Evaluation of the knowledge, attitudes and concerns of the mothers of children who applied to the hospital during the COVID-19 pandemic
Yıl 2023,
Cilt: 28 Sayı: 2, 123 - 132, 23.05.2023
Şenay Güven Baysal
,
Betül Yıldız Aknar
,
Fatma Hilal Yağın
,
Derya Doğan
,
Cengiz Yakıncı
Öz
Aim: During the coronavirus disease 2019 (COVID-19) pandemic many families have faced difficulties such as using masks, maintaining social distancing, and isolating themselves to stop spreading the virüs. However, there is limited data about how mothers of affected children with acute/chronic diseases overcome this challenging and stressful process.
Methods: Between January 2021 and June 2021, mothers of 315 children aged 1-17 years admitted to the Pediatrics Outpatient Clinic of Inonu University were included in our study. Sociodemographic information, attitudes, and knowledge levels about the prevention of the disease towards COVID-19 were reviewed and the Stait-Trait Anxiety Inventory test was applied.
Results: The overall mean score of knowledge of the mothers for COVID-19 disease was 4.9 ± 1.4 (max=8). The low educational level and employment status of the father, the presence of any chronic disease in the family, and the presence of a chronic disease in their children increased the anxiety scores in those mothers.
Conclusion: Since COVID-19 still affect the community, it is very important to understand its psychological consequences on mothers who have children or close relatives with chronic diseases and to develop policies to improve their emotional and mental status.
Kaynakça
- World Health Organization. Responding to community spread of COVID-19. Interim Guidance. 2020;7:1-6.
- Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.
- Araújo LA, Veloso CF, Souza MC, et al. The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr (Rio J). 2021;97(4):369-77.
- Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the ınitial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.
- Tükel, Raşit. COVID-19 pandemi sürecinde ruh sağlığı. Türk Tabipleri Birliği. COVID-19 pandemisi altinci ay değerlendirme raporu. Istanbul, 2020, 617-28.
- Akoğlu G, Karaaslan, B.T. COVID-19 ve izolasyon sürecinin çocuklar üzerindeki olası psikososyal etkileri. İKÇÜSBFD. 2020;5(2):99-103.
- Czeisler MÉ, Rohan EA, Melillo S, et al. Mental health among parents of children aged< 18 years and unpaid caregivers of adults during the COVID-19 Pandemic—United States, December 2020 and February– March 2021. MMWR Morb Mortal Wkly Rep. 2021;70(24):879.
- Brooks SK, Weston D, Greenberg N. Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health. 2020;189:26-36.
- Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations [published correction appears in Gen Psychiatr. 2020 Apr 27;33(2):e100213corr1]. Gen Psychiatr. 2020;33(2):e100213.
- Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-2.
- Öner N, Le Compte AJI, Turkey, Bogazici University Publication. Handbook of state-trait anxiety. 1983.
- Joos A. Psychosomatic Medicine and Covid-19 Pandemic. Psychother Psychosom. 2020;89(4):263-4.
- Centers for Disease Control and Prevention. (2021). Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. Erişim tarihi: 08.06.2022, https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
- Hacker KA, Briss PA, Richardson L, Wright J, Petersen R. COVID-19 and Chronic Disease: The Impact Now and in the Future. Prev Chronic Dis. 2021;18:E62.
- Zhou M, Guo W. Social factors and worry associated with COVID-19: Evidence from a large survey in China. Soc Sci Med. 2021;277:113934.
- Ghassabian A, Jacobson MH, Kahn LG, Brubaker SG, Mehta-Lee SS, Trasande L. Maternal Perceived Stress During the COVID-19 Pandemic: Pre-Existing Risk Factors and Concurrent Correlates in New York City Women. Int J Public Health. 2022;67:1604497.
- Hibel LC, Boyer CJ, Buhler-Wassmann AC, et al. The psychological and economic toll of the COVID-19 pandemic on Latina mothers in primarily low-income essential worker families. Traumatology. 2021;27(1):40.
- Michael T, Zetsche U, Margraf JJP. Epidemiology of anxiety disorders. Psychiatry 2007;6(4):136-42.
- Christensen H, Jorm AF, Mackinnon AJ, et al. Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med. 1999;29(2):325-39.
- Arıkan G, Acar B. COVID-19 karantina Sürecinde anne-babalardaki depresyon, kaygı ve stresle ilişkili etmenler. Turk J Child Adolesc Ment Health. 2022;29(1):22-8.
- Evliyaoğlu O. Kronik hastalığı olan çocuklar ve COVID-19. Türk Pediatri Arşivi. 2020;55(2):93-4.
- CDC COVID-19 Response Team. Coronavirus Disease 2019 in Children - United States, February 12-April 2, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(14):422-6.
- Atout M, Tarawneh FS, Al-Kharabsheh A. Challenges Faced by Mothers Caring for Children with Leukaemia During COVID-19 Pandemic: A Qualitative Study. J Pediatr Nurs. 2021;58:e74-e80.
- Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250-7.
- Elbarbary NS, Dos Santos TJ, de Beaufort C, Agwu JC, Calliari LE, Scaramuzza AE. COVID-19 outbreak and pediatric diabetes: Perceptions of health care professionals worldwide. Pediatr Diabetes. 2020;21(7):1083-1092.
- Kompaniyets L, Agathis NT, Nelson JM, et al. Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children. JAMA Netw Open. 2021;4(6):e2111182.
- Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area [published correction appears in JAMA. 2020 May 26;323(20):2098]. JAMA. 2020;323(20):2052-2059.
- Özden G, İlgar Ş. COVID-19 sürecinde ilkokul 1. sınıfa başlayan öğrenci annelerinin kaygı durumlarının çeşitli değişkenler açısından incelenmesi. IPERJ. 2021;5)3):225-42.
- Cluver L, Lachman JM, Sherr L, et al. Parenting in a time of COVID-19 [published correction appears in Lancet. 2020 Apr 11;395(10231):1194]. Lancet. 2020;395(10231):e64.
- Kurt Demirbaş N. , Sevgili Koçak S. 2-6 yaş arasinda çocuğu olan ebeveynlerin bakiş açisiyla covid-19 salgin sürecinin değerlendirilmesi. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi. 2020;7(6):328-49.
- Göksu Ö, Kumcağız H. Covid-19 Salgınında Bireylerde Algılanan Stres Düzeyi ve Kaygı Düzeyleri. Turkish Studies. 2020;15(4):463-79.
COVID-19 pandemi sürecinde hastaneye başvuran çocukların annelerinin bilgi, tutum ve kaygılarının değerlendirilmesi
Yıl 2023,
Cilt: 28 Sayı: 2, 123 - 132, 23.05.2023
Şenay Güven Baysal
,
Betül Yıldız Aknar
,
Fatma Hilal Yağın
,
Derya Doğan
,
Cengiz Yakıncı
Öz
Amaç: Aileler Koronavirüs hastalığı 2019 (COVID-19) pandemi döneminde virüsünün yayılımını durdurmaya yönelik maske kullanımı, sosyal mesafeyi koruma, izolasyon süreci gibi zorluklarla karşı karşıya kalmıştır. Ancak, akut/kronik hastalığı olan çocukların annelerinin bu zorlu ve stres yükü fazla olan sürecin nasıl üstesinden geldiğine dair sınırlı veri bulunmaktadır.
Yöntemler: İnönü Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları polikliniğine Ocak 2021 ile Haziran 2021 tarihleri arasında başvuran 1-17 yaş arası 315 çocuğun anneleri çalışmamıza dâhil edilmiştir. Sosyodemografik bilgiler ve COVID-19’a yönelik hastalıktan korunma tutumları ve bilgi düzeyleri öğrenilmiş ve ‘Durumluk ve Sürekli Kaygı Ölçeği’ uygulanmıştır.
Bulgular: Annelerin COVID-19 hastalığı bilgi düzeyi skoru genel ortalaması 4.9±1.4 (maks=8)’dir. Babanın eğitim düzeyinin düşük olması, babanın çalışmama durumu, ailede kronik hastalık tanısı ve çocuklarında kronik hastalık tanısının olması annelerin durumluk ve süreklilik kaygı puanlarını yükseltmiştir.
Sonuç: COVID-19 toplumda etkisini sürdürürken, çocuğunda ve ailede kronik hastalık tanısı olan annelerin üzerindeki psikolojik etkilerin anlaşılması ve onların duygusal ve ruhsal durumlarını iyileştirecek politikaların geliştirilmesi çok önemlidir.
Kaynakça
- World Health Organization. Responding to community spread of COVID-19. Interim Guidance. 2020;7:1-6.
- Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.
- Araújo LA, Veloso CF, Souza MC, et al. The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr (Rio J). 2021;97(4):369-77.
- Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the ınitial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.
- Tükel, Raşit. COVID-19 pandemi sürecinde ruh sağlığı. Türk Tabipleri Birliği. COVID-19 pandemisi altinci ay değerlendirme raporu. Istanbul, 2020, 617-28.
- Akoğlu G, Karaaslan, B.T. COVID-19 ve izolasyon sürecinin çocuklar üzerindeki olası psikososyal etkileri. İKÇÜSBFD. 2020;5(2):99-103.
- Czeisler MÉ, Rohan EA, Melillo S, et al. Mental health among parents of children aged< 18 years and unpaid caregivers of adults during the COVID-19 Pandemic—United States, December 2020 and February– March 2021. MMWR Morb Mortal Wkly Rep. 2021;70(24):879.
- Brooks SK, Weston D, Greenberg N. Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health. 2020;189:26-36.
- Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations [published correction appears in Gen Psychiatr. 2020 Apr 27;33(2):e100213corr1]. Gen Psychiatr. 2020;33(2):e100213.
- Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-2.
- Öner N, Le Compte AJI, Turkey, Bogazici University Publication. Handbook of state-trait anxiety. 1983.
- Joos A. Psychosomatic Medicine and Covid-19 Pandemic. Psychother Psychosom. 2020;89(4):263-4.
- Centers for Disease Control and Prevention. (2021). Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. Erişim tarihi: 08.06.2022, https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
- Hacker KA, Briss PA, Richardson L, Wright J, Petersen R. COVID-19 and Chronic Disease: The Impact Now and in the Future. Prev Chronic Dis. 2021;18:E62.
- Zhou M, Guo W. Social factors and worry associated with COVID-19: Evidence from a large survey in China. Soc Sci Med. 2021;277:113934.
- Ghassabian A, Jacobson MH, Kahn LG, Brubaker SG, Mehta-Lee SS, Trasande L. Maternal Perceived Stress During the COVID-19 Pandemic: Pre-Existing Risk Factors and Concurrent Correlates in New York City Women. Int J Public Health. 2022;67:1604497.
- Hibel LC, Boyer CJ, Buhler-Wassmann AC, et al. The psychological and economic toll of the COVID-19 pandemic on Latina mothers in primarily low-income essential worker families. Traumatology. 2021;27(1):40.
- Michael T, Zetsche U, Margraf JJP. Epidemiology of anxiety disorders. Psychiatry 2007;6(4):136-42.
- Christensen H, Jorm AF, Mackinnon AJ, et al. Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med. 1999;29(2):325-39.
- Arıkan G, Acar B. COVID-19 karantina Sürecinde anne-babalardaki depresyon, kaygı ve stresle ilişkili etmenler. Turk J Child Adolesc Ment Health. 2022;29(1):22-8.
- Evliyaoğlu O. Kronik hastalığı olan çocuklar ve COVID-19. Türk Pediatri Arşivi. 2020;55(2):93-4.
- CDC COVID-19 Response Team. Coronavirus Disease 2019 in Children - United States, February 12-April 2, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(14):422-6.
- Atout M, Tarawneh FS, Al-Kharabsheh A. Challenges Faced by Mothers Caring for Children with Leukaemia During COVID-19 Pandemic: A Qualitative Study. J Pediatr Nurs. 2021;58:e74-e80.
- Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or Avoidance of Medical Care Because of COVID-19-Related Concerns - United States, June 2020. MMWR Morb Mortal Wkly Rep. 2020;69(36):1250-7.
- Elbarbary NS, Dos Santos TJ, de Beaufort C, Agwu JC, Calliari LE, Scaramuzza AE. COVID-19 outbreak and pediatric diabetes: Perceptions of health care professionals worldwide. Pediatr Diabetes. 2020;21(7):1083-1092.
- Kompaniyets L, Agathis NT, Nelson JM, et al. Underlying Medical Conditions Associated With Severe COVID-19 Illness Among Children. JAMA Netw Open. 2021;4(6):e2111182.
- Richardson S, Hirsch JS, Narasimhan M, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area [published correction appears in JAMA. 2020 May 26;323(20):2098]. JAMA. 2020;323(20):2052-2059.
- Özden G, İlgar Ş. COVID-19 sürecinde ilkokul 1. sınıfa başlayan öğrenci annelerinin kaygı durumlarının çeşitli değişkenler açısından incelenmesi. IPERJ. 2021;5)3):225-42.
- Cluver L, Lachman JM, Sherr L, et al. Parenting in a time of COVID-19 [published correction appears in Lancet. 2020 Apr 11;395(10231):1194]. Lancet. 2020;395(10231):e64.
- Kurt Demirbaş N. , Sevgili Koçak S. 2-6 yaş arasinda çocuğu olan ebeveynlerin bakiş açisiyla covid-19 salgin sürecinin değerlendirilmesi. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi. 2020;7(6):328-49.
- Göksu Ö, Kumcağız H. Covid-19 Salgınında Bireylerde Algılanan Stres Düzeyi ve Kaygı Düzeyleri. Turkish Studies. 2020;15(4):463-79.