzeyinin arttırılması için önemlidir.

Anahtar Kelimeler

• COVID-19
• aile hekimliği
• uzaktan eğitim
• bilgi

Evaluation of Distance Education Studies Applied to Family Physicians on COVID-19: A Retrospective Study

Öz

Objective: It is important to develop knowledge, education and practice activities in the prevention and treatment of COVID-19 disease. Health workers, who are at the center of the fight against the pandemic; faced the risk of lack of knowledge and education. In this study, it was aimed to retrospectively evaluate the distance education studies on COVID-19 applied to family physicians during the pandemic period in Mersin. Materials and Methods: The population of this cross-sectional study consists of family physicians who participated in the distance education study on COVID-19 in the province of Mersin in 2021. 399 (67,1%) of 595 family physicians working in Mersin participated in the distance education study. After obtaining the necessary permissions for the study, Health Directorate data were used. Success was determined by the test applied at the end of the education. In the study, the factors affecting the participation and success in COVID-19 education were evaluated. Comparison of dependent and independent variables was made with Chi-square and Mann Whitney U tests. Results: Distance education service on COVID-19 was provided to 595 family physicians in Mersin in 2021. Out of 595 family physicians; 399 (67.1%) attended distance education, and 196 (32.9%) did not. Of the 399 family physicians who participated in the training, 364 (91.2%) were physicians and 35 (8.8%) were specialist physicians. The median age is 51 (min:26, max:72). Of 399 family physicians; 274 (68.7%) were male and 125 (31.3%) were female. The education level of 382 (95.7%) of 399 family physicians who participated in the training was considered successful, and the educational status of 17 (4.3%) was considered unsuccessful. There was no statistically significant difference in educational achievement levels according to age, gender and educational level (p>0.05). Conclusion: Only two-thirds of the family physicians included in the study attended the distance education. Approximately one-twentieth of the family physicians who attended the training completed the training unsuccessfully. It is important to provide effective training to family physicians about the pandemic to increase the level of knowledge.

Anahtar Kelimeler

• COVID-19
• family practice
• distance education
• knowledge

Kaynakça

1. World Health Organization. Coronavirus Disease. https://www.who.int/health-topics/coronavirus#tab=tab_1. Erişim: 24.01.2022
2. World Health Organization Occupational Health and Safety for Health Workers in the Context of COVID-19. https://openwho.org/courses/COVID-19-occupational-health-and-safety. Erişim: 24.01.2022
3. World Health Organization. COVID-19: Occupational health and safety for health workers: Interim guidance, 2 February 2021. https://www.who.int/publications/i/item/WHO-2019-nCoV-HCW_advice-2021-1. Erişim: 24.01.2022
4. Aksakoğlu G. Bulaşıcı Hastalıklarla Savaşım. İzmir, DEÜ Rektörlük Basımevi, 2008.
5. Akın L. Bulaşıcı Hastalıklarda Korunma ve Kontrol. İçinde: Halk Sağlığı Temel Bilgiler (Güler Ç, Akın L. Eds.): 1375-81. Ankara, Hacettepe Üniversitesi Yayınları, 2012.
6. Öztek Z. Halk Sağlığı Kuramlar ve Uygulamalar. Ankara, Bireklam Arısı, 2020.
7. World Health Organization. Health Workforce Education and Training. https://www.who.int/activities/health-workforce-education-and-training. Erişim: 24.01.2022.
8. World Health Organization. Coronavirus disease (COVID-19) outbreak: Rights, roles and responsibilities of health workers, ıncluding key considerations for occupational safety and health. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf. Erişim: 24.01.2022.

9. Gokdemir O, Pak H, Bakola M, Bhattacharya S, Hoedebecke K, Jelastopulu E. Family Physicians’ Knowledge about and Attitudes towards COVID-19-A Cross-sectional Multicentric Study. Infect Chemother. 2020; 52(4): 539-49 Doi: https://doi.org/10.3947/ic.2020.52.4.539
10. Ikiisik H, Kirlangic M, Turan G, Yilmaz FK, Karayalcin U, Ekiz S ve ark. Knowledge and attitude evaluation of physicians and nurses on COVID-19. North Clin Istanb 2021; 8(1): 15–23 Doi: 10.14744/nci.2020.82542.
11. Symvoulakis EK, Karageorgiou I, Linardakis M, Papagiannis D, Hatzoglou C, Symeonidis A et al. Knowledge, Attitudes, and Practices of Primary Care Physicians towards COVID-19 in Greece: A Cross-Sectional Study. Healthcare 2022; 10: 545.Doi: https://doi.org/ 10.3390/healthcare10030545.
12. Rao KD, Kaur J, Peters MA, Kumar N, Nanda P. Pandemic response in pluralistic health systems: A cross-sectional study of COVID-19 knowledge and practices among informal and formal primary care providers in Bihar, India. BMJ Open 2021;11: e047334. Doi:10.1136/ bmjopen-2020-047334
13. Suleiman A, Bsisu I, Guzu H, Santarisi A, Alsatari M, Abbad A et al. Preparedness of Frontline Doctors in Jordan Healthcare Facilities to COVID-19 outbreak. Int. J. Environ. Res. Public Health 2020; 17: 3181; Doi: 10.3390/ijerph17093181.
14. Abou-Abbas L, Nasser Z, Fares Y, Chahrour M, Rana El Haidari RE, Atoui R. Knowledge and practice of physicians during COVID-19 pandemic: A cross-sectional study in Lebanon. Abou-Abbas et al. BMC Public Health. 2020; 20: 1474. Doi: https://doi.org/10.1186/s12889-020-09585-6
15. Albahri AH, Alnaqbi SA, Alnaqbi SA, Alshaali AO, Shahdoor SM. Knowledge, Attitude, and Practice Regarding COVID-19 Among Healthcare Workers in Primary Healthcare Centers in Dubai: A cross-sectional survey, 2020. Front. Public Health 2021; 9: 617679. Doi: 10.3389/fpubh.2021.617679
16. Sotomayor-Castillo C, Nahidi S, Li C, Hespe C, Burns PL, Shaban RZ. General practitioners’ knowledge, preparedness, and experiences of managing COVID-19 in Australia. Infection, Disease & Health 2021; 26: 166-72. Doi: https://doi.org/10.1016/j.idh.2021.01.004.
17. IheanachoT, StefanovicsE, OkoroUG, Anyaehie UE, Njoku PO, Adimekwe AI et al. Assessing knowledge, attitude, practice and training related to COVID-19: A cross-sectional survey of frontline healthcare workers in Nigeria. BMJ Open 2021; 11: e050138. Doi:10.1136/ bmjopen-2021-050138
18. Melo MCB, Tupinambás U, Ferri PM, Godoy SCB, Torres RM, Palmeira VA et al. Covid-19: e-Learning as a tool for improving the knowledge. Revısta Brasıleıra De Educação Médıca. 2021; 45 (3) : e181. Doi: https://doi.org/10.1590/1981-5271v45.3-20200434.ING
19. Mansour R, Rallapalli S, Baidwan HK, Razai MS, Abou-Abbas L. Knowledge and experience of physicians during the COVID-19 Pandemic: A global cross-sectional study. PLOS Glob Public Health 2022; 2(7): e0000639. Doi: https://doi.org/ 10.1371/journal.pgph.0000639.
20. Sousa MLA, Shimizu IS, Patino CM, Torres-Duque CA, Zabert I, Zabert GE, et al. COVID-19 knowledge, attitudes, and practices among health care workers in Latin America. J Bras Pneumol. 2022; 48(5): e20220018. Doi: https://dx.doi.org/10.36416/1806-3756/e20220018.
21. TangH, WangJ, FangJ, Tu B. Knowledge, attitude and behaviour of general practitioners in Shanghai during the pandemic of COVID-19: A cross-sectional study. BMJ Open 2022;12:e061803. Doi:10.1136/ bmjopen-2022-061803
22. Arslanca T, Fidan C, Daggez M, Dursun P. Knowledge, preventive behaviors and risk perception of the COVID-19 pandemic: A crosssectional study in Turkish health care workers. PLoS ONE 2021; 16(4): e0250017. DOI: https://doi.org/ 10.1371/journal.pone.0250017.