ONGOING COVID-19 ANXIETY AND STRESS LEVELS IN PATIENTS WHOSE ENDOSCOPY PROCEDURE WAS POSTPONED DUE TO THE PANDEMIC

Yıl 2024, , 58 - 64, 03.06.2024

Melih Can Gül , Merve Akkuş

https://doi.org/10.54270/atljm.2024.50

Öz

Objective: The coronavirus disease 2019 (COVID-19) pandemic has caused great fear and stress in both patients and healthy individuals. To investigate attitudes toward and anxieties about and stress levels related to COVID-19 among patients who reappointed elective endoscopy procedures.
Materials and Methods: A total of 106 consecutive patients who underwent endoscopy were included. The independent variables were demographic information, previous COVID-19 history, hospitalization history, and death in the family; the dependent variables were the Perceived Stress Scale (PSS-10) score and the Fear of COVID-19 scale (FCV-19S) score.
Results: Three-fourths of the participants said that the procedure could spread COVID-19; 56.6% said the equipment was sufficient, three-fourths additional precautions were needed, and information was provided; moreover, the interval between procedures was sufficient, and COVID-19 could be transmitted from materials. According to the FCV-19S, individuals who were at most 65 years old, had a history of COVID-19 infection and hospitalization, were university graduates, or were employees were frightened; in addition, in terms of the PSS-10, those who had lost their relatives due to COVID-19 and/or changed their mask often had the most significant worries. There were positive and statistically significant correlations with FCV-19S scores and PSS-10 scores, age and the number of past COVID-19 cases; however, a negative correlation was found with education level.
Conclusions: Although the frequency of the pandemic has decreased, according to this study, anxiety and fear related to COVID-19 continue in individuals who re-applied after the elective endoscopy procedure was postponed by hospitals during the pandemic period, and we think that this situation will pave the way for patients to apply to endoscopy units delayed in case of a pandemic again.

Anahtar Kelimeler

Anxiety, COVID-19, Endoscopy, Fear

PANDEMİ NEDENİYLE ENDOSKOPİ İŞLEMİ ERTELENEN HASTALARDA DEVAM EDEN COVİD-19 KAYGI VE STRES DÜZEYLERİ

Öz

Amaç : Covid-19 pandemisi hem hastalarda hem de sağlıklı bireylerde büyük korku ve strese neden olmuştur. Çalışmamızda salgının yoğun olarak yaşandığı dönemde elektif endoskopi işlemi ertelendikten sonra tekrar başvuran hastalarda Covid-19'a yönelik bilgi, tutum, kaygı ve stres düzeyleri araştırılması amaçlanmıştır.
Gereç ve Yöntemler: Endoskopi işlemi yapılan ardışık 106 hasta çalışmaya dahil edildi. Bağımsız değişkenler demografik özellikler, geçirilmiş Covid öyküsü, covid sebebiyle hastaneye yatış ve ailede covide bağlı ölüm; bağımlı değişkenler ise Algılanan Stres Ölçeği (ASÖ-10) ve Covid-19 Korkusu ölçeği (CKÖ-19S) idi.
Bulgular: Katılımcıların dörtte üçü endoskopi işleminin Covid-19'u yayabileceği ve yayılımı engellemek için ek tedbirlere ihtiyaç olduğu; ayrıca işlemde kullanılan malzemelerden hastalığın bulaşabileceği yönünde görüş bildirmiştir. CKÖ-19S'ye göre işlemden en çok 65 yaş üzeri bireyler ile Covid-19 sebebiyle hastaneye yatış öyküsü olan, üniversite mezunu çalışan bireyler korkmakta iken; ASÖ-10'a göre işlemin bulaşıcılık riskinden Covid-19 nedeniyle yakınlarını kaybetmiş ve/veya sık maske değiştirmekte olanlar bireyler endişe duymaktadır. CKÖ-19S ve ASÖ-10 yaş ve geçirilmiş Covid-19 sayısı ile pozitif yönde, eğitim düzeyi ile negatif yönde istatistiksel olarak anlamlı korelasyon göstermektedir.
Sonuç: Pandemi sıklığı azalsa da, bu çalışmaya göre pandemi döneminde elektif endoskopi işlemi ertelenip tekrar başvuran bireylerde COVİD-19 ile ilişkili anksiyete ve korku devam etmekte olup bu durumun tekrar pandemi yaşanması halinde hastaların endoskopi ünitelerine gecikmiş şekilde başvurmasına zemin hazırlayacağını düşünmekteyiz.

Anahtar Kelimeler

Anksiyete, Covid-19, Endoskopi, Korku

Kaynakça

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