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Covıd-19 Pandemisi Döneminde Covid Servisinde Çalışan Sağlık Çalışanlarında Anksiyete-Depresyon Ve Uyku Kalitesi

Yıl 2024, Cilt: 57 Sayı: 3, 79 - 83, 22.01.2025
https://doi.org/10.20492/aeahtd.994414

Öz

AMAÇ: Ağırlıklı olarak solunum yolu enfeksiyonlarına neden olan Covid-19, bireylerin fiziksel sağlığını tehdit etmekte kalmayıp ruh sağlığını da olumsuz etkilemektedir. Bu çalışmada amacımız, Covid-19 pandemisi döneminde covid servisinde çalışan sağlık çalışanlarının ruh sağlığı ve uyku kalitesini incelemektir.
GEREÇ- YÖNTEMLER: Çalışmaya XXXX Hastanesi'nde COVID ve COVID dışı servislerde çalışan 20-65 yaş arası, daha önce anksiyete, depresyon ve uyku bozukluğu tanısı olmayan toplam 222 sağlık çalışanı dahil edildi. Sağlık çalışanlarına 15 Şubat 2021 ile 15 Mart 2021 tarihleri arasında BDI (Beck Depresyon Indexi), BAI (Beck Anksiyete Indeksi) ve PSQI ( Pitsburg Uyku Kalitesi İndexi) uygulandı. Ayrıca sağlık çalışanları görevlerine göre hekim, hemşire ve yardımcı sağlık personeli (laboratuvar, teknisyen, temizlik görevlisi) olarak ayrıldı. COVID ve COVID dışı servislerde çalışanlar anksiyete, depresyon ve uyku kalitesi açısından değerlendirildi ve birbirleriyle karşılaştırıldı.
BULGULAR: COVID servisinde çalışanların depresyon puanlarının daha yüksek olduğu görüldü (p=0,035). COVID servisinde çalışanların toplam PSQI puanları ve Beck anksiyete puanları COVID dışı serviste çalışanlara göre daha yüksek olmasına rağmen aradaki fark istatistiksel olarak anlamlı değildi (sırasıyla p=0.19 ve p=0.32).
SONUÇ: Bu gözlemsel kesitsel klinik çalışma, COVID servisinde enfeksiyon riski yüksek hastalarla çalışmanın sağlık çalışanlarında depresyon, anksiyete ve uyku bozuklukları gibi psikolojik sorunlara neden olduğunu göstermiştir.

Kaynakça

  • 1. Wang S, Xie L, Xu Y, et al. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med (Lond). 2020;70(5):364-69. doi:10.1093/occmed/kqaa074
  • 2. Preti E, Di Mattei V, Perego G, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep. 2020;22(8):43. doi:10.1007/s11920-020-01166-z
  • 3. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-69. doi:10.1001/jama.2020.1585
  • 4. Tsamakis K, Rizos E, Manolis AJ, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020;19(6):3451-53. doi:10.3892/etm.2020.8646
  • 5. Blake H, Bermingham F, Johnson G, et al. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. Int J Environ Res Public Health. 2020;17(9):2997. doi:10.3390/ijerph17092997
  • 6. García-Batista ZE, Guerra-Peña K, Cano-Vindel A, et al. Validity and reliability of the Beck Depression Inventory (BDI-II) in general and hospital population of Dominican Republic. PLoS One. 2018;13(6):e0199750. doi:10.1371/journal.pone.0199750
  • 7. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4
  • 8. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). Sleep. 1991;14(4):331-38.
  • 9. Agargun MY, Kara H, Anlar O. Validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry . 1996; 7: 107-15.
  • 10. Guerra PC, Oliveira NF, Terreri MT, et al. Sleep, quality of life and mood of nursing professionals of pediatric intensive care units. Rev Esc Enferm USP. 2016;50(2):279-85. doi:10.1590/S0080-623420160000200014
  • 11. Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother. 1996; 12:163- 72.
  • 12. 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. doi:10.1001/jamanetworkopen.2020.3976
  • 13. Liu X, Kakade M, Fuller CJ, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23. doi:10.1016/j.comppsych.2011.02.003
  • 14. Zhang WR, Wang K, Yin L, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-50. doi:10.1159/000507639
  • 15. Tan BYQ, Chew NWS, Lee GKH, et al. Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med. 2020;173(4):317-20. doi:10.7326/M20-1083
  • 16. Riemann D, Krone LB, Wulff K, et al. Sleep, insomnia, and depression. Neuropsychopharmacology. 2020;45(1):74-89. doi:10.1038/s41386-019-0411-y
  • 17. Elbay RY, Kurtulmuş A, Arpacıoğlu S, et al. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020;290:113130. doi:10.1016/j.psychres.2020.113130
  • 18. Xiao H, Zhang Y, Kong D, et al. 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. Med Sci Monit. 2020;26:e923549. doi:10.12659/MSM.923549
  • 19. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. doi:10.1016/j.psychres.2020.112954
  • 20. Ghalichi L, Pournik O, Ghaffari M, et al. Sleep quality among health care workers. Arch Iran Med. 2013;16(2):100-03.

Anxiety-Depression and Sleep Quality in Healthcare Workers Working in the Covid Service During the Covid-19 Pandemic Period

Yıl 2024, Cilt: 57 Sayı: 3, 79 - 83, 22.01.2025
https://doi.org/10.20492/aeahtd.994414

Öz

ABSTRACT
OBJECTİVE:: Covid-19 , which mainly causes respiratory tract infections, threatens the physical health of individuals and negatively affects their mental health. In this study we aim to examine the mental health and sleep quality of healthcare professionals working in the covid service during the Covid-19 pandemic.
MATERIAL AND METHOD: A total of 222 healthcare workers in XXXX Hospital, between the ages of 20 and 65 years, working in COVID and non-COVID wards, without any previous diagnosis of anxiety-depression and sleep disorders were included in the study. The BDI (Beck Depression Index) , and BAI (Beck Anksiety Index) , and PSQI (Pitsburg Sleep Quality Index) were applied to healthcare workers between February 15th, 2021 and March 15th, 2021. In addition, healthcare workers were divided into physicians, nurses, and allied health personnel (e.g. laboratory, technicians, cleaners) according to their profession. Those working in the COVID and non-COVID service were evaluated according to the PSQI, BDI , and BAI and compared with each other.
RESULTS: The depression scores of employees in the COVID service were observed to be higher (p=0.035). Although the total PSQI scores and Beck anxiety scores of employees working in the COVID service were higher than of those working in the non-COVID service, the difference was not statistically significant (p=0.19 and p=0.32, respectively).
CONCLUSION: This observational cross-sectional clinical study showed that working in the COVID service with patients with a high risk of infection caused psychological problems such as depression, anxiety, and sleep disorders in healthcare workers.

Kaynakça

  • 1. Wang S, Xie L, Xu Y, et al. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med (Lond). 2020;70(5):364-69. doi:10.1093/occmed/kqaa074
  • 2. Preti E, Di Mattei V, Perego G, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep. 2020;22(8):43. doi:10.1007/s11920-020-01166-z
  • 3. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-69. doi:10.1001/jama.2020.1585
  • 4. Tsamakis K, Rizos E, Manolis AJ, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020;19(6):3451-53. doi:10.3892/etm.2020.8646
  • 5. Blake H, Bermingham F, Johnson G, et al. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. Int J Environ Res Public Health. 2020;17(9):2997. doi:10.3390/ijerph17092997
  • 6. García-Batista ZE, Guerra-Peña K, Cano-Vindel A, et al. Validity and reliability of the Beck Depression Inventory (BDI-II) in general and hospital population of Dominican Republic. PLoS One. 2018;13(6):e0199750. doi:10.1371/journal.pone.0199750
  • 7. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4
  • 8. Buysse DJ, Reynolds CF 3rd, Monk TH, et al. Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). Sleep. 1991;14(4):331-38.
  • 9. Agargun MY, Kara H, Anlar O. Validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry . 1996; 7: 107-15.
  • 10. Guerra PC, Oliveira NF, Terreri MT, et al. Sleep, quality of life and mood of nursing professionals of pediatric intensive care units. Rev Esc Enferm USP. 2016;50(2):279-85. doi:10.1590/S0080-623420160000200014
  • 11. Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother. 1996; 12:163- 72.
  • 12. 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. doi:10.1001/jamanetworkopen.2020.3976
  • 13. Liu X, Kakade M, Fuller CJ, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23. doi:10.1016/j.comppsych.2011.02.003
  • 14. Zhang WR, Wang K, Yin L, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-50. doi:10.1159/000507639
  • 15. Tan BYQ, Chew NWS, Lee GKH, et al. Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med. 2020;173(4):317-20. doi:10.7326/M20-1083
  • 16. Riemann D, Krone LB, Wulff K, et al. Sleep, insomnia, and depression. Neuropsychopharmacology. 2020;45(1):74-89. doi:10.1038/s41386-019-0411-y
  • 17. Elbay RY, Kurtulmuş A, Arpacıoğlu S, et al. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020;290:113130. doi:10.1016/j.psychres.2020.113130
  • 18. Xiao H, Zhang Y, Kong D, et al. 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. Med Sci Monit. 2020;26:e923549. doi:10.12659/MSM.923549
  • 19. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. doi:10.1016/j.psychres.2020.112954
  • 20. Ghalichi L, Pournik O, Ghaffari M, et al. Sleep quality among health care workers. Arch Iran Med. 2013;16(2):100-03.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Ayşe Karaoğullarından 0000-0002-7120-4962

Sanem Okşan Erkan 0000-0001-5900-520X

Birgül Tuhanioğlu 0000-0002-8596-361X

Mustafa Kurt 0000-0002-2666-7087

Gökhan Kuran 0000-0002-0709-1887

Orhan Görgülü 0000-0001-6566-843X

Yayımlanma Tarihi 22 Ocak 2025
Gönderilme Tarihi 12 Eylül 2021
Yayımlandığı Sayı Yıl 2024 Cilt: 57 Sayı: 3

Kaynak Göster

AMA Karaoğullarından A, Erkan SO, Tuhanioğlu B, Kurt M, Kuran G, Görgülü O. Anxiety-Depression and Sleep Quality in Healthcare Workers Working in the Covid Service During the Covid-19 Pandemic Period. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. Ocak 2025;57(3):79-83. doi:10.20492/aeahtd.994414