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

Year 2022, Volume: 16 Issue: 1, 66 - 75, 20.03.2022
https://doi.org/10.21763/tjfmpc.989004

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.

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References

  • 1. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):241-247. doi: 10.1177/2048872620922795. Epub 2020 Apr 28. PMID: 32342698; PMCID: PMC7189614.
  • 2. Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J & Wu P. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive psychiatry. 2012;53(1):15-23.
  • 3. Lu YC, Chang YY & Shu BC. Mental symptoms in different health professionals during the SARS attack: a follow-up study. Psychiatric Quarterly. 2009;80(2):107-116.
  • 4. Lv Y, Zhang Z, Zeng W, Li J, Wang X & Luo GQ. (2020). Anxiety and depression survey of Chinese medical staff before and during COVID-19 defense. Available at SSRN 3551350.
  • 5. Özlü A, Öztaş D. Yeni corona pandemisi (COVID-19) ile mücadelede geçmişten ders çıkartmak. Ankara Med J, 2020;(2):468-481 // 10.5505/amj.2020.46547.
  • 6. Erdem, B, Yıldırım AD, Erdem F, Esencan TY & Uyar N. Covid-19 Pandemi Mücadelesinde Kadıköy İlçe Sağlık Müdürlüğünün Organizasyonel Yapısı. Turkish Journal of Family Medicine and Primary Care. 2021;15(1):170-178.
  • 7. Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: psychometric properties. J Consul Clin Psychol. 1988;56:893-897.) (Ulusoy M, Şahin NH, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother. 1996;12:163-172.
  • 8. Buysse DJ, Charles F, Reynolds CF, Mak TH, Berman SR & Kupfer DJ. The pittsburg sleep quality index: A new intrument for psychiatric practice and research. Psychiatry Research. 1989;28(7):193-213.
  • 9. Ağargün M.Y, Kara H & Anlar Ö. Pittsburgh Uyku Kalitesi İndeksi’nin geçerliliği ve güvenirliliği. Türk Psikiyatri Dergisi. 1996;7(2):107-115.
  • 10. Alpar R. Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik Güvenirlik. Ankara: Detay Yayıncılık; 2014, s.356.
  • 11. Cheng VC, Wong SC, To KK, Ho PL & Yuen KY. Preparedness and proactive infection control measures against the emerging novel coronavirus in China. Journal of Hospital Infection. 2020;104(3):254-255.
  • 12. Cheng ZJ & Shan J. 2019 Novel coronavirus: where we are and what we know. Infection 2022;48(2):155-163.
  • 13. de Pablo GS, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F & Fusar-Poli P. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders. 2020;275:48-57.
  • 14. Serrano-Ripoll MJ, Meneses-Echavez JF, Ricci-Cabello I, Fraile-Navarro D, Fiol-deRoque MA, Pastor-Moreno G & Gonçalves-Bradley DC. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of affective disorders. 2020;277:347-357.
  • 15. Çıtak Ş, Pekdemir Ü. An Analysis on Sleep Habits and Generalized Anxiety Levels of Individuals during the COVİD-19 Pandemic. Journal of Family Counseling and Education. 2020;5(1):60-73. DOI: 10.32568/jfce.742086.
  • 16. Demir ÜF. Sleep quality & prevalence of restless legs syndrome among healthcare professionals. Journal of Surgery and Medicine. 2020;4(2):144-147. Research article. DOI: 10.28982/josam.693717.
  • 17. Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. Published 2020 Mar 2. doi:10.1001/jamanetworkopen.2020.3976.
  • 18. Muller A. et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research. 2020;113441.
  • 19. Cheng FF, Zhan S. H, Xie AW, Cai SZ, Hui L, Kong XX & Yan WH. Anxiety in Chinese pediatric medical staff during the outbreak of Coronavirus Disease 2019: a cross-sectional study. Translational pediatrics. 2020;9(3): 231.
  • 20. Ferini-Strambi L, Zucconi M, Casoni F & Salsone M. COVID-19 and sleep in medical staff: reflections, clinical evidences, and perspectives. Current Treatment Options in Neurology. 2020;22(10):1-6.
  • 21. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E & Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity. 2020;88:901-907.
  • 22. Çalışkan F, Dost B. The evaluation of knowledge, attitudes, depression and anxiety levels among emergency physicians during the COVID-19 pandemic. Signa Vitae. 2020;16(1):163-171.
  • 23. Pan R, Zhang L, Pan J. The Anxiety Status of Chinese Medical Workers During the Epidemic of COVID-19: A Meta-Analysis. Psychiatry Investig. 2020 May;17(5):475-480. doi: 10.30773/pi.2020.0127. Epub 2020 May 15. PMID: 32403209; PMCID: PMC7265026.
  • 24. Ataç Ö, Sezerol MA, Taşçı Y, Hayran O. COVID-19 pandemisinde görev yapan sağlık çalışanlarında anksiyete belirtileri ve uykusuzluk. Turkish Journal of Public Health. 2020;18(COVID-19 Special), 47-57.
  • 25. Koksal E, Dost B, Terzi Ö, Ustun YB, Özdin S & Bilgin S. Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic. Journal of Perianesthesia Nursing. 2020;35(5):472-477.
  • 26. Huang JZ, Han MF, Luo TD, Ren AK & Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua lao dong wei sheng zhi ye bing za zhi= Zhonghua laodong weisheng zhiyebing zazhi= Chinese journal of industrial hygiene and occupational diseases. 2020;38:E001-E001.
  • 27. Xiao H, Zhang Y, Kong D, Li S & Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e923549-1.
  • 28. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M & Wang HX. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics. 2020;89(4):242-250.
  • 29. Chan AO & Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational medicine. 2004;54(3):190-196.
  • 30. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N & Hu S. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. PubMed: https://www. ncbi. nlm. nih. gov/pubmed/32202646.

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

Year 2022, Volume: 16 Issue: 1, 66 - 75, 20.03.2022
https://doi.org/10.21763/tjfmpc.989004

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.

Project Number

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References

  • 1. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):241-247. doi: 10.1177/2048872620922795. Epub 2020 Apr 28. PMID: 32342698; PMCID: PMC7189614.
  • 2. Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J & Wu P. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive psychiatry. 2012;53(1):15-23.
  • 3. Lu YC, Chang YY & Shu BC. Mental symptoms in different health professionals during the SARS attack: a follow-up study. Psychiatric Quarterly. 2009;80(2):107-116.
  • 4. Lv Y, Zhang Z, Zeng W, Li J, Wang X & Luo GQ. (2020). Anxiety and depression survey of Chinese medical staff before and during COVID-19 defense. Available at SSRN 3551350.
  • 5. Özlü A, Öztaş D. Yeni corona pandemisi (COVID-19) ile mücadelede geçmişten ders çıkartmak. Ankara Med J, 2020;(2):468-481 // 10.5505/amj.2020.46547.
  • 6. Erdem, B, Yıldırım AD, Erdem F, Esencan TY & Uyar N. Covid-19 Pandemi Mücadelesinde Kadıköy İlçe Sağlık Müdürlüğünün Organizasyonel Yapısı. Turkish Journal of Family Medicine and Primary Care. 2021;15(1):170-178.
  • 7. Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: psychometric properties. J Consul Clin Psychol. 1988;56:893-897.) (Ulusoy M, Şahin NH, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother. 1996;12:163-172.
  • 8. Buysse DJ, Charles F, Reynolds CF, Mak TH, Berman SR & Kupfer DJ. The pittsburg sleep quality index: A new intrument for psychiatric practice and research. Psychiatry Research. 1989;28(7):193-213.
  • 9. Ağargün M.Y, Kara H & Anlar Ö. Pittsburgh Uyku Kalitesi İndeksi’nin geçerliliği ve güvenirliliği. Türk Psikiyatri Dergisi. 1996;7(2):107-115.
  • 10. Alpar R. Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik Güvenirlik. Ankara: Detay Yayıncılık; 2014, s.356.
  • 11. Cheng VC, Wong SC, To KK, Ho PL & Yuen KY. Preparedness and proactive infection control measures against the emerging novel coronavirus in China. Journal of Hospital Infection. 2020;104(3):254-255.
  • 12. Cheng ZJ & Shan J. 2019 Novel coronavirus: where we are and what we know. Infection 2022;48(2):155-163.
  • 13. de Pablo GS, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F & Fusar-Poli P. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders. 2020;275:48-57.
  • 14. Serrano-Ripoll MJ, Meneses-Echavez JF, Ricci-Cabello I, Fraile-Navarro D, Fiol-deRoque MA, Pastor-Moreno G & Gonçalves-Bradley DC. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of affective disorders. 2020;277:347-357.
  • 15. Çıtak Ş, Pekdemir Ü. An Analysis on Sleep Habits and Generalized Anxiety Levels of Individuals during the COVİD-19 Pandemic. Journal of Family Counseling and Education. 2020;5(1):60-73. DOI: 10.32568/jfce.742086.
  • 16. Demir ÜF. Sleep quality & prevalence of restless legs syndrome among healthcare professionals. Journal of Surgery and Medicine. 2020;4(2):144-147. Research article. DOI: 10.28982/josam.693717.
  • 17. Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. Published 2020 Mar 2. doi:10.1001/jamanetworkopen.2020.3976.
  • 18. Muller A. et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research. 2020;113441.
  • 19. Cheng FF, Zhan S. H, Xie AW, Cai SZ, Hui L, Kong XX & Yan WH. Anxiety in Chinese pediatric medical staff during the outbreak of Coronavirus Disease 2019: a cross-sectional study. Translational pediatrics. 2020;9(3): 231.
  • 20. Ferini-Strambi L, Zucconi M, Casoni F & Salsone M. COVID-19 and sleep in medical staff: reflections, clinical evidences, and perspectives. Current Treatment Options in Neurology. 2020;22(10):1-6.
  • 21. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E & Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity. 2020;88:901-907.
  • 22. Çalışkan F, Dost B. The evaluation of knowledge, attitudes, depression and anxiety levels among emergency physicians during the COVID-19 pandemic. Signa Vitae. 2020;16(1):163-171.
  • 23. Pan R, Zhang L, Pan J. The Anxiety Status of Chinese Medical Workers During the Epidemic of COVID-19: A Meta-Analysis. Psychiatry Investig. 2020 May;17(5):475-480. doi: 10.30773/pi.2020.0127. Epub 2020 May 15. PMID: 32403209; PMCID: PMC7265026.
  • 24. Ataç Ö, Sezerol MA, Taşçı Y, Hayran O. COVID-19 pandemisinde görev yapan sağlık çalışanlarında anksiyete belirtileri ve uykusuzluk. Turkish Journal of Public Health. 2020;18(COVID-19 Special), 47-57.
  • 25. Koksal E, Dost B, Terzi Ö, Ustun YB, Özdin S & Bilgin S. Evaluation of depression and anxiety levels and related factors among operating theater workers during the novel coronavirus (COVID-19) pandemic. Journal of Perianesthesia Nursing. 2020;35(5):472-477.
  • 26. Huang JZ, Han MF, Luo TD, Ren AK & Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua lao dong wei sheng zhi ye bing za zhi= Zhonghua laodong weisheng zhiyebing zazhi= Chinese journal of industrial hygiene and occupational diseases. 2020;38:E001-E001.
  • 27. Xiao H, Zhang Y, Kong D, Li S & Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical science monitor: international medical journal of experimental and clinical research. 2020;26:e923549-1.
  • 28. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M & Wang HX. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics. 2020;89(4):242-250.
  • 29. Chan AO & Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational medicine. 2004;54(3):190-196.
  • 30. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N & Hu S. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. PubMed: https://www. ncbi. nlm. nih. gov/pubmed/32202646.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Primary Health Care
Journal Section Orijinal Articles
Authors

Fulya Aktan Kibar 0000-0003-3080-4280

Zeynep Devran Muharremoğlu 0000-0001-8323-2277

Gökhan Oturak 0000-0003-1608-8433

Selin Tunalı Çokluk 0000-0001-9159-1595

Enes Ahmet Güven 0000-0003-1579-9292

İsmail Onur 0000-0002-1370-1370

Aziz Öğütlü 0000-0003-3840-4038

Project Number -
Publication Date March 20, 2022
Submission Date August 31, 2021
Published in Issue Year 2022 Volume: 16 Issue: 1

Cite

Vancouver Aktan Kibar F, Devran Muharremoğlu Z, Oturak G, Tunalı Çokluk S, Güven EA, Onur İ, Öğütlü A. COVID-19 Pandemisi Süresince Filyasyonda Görevli Sağlık Çalışanlarının Anksiyete Düzeylerinin ve Uyku Kalitelerinin Değerlendirilmesi. TJFMPC. 2022;16(1):66-75.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.