Bir Salgın Örneği Olarak Covid-19 Salgını ve Bunun Riskli Popülasyonda Yer Alan Sağlık Çalışanları Üzerine Etkileri

Yıl 2020, Cilt: 9 Sayı: 2, 121 - 126, 31.08.2020

Mehmet Yıldırım , Mehmet Çetin

Öz

Çin’in Wuhan eyaletinde ortaya çıkan ve hastalığın yüksek bulaşıcılığı ve hızlı yayılımından dolayı bir ay içerisinde Çin’in diğer kısımlarında ve farklı ülkelerde de görülen ardından Dünya Sağlık Örgütü tarafından pandemi olarak ilan edilen Covid-19 salgını, tüm dünyayı etkisi altında bırakmıştır. Başta sağlık olmak üzere ekonomik ve sosyal kayıpların doğması ile kendini göstermiş ve yirmi birinci yüzyılda yaşanan küresel bir afet olarak kayıtlarda yer almıştır. Hastalık ile bilinmezlikler ve olası ölümcül sonuçlardan dolayı oluşan korku insan hayatını derinden etkilemiştir. Söz konusu salgında, sağlık çalışanları, salgının hem direkt hem de dolaylı olumsuzluklarından etkilenmişlerdir. Bu bağlamda, bu çalışmada amacımız, risk altında bulunan sağlık çalışanlarının karşılaşabilecekleri durumlar ortaya koymaktır. Böylece farkındalığın artması, gerekli eğitimlerin verilmesi ve benzer durumlarda önlemlerin daha erken alınması ve uygulanması ve bunların afet planlarına dahil edilmesi öngörülmektedir.

The Covid-19 disease, declared as a pandemic by the World Health Organization, which occurred in Wuhan province of China and was seen in other parts of China and in different countries within a month due to the high contagiousness and rapid spread of the disease, has left the whole world under its influence. It manifested itself with the birth of economic and social losses, especially health, and it was included in the records as a global disaster in the twenty-first century. Fear caused by uncertainties about illness and possible fatal consequences has profoundly affected human life. In this outbreak, healthcare workers were affected by both direct and indirect negativities of the pandemic. In this context, in this study, our aim is to reveal situations that healthcare professionals at risk may encounter. Thus, it is envisaged to increase awareness, to provide the necessary trainings and to take and implement measures earlier in similar situations and to include them in disaster plans.

Anahtar Kelimeler

Covid-19 salgını, sağlık çalışanları, korku ve stigma, psikolojik dayanıklılık

Kaynakça

• N. Chen et al., “Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study,” Lancet, vol. 395, no. 10223, pp. 507–513, Feb. 2020, doi: 10.1016/S0140-6736(20)30211-7.
• H. Luo et al., “Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs,” Chin. J. Integr. Med., 2020, doi: 10.1007/s11655-020-3192-6.
• “https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4 Accessed: 2020-04-06.”
• “https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200123-sitrep-3-2019-ncov.pdf?sfvrsn=d6d23643_8 Accessed: 2020-04-07.” https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200123-sitrep-3-2019-ncov.pdf?sfvrsn=d6d23643_8 (accessed Apr. 07, 2020). “https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200124-sitrep-4-2019-ncov.pdf?sfvrsn=9272d086_8 Accessed: 2020-04-07,” 2020.
• “Situation Report-51 SITUATION IN NUMBERS total and new cases in last 24 hours.”
• “Feb 12: Daily briefing on novel coronavirus cases in China.” http://en.nhc.gov.cn/2020-02/12/c_76463.htm (accessed Apr. 01, 2020).
• “Situation Report-71 HIGHLIGHTS.” Accessed: Apr. 01, 2020. [Online]. Available: https://www.who.int/dg/speeches/detail/who-director-general-.
• A. S. Fauci, H. C. Lane, and R. R. Redfield, “Covid-19 - Navigating the Uncharted.,” N. Engl. J. Med., vol. 382, no. 13, pp. 1268–1269, Feb. 2020, doi: 10.1056/NEJMe2002387.
• “State Council’s Joint Prevention and Control Mechanism: Seven Measures Provide Strong Protection for Frontline Medical Staff in the ‘Epidemic’ War_News_China Government Net.” http://www.gov.cn/xinwen/2020-02/14/content_5478871.htm (accessed Apr. 01, 2020).
• D. Tengilimoğlu, O. Işık, M. A.- Basım, undefined Ankara, N. Y. Dağıtım, and undefined 2012, “Sağlık İşletmeleri Yönetimi, Geliştirilmiş 4.”
• W. De Ceukelaire and C. Bodini, “We Need Strong Public Health Care to Contain the Global Corona Pandemic,” Int. J. Heal. Serv., p. 002073142091672, Mar. 2020, doi: 10.1177/0020731420916725.
• “Bakan Koca: ‘Dışarı Çıkmayalım, Virüse Fırsat Tanımayalım.’” https://www.saglik.gov.tr/TR,64846/bakan-koca-disari-cikmayalim-viruse-firsat-tanimayalim.html (accessed Apr. 02, 2020).
• “Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings.”
• P. Zhou, Z. Huang, Y. Xiao, X. Huang, and X. G. Fan, “Protecting Chinese Healthcare Workers While Combating the 2019 Novel Coronavirus,” Infect Control Hosp Epidemiol, pp. 1–4, 2020, doi: 10.1017/ice.2020.60.
• H. Lu, C. W. Stratton, and Y. W. Tang, “Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle,” Journal of Medical Virology, vol. 92, no. 4. John Wiley and Sons Inc., pp. 401–402, Apr. 01, 2020, doi: 10.1002/jmv.25678.
• S. Ren, R. Gao, Y. C.-W. J. of C. Cases, and undefined 2020, “Fear can be more harmful than the severe acute respiratory syndrome coronavirus 2 in controlling the corona virus disease 2019 epidemic,” ncbi.nlm.nih.gov, Accessed: Apr. 01, 2020. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052559/.
• C. L.-D. Sinica and undefined 2020, “Role of dermatologists in the uprising of the novel corona virus (COVID-19): Perspectives and opportunities,” dermsinica.org, Accessed: Apr. 01, 2020. [Online]. Available: http://www.dermsinica.org/article.asp?issn=1027-8117;year=2020;volume=38;issue=1;spage=1;epage=2;aulast=Lee.
• E. Ozkur, I. Altunay, E. Calikoglu, M. O.-D. Sinica, and undefined 2019, “Burnout syndrome among dermatologists and assessment of prevalence and risk factors: A nationwide survey,” dermsinica.org, Accessed: Apr. 01, 2020. [Online]. Available: http://www.dermsinica.org/article.asp?issn=1027-8117;year=2019;volume=37;issue=4;spage=181;epage=186;aulast=Ozkur.
• K. Byamba et al., “Mobile teledermatology for a prompter and more efficient dermatological care in rural Mongolia,” Br. J. Dermatol., vol. 173, no. 1, pp. 265–267, Jul. 2015, doi: 10.1111/bjd.13607.
• W. H. Organization, “The World Health Report 2001: Mental health: new understanding, new hope,” 2001, Accessed: Apr. 01, 2020. [Online]. Available: https://www.google.com/books?hl=tr&lr=&id=GQEdA-VFSIgC&oi=fnd&pg=PR9&dq=World+Health+Organization:+Mental+health,+New+Understanding,+New+Hope,+Geneva,+The+World+Health+Report,+2001.&ots=d1XEZG8eux&sig=2IJLMJY-E6Enh_EbG70biGWIyHk.
• S. Saxena, E. Jané-Llopis, C. H.-W. Psychiatry, and undefined 2006, “Prevention of mental and behavioural disorders: implications for policy and practice,” ncbi.nlm.nih.gov, Accessed: Apr. 01, 2020. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1472261/.
• B. Person, F. Sy, K. Holton, … B. G.-E. I., and undefined 2004, “Fear and stigma: the epidemic within the SARS outbreak,” ncbi.nlm.nih.gov, Accessed: Apr. 01, 2020. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322940/.
• L. G. Martin, “Stigma,” in The Dilemma of Difference, Boston, MA: Springer US, 1986, pp. 145–161. V. D.-A. I. C. September and undefined 2001, “Stigma, contagion, defect: Issues in the anthropology of public health. Stigma and Global Health: Developing a Research Agenda.”
• “Discrimination against Chinese a virus: China Daily editorial.” http://ex.chinadaily.com.cn/exchange/partners/45/rss/channel/www/columns/419cf7/stories/WS5e39581aa310128217274d8d.html (accessed Apr. 01, 2020).
• J. Shigemura, R. J. Ursano, J. C. Morganstein, M. Kurosawa, and D. M. Benedek, “Public responses to the novel 2019 coronavirus (2019‐nCoV) in Japan: Mental health consequences and target populations,” Psychiatry Clin. Neurosci., p. pcn.12988, Feb. 2020, doi: 10.1111/pcn.12988.
• Ecdc, “Risk assessment - Cluster of pneumonia cases caused by a novel coronavirus, Wuhan, China, 2020: first update.”
• M. L. Holshue et al., “First case of 2019 novel coronavirus in the United States,” N. Engl. J. Med., vol. 382, no. 10, pp. 929–936, Mar. 2020, doi: 10.1056/NEJMoa2001191.
• L. Zou et al., “SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients.,” N. Engl. J. Med., 2020, doi: 10.1056/NEJMc2001737.
• N. S. Alnajjar, L. M. Attar, F. M. Farahat, and A. Althaqafi, “Psychobehavioural responses to the 2014 Middle East respiratory syndrome-novel corona virus (MERS CoV) among adults in two shopping malls in Jeddah, western Saudi Arabia ‫يف‬ ‫البالغــن‬ ‫لــدى‬ )2014( ‫التنفســية‬ ‫األوســط‬ ‫الــرق‬ ‫ملتالزمــة‬ ‫املســبب‬ ‫اجلديــد‬ ‫كورونــا‬ ‫لفــروس‬ ‫الســلوكية‬ ‫النفســية‬ ‫االســتجابة‬ ‫ـعودية‬ ‫السـ‬ ‫ـة‬ ‫العربيـ‬ ‫ـة‬ ‫اململكـ‬ ‫ـرب‬ ‫غـ‬ ،‫ـدة‬ ‫جـ‬ ‫يف‬ ‫ـوق‬ ‫للتسـ‬ ‫ـن‬ ‫جممعـ‬,” 2016. Accessed: Apr. 01, 2020. [Online]. Available: https://apps.who.int/iris/handle/10665/260277.‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬