Evaluation of Anxiety Levels and Sleep Quality of Health Care Workers Working in Filiation During the COVID-19 Pandemic

Abstract

Introduction: Healthcare personnel face a wide range of challenges during the COVID-19 pandemic, such as increased workload, fears of disease transmission for themselves and their families, working with new and frequently changing protocols and personal protective equipment. This study aimed to evaluate the anxiety levels and sleep quality of health care workers who carried out filiation studies due to the COVID-19 pandemic in Sakarya and the factors that may be associated with them. Method: This cross-sectional study planned to reach all of the healthcare workers who took an active role in filiation within the scope of the COVID-19 pandemic between 1-31 July 2020 in Sakarya. Data were collected voluntarily with online questionnaires. The participants' sociodemographic characteristics, anxiety status, and sleep quality were evaluated with a questionnaire consisting of three parts. Beck Anxiety Inventory (BAI) was used to assess the participants' anxiety levels, and the Pittsburgh Sleep Quality Index (PUKI) was used to evaluate their sleep quality. Results: 137 (88.9%) of 154 healthcare workers who took an active role in filiation were reached. Of the 137 health workers participating in the study, 83.9% were female, and 16.1% were male. The mean age of the participants was 35.7±7.3 years, and the median was 34 (29 in the 1st quarter, 42 in the 3rd quarter). When evaluated according to their profession, 38.0% were midwives, 17.5% were nurses, and 14.6% were doctors. The mean BAI score of the participants was 15.19±13.07, and the mean PUKI score was 7.92±3.60. When BAI scores are evaluated; The BAI score was significantly higher than the other groups in women, divorced/widowed, chronic diseases, and those who had previously worked in the filiation study of another infectious disease. In women, those with chronic conditions, and those previously involved in the filiation study of another contagious disease, the PUKI score was significantly higher than the other groups. There was a weak positive correlation between the mean daily filiation time and the BAI score (r=0.213 p=0.013). A moderate positive correlation was found between the BAI and PUKI scores (r=0.625 p<0.001). Conclusion: It was determined that the mental health of some healthcare workers in the filiation team was affected due to the COVID-19 pandemic in Sakarya. It is thought that interventions to protect and improve healthcare workers' mental health who work in extraordinary situations such as pandemics are necessary.

Keywords

• Health personnel
• anxiety
• sleep disorders

COVID-19 Pandemisi Süresince Filyasyonda Görevli Sağlık Çalışanlarının Anksiyete Düzeylerinin ve Uyku Kalitelerinin Değerlendirilmesi

Abstract

Giriş: Sağlık çalışanları COVID-19 pandemisi sırasında artan iş yükü, kendileri ve aileleri için hastalığın bulaşma korkuları, yeni ve sık değişen protokoller ve kişisel koruyucu ekipmanlarla çalışmak gibi çok çeşitli zorluklarla da karşı karşıyadır. Bu çalışmada, Sakarya’da COVID-19 pandemisi nedeniyle filyasyon çalışmalarını yürüten sağlık çalışanlarının, anksiyete düzeyleri ve uyku kaliteleri ile bunlarla ilişkili olabilecek faktörlerin değerlendirilmesi amaçlanmıştır. Yöntem: Kesitsel tipteki bu çalışmada, Sakarya’da 1-31 Temmuz 2020 tarihleri arasında COVID-19 pandemisi kapsamında filyasyonda aktif görev alan sağlık çalışanlarının tümüne ulaşılması planlanmıştır. Veriler, çevrimiçi anket formlarıyla gönüllülük esasına dayalı olarak toplanmıştır. Katılımcıların sosyodemografik özellikleri, anksiyete durumları ve uyku kaliteleri üç bölümden oluşan bir anket formu ile değerlendirilmiştir. Katılımcıların anksiyete düzeylerinin değerlendirilmesinde, Beck Anksiyete Ölçeği (BAÖ) ve uyku kalitelerinin değerlendirilmesinde, Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılmıştır. Bulgular: Filyasyonda aktif görev alan 154 sağlık çalışanının 137’sine (%88,9) ulaşılmıştır. Çalışmaya katılan 137 sağlık çalışanından %83,9’u kadın, %16,1’i erkekti. Katılımcıların yaşlarının ortalaması 35,7±7,3 ve ortancası 34 (1. çeyreklik 29, 3. çeyreklik 42) yıldı. Mesleklerine göre değerlendirildiğinde %38,0’ı ebe, %17,5’i hemşire, %14,6’sı doktordu. Katılımcıların BAÖ puan ortalamaları 15,19±13,07 ve PUKİ puan ortalamaları 7,92±3,60 olarak saptanmıştır. BAÖ puanları değerlendirildiğinde; kadınlarda, boşanmış/eşi vefat etmiş olanlarda, kronik hastalığı olanlarda ve daha önce başka bir bulaşıcı hastalığın filyasyon çalışmasında görev alanlarda BAÖ puanı diğer gruplara göre anlamlı derecede yüksek bulunmuştur. Kadınlarda, kronik hastalığı olanlarda ve daha önce başka bir bulaşıcı hastalığın filyasyon çalışmasında görev alanlarda PUKİ puanı, diğer gruplara göre anlamlı derecede yüksek bulunmuştur. Günlük ortalama filyasyonda geçen süre ile BAÖ puanı arasında pozitif yönlü zayıf bir ilişki tespit edilmiştir (r=0,213 p=0,013). BAÖ puanı ile PUKİ puanı arasında pozitif yönlü orta düzeyde bir ilişki bulunmuştur (r=0,625 p<0,001). Sonuç: Sonuç olarak, Sakarya’da COVID-19 pandemisi nedeniyle, filyasyon ekibinde yer alan sağlık çalışanlarının bir bölümünün pandemi sırasında ruh sağlıklarının etkilendiği görülmektedir. Pandemi gibi olağanüstü durumlarda çalışmak zorunda olan sağlık çalışanlarının ruh sağlığını koruyacak ve iyileştirecek müdahalelerin gerekli olduğu düşünülmektedir.

Keywords

• Sağlık personeli
• anksiyete
• uyku bozuklukları

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