Araştırma Makalesi
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COVID-19 Hastalarına Bakım Veren Kişilerde COVID-19 Korkusu ve Bakım Yükü

Yıl 2024, , 662 - 674, 07.12.2024
https://doi.org/10.58605/bingolsaglik.1504449

Öz

Bu çalışma, COVID-19 hastalarının bakım verenlerinde COVID-19 korkusunu ve bakım yükünü belirlemek amacıyla yapılmıştır. Bu çalışma COVID-19 hastalarına evde bakım veren 18 yaş ve üzeri bireyler ile tanımlayıcı tipte yürütülmüştür. Çalışmanın verilerinin toplanmasında “Tanıtıcı Anket Formu”, “Koronavirüs (Covid-19) Korkusu Ölçeği” ve “Bakım Verme Yükü Ölçeği” kullanılmıştır. Veriler değerlendirilirken sayı, yüzde dağılımı, ortalama, standart sapma, Cronbach α güvenirlik katsayısı, regresyon ve general linear model multivariate analizi kullanılmıştır. Bu çalışmada bakım veren bireylerin COVID-19 Korkusu Ölçeği puan ortalaması 21.5 ± 9.2 ve Bakım Verme Yükü Ölçeği puan ortalaması 37.8±24.6 olarak bulunmuştur. Çok değişkenli analiz sonucu, tüm bağımsız değişkenlerin COVID-19 korkusu için toplam varyansın %52,5'ini açıkladığını bulunmuştur (R=492589,02, F=40,78, p<0,001). Çok değişkenli analiz, tüm bağımsız değişkenlerin bakım yükü için toplam varyansın %47,6'sını açıkladığını ortaya koymuştur (R=3023237,39, F=33,53, p<0,001). COVID-19 geçirmek, COVID-19 nedeniyle kayıp yaşamak, bakım sırasında COVID-19 bulaşacağını düşünmek, bakım verirken ölüm korkusu yaşamak, algılanan sağlık durumunun COVID-19 korkusu ve bakım yükü için önemli yordayıcılar olduğu bulunmuştur. Sonuç olarak, COVID-19 hastalarına bakım verenlerin eğitim ve danışmanlık, özellikle de psikolojik destek almaları COVID-19 hastalarının evde bakımını kolaylaştırabilir.

Proje Numarası

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Kaynakça

  • T.R. Ministry of Health. (2020). COVID-19 (Sars-CoV-2 Enfeksiyonu- Bilim Kurulu Çalışması) Genel Bilgiler, Epidemioloji ve Tanı. Ankara: Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü.
  • World Health Organization (WHO). Coronavirus disease (COVID-19). Accessed from https://www.who.int/health-topics/coronavirus#tab=tab_3 access date 24. 01. 2023.
  • Chen D, Song F, Tang L, Zhang H, Shao J, Qiu R, ... & Ye Z. Quarantine experience of close contacts of COVID-19 patients in China: A qualitative descriptive study. General Hospital Psychiatry. 2020;66:81-88. https://doi.org/10.1016/j.genhosppsych.2020.07.006
  • Gencer N. Being elderly in COVID-19 process: Evaluations on curfew for 65-year-old and over citizens and spiritual social work. Turkish Journal of Social Work Research. 2020;4(1):35-42.
  • Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. Int J Ment Health Addict. 2021;19:1980-1988. https://doi.org/10.1007/s11469-020-00294-0
  • T.R. Ministry of Health. (2021). Covid-19 (SARS-Cov-2 Enfeksiyonu) Temaslı Takibi, Salgın Yönetimi, Evde Hasta İzlemi ve Filyasyon. Bilim Kurulu Çalışması. Accessed date, 3. Ankara: Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü.
  • Pappas G, Kiriaze IJ, Giannakis P, Falagas ME. Psychosocial consequences of infectious diseases. Clinical Microbiology and Infection. 2009;15(8):743–747. https://doi.org/10.1111/j.1469-0691.2009.02947.x
  • Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and initial validation. Int J Ment Health Addict. 2020;20:1537-1545. https://doi.org/10.1007/s11469-020-00270-8
  • Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2020;19:2369-2382. https://doi.org/10.1007/s11469-020-00331-y
  • Carballo JL, Coloma-Carmona A, Arteseros-Bañón S, Pérez-Jover V. The moderating role of caregiving on fear of COVID-19 and post-traumatic stress symptoms. Int. J. Environ. Res. Public Health. 2021;18(11):6125. https://doi.org/10.3390/ijerph18116125
  • Toseland RW, Smith G, Mccallion P. Familiy caregivers of the frail elderly. In: Handbook of Social Work Practice with Vulnerable and Resilient Population. Second Edition. Columbia University Press, New York, 2001;548-581. Zarit SH. Family care and burden at the end of life. CMAJ. 2004;170(12):1811-1812. https://doi.org/10.1503/cmaj.1040196
  • Chan SWC. Family caregiving in dementia: the Asian perspective of a global problem. Dementia and Geriatric Cognitive Disorders. 2010;30(6):469-478. https://doi.org/10.1159/000322086
  • Given BA, Given CW, Kozachik S. Family support in advanced cancer. CA Cancer J Clin. 2001;51(4):213-231. https://doi.org/10.3322/canjclin.51.4.213
  • Mirhosseini S, Grimwood S, Basirinezhad MH, Montazeri R, Ebrahimi H. Psychological distress as a predictor of the burden of care in family caregivers of COVID‐19 patients in Iran: A community‐based cross‐sectional study. Health Science Reports. 2022;5(6):e942. https://doi.org/10.1002/hsr2.942
  • Jafari-Oori M, Ebadi A, Moradian ST, Jafari M, Dehi M, Fard FG. Psychiatric distress in family caregivers of patients with COVID-19. Arch Psychiatr Nurs. 2022;37:69-75. https://doi.org/10.1016/j.apnu.2021.07.005
  • Rahimi T, Dastyar N, Rafati F. Experiences of family caregivers of patients with COVID-19. BMC Fam Pract. 2021;22:137. https://doi.org/10.1186/s12875-021-01489-7
  • Ebrahimi H, Sanagoo A, Behnampour N, Jouybari L. Care burden of home caregivers of patients with COVID-19. Journal of Mazandaran University of Medical Sciences. 2022;32(208):75-83.
  • Mirzaei A, Raesi R, Saghari S, Raei M. Evaluation of family caregiver burden among COVID-19 patients. The Open Public Health Journal. 2020;13(1):808-814. http://dx.doi.org/10.2174/1874944502013010808
  • Yılmaz D, Karaman D, Yılmaz H. İntörn hemşirelik öğrencilerinin koronavirüs (COVID-19) korkusunun aşı karşıtlığına etkisinin incelenmesi. The Journal of Turkish Family Physician. 2021;12(4):179-191. https://doi.org/10.15511/TJTFP.21.00479
  • Mohammadi F, Masoumi Z, Oshvandi K, Khazaei S, Bijani M. Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study. BMC Nurs. 2022;21(1):150. https://doi.org/10.1186/s12912-022-00931-0
  • Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, ... & Wang H. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-598. https://doi.org/10.1016/j.ajic.2020.03.018
  • Moradi Y, Baghaei R, Hosseingholipour K, & Mollazadeh F. Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: A qualitative study. J Nurs Manag. 2021;29(5):1159-1168. https://doi.org/10.1111/jonm.13254
  • Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980;20(6):649-655. https://doi.org/10.1093/geront/20.6.649
  • İnci FH, Erdem M. Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2008;11(4):85-95.
  • Irani E, Niyomyart A, Hickman Jr RL. Family caregivers’ experiences and changes in caregiving tasks during the COVID-19 pandemic. Clinical Nursing Research. 2021;30(7):1088-1097. https://doi.org/10.1177/10547738211014211
  • Giordani RCF, Zanoni da Silva M, Muhl C, Giolo SR. Fear of COVID-19 scale: Assessing fear of the coronavirus pandemic in Brazil. Journal of Health Psychology. 2022;27(4):901-912. https://doi.org/10.1177/1359105320982035
  • Quadros S, Garg S, Ranjan R, Vijayasarathi G, Mamun MA. Fear of COVID 19 infection across different cohorts: A scoping review. Front Psychiatry. 2021;12:708430. https://doi.org/10.3389/fpsyt.2021.708430
  • Cori L, Curzio O, Adorni F, Prinelli F, Noale M, Trevisan C, ... & Bianchi F. Fear of COVID-19 for individuals and family members: Indications from the national cross-sectional study of the epicovid19 web-based survey. Int. J. Environ. Res. Public Health. 2021;18(6):3248. https://doi.org/10.3390/ijerph18063248

Fear of COVID-19 and Care Burden in Home Caregivers of COVID-19 Patients

Yıl 2024, , 662 - 674, 07.12.2024
https://doi.org/10.58605/bingolsaglik.1504449

Öz

This study was conducted to assess the fear of COVID-19 and the caregiver burden of COVID-19 patients. This study used a descriptive design. Individuals aged 18 years and older who provided home care to COVID-19 patients. Data of study were collected using the "Introductory Questionnaire", "The Fear of COVID-19 Scale (FCV-19S)" and "The Zarit Burden Inventory (ZBI)". Number, percentage distribution, mean, standard deviation, Cronbach α, regression and general linear model multivariate analysis were used in the evaluation of the data. In this study, the mean FCV-19S score of the caregivers was 21.5±9.2, and the mean ZBI score was 37.8±24.6. Multivariate analysis found that all the independent variables accounted for 52.5% of the total variance for fear of COVID-19 (R=492589.02, F=40.78, p<0.001). Multivariate analysis found that all the independent variables accounted for 47.6% of the total variance for care burden (R=3023237.39, F=33.53, p<0.001). Having COVID-19, experiencing bereavement due to COVID-19, worry about being infected with COVID-19, fear of death while giving care, and self-assessed health status were found to be important predictors for FCV-19S and ZBI. As a result, considering that caregivers of COVID-19 patients have training and counseling, especially psychological support, can facilitate the care of COVID-19 patients at home.

Etik Beyan

In order to carry out the study, the Non-Invasive Clinical Trials Ethics Committee of İnönü University, Faculty of Health Sciences granted ethical approval to conduct the study (Session Date: 30.11.2021; Decision No: 2021/2769).

Destekleyen Kurum

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Proje Numarası

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Teşekkür

We would like to thank the study participants for their kind cooperation.

Kaynakça

  • T.R. Ministry of Health. (2020). COVID-19 (Sars-CoV-2 Enfeksiyonu- Bilim Kurulu Çalışması) Genel Bilgiler, Epidemioloji ve Tanı. Ankara: Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü.
  • World Health Organization (WHO). Coronavirus disease (COVID-19). Accessed from https://www.who.int/health-topics/coronavirus#tab=tab_3 access date 24. 01. 2023.
  • Chen D, Song F, Tang L, Zhang H, Shao J, Qiu R, ... & Ye Z. Quarantine experience of close contacts of COVID-19 patients in China: A qualitative descriptive study. General Hospital Psychiatry. 2020;66:81-88. https://doi.org/10.1016/j.genhosppsych.2020.07.006
  • Gencer N. Being elderly in COVID-19 process: Evaluations on curfew for 65-year-old and over citizens and spiritual social work. Turkish Journal of Social Work Research. 2020;4(1):35-42.
  • Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the Fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. Int J Ment Health Addict. 2021;19:1980-1988. https://doi.org/10.1007/s11469-020-00294-0
  • T.R. Ministry of Health. (2021). Covid-19 (SARS-Cov-2 Enfeksiyonu) Temaslı Takibi, Salgın Yönetimi, Evde Hasta İzlemi ve Filyasyon. Bilim Kurulu Çalışması. Accessed date, 3. Ankara: Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü.
  • Pappas G, Kiriaze IJ, Giannakis P, Falagas ME. Psychosocial consequences of infectious diseases. Clinical Microbiology and Infection. 2009;15(8):743–747. https://doi.org/10.1111/j.1469-0691.2009.02947.x
  • Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and initial validation. Int J Ment Health Addict. 2020;20:1537-1545. https://doi.org/10.1007/s11469-020-00270-8
  • Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2020;19:2369-2382. https://doi.org/10.1007/s11469-020-00331-y
  • Carballo JL, Coloma-Carmona A, Arteseros-Bañón S, Pérez-Jover V. The moderating role of caregiving on fear of COVID-19 and post-traumatic stress symptoms. Int. J. Environ. Res. Public Health. 2021;18(11):6125. https://doi.org/10.3390/ijerph18116125
  • Toseland RW, Smith G, Mccallion P. Familiy caregivers of the frail elderly. In: Handbook of Social Work Practice with Vulnerable and Resilient Population. Second Edition. Columbia University Press, New York, 2001;548-581. Zarit SH. Family care and burden at the end of life. CMAJ. 2004;170(12):1811-1812. https://doi.org/10.1503/cmaj.1040196
  • Chan SWC. Family caregiving in dementia: the Asian perspective of a global problem. Dementia and Geriatric Cognitive Disorders. 2010;30(6):469-478. https://doi.org/10.1159/000322086
  • Given BA, Given CW, Kozachik S. Family support in advanced cancer. CA Cancer J Clin. 2001;51(4):213-231. https://doi.org/10.3322/canjclin.51.4.213
  • Mirhosseini S, Grimwood S, Basirinezhad MH, Montazeri R, Ebrahimi H. Psychological distress as a predictor of the burden of care in family caregivers of COVID‐19 patients in Iran: A community‐based cross‐sectional study. Health Science Reports. 2022;5(6):e942. https://doi.org/10.1002/hsr2.942
  • Jafari-Oori M, Ebadi A, Moradian ST, Jafari M, Dehi M, Fard FG. Psychiatric distress in family caregivers of patients with COVID-19. Arch Psychiatr Nurs. 2022;37:69-75. https://doi.org/10.1016/j.apnu.2021.07.005
  • Rahimi T, Dastyar N, Rafati F. Experiences of family caregivers of patients with COVID-19. BMC Fam Pract. 2021;22:137. https://doi.org/10.1186/s12875-021-01489-7
  • Ebrahimi H, Sanagoo A, Behnampour N, Jouybari L. Care burden of home caregivers of patients with COVID-19. Journal of Mazandaran University of Medical Sciences. 2022;32(208):75-83.
  • Mirzaei A, Raesi R, Saghari S, Raei M. Evaluation of family caregiver burden among COVID-19 patients. The Open Public Health Journal. 2020;13(1):808-814. http://dx.doi.org/10.2174/1874944502013010808
  • Yılmaz D, Karaman D, Yılmaz H. İntörn hemşirelik öğrencilerinin koronavirüs (COVID-19) korkusunun aşı karşıtlığına etkisinin incelenmesi. The Journal of Turkish Family Physician. 2021;12(4):179-191. https://doi.org/10.15511/TJTFP.21.00479
  • Mohammadi F, Masoumi Z, Oshvandi K, Khazaei S, Bijani M. Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study. BMC Nurs. 2022;21(1):150. https://doi.org/10.1186/s12912-022-00931-0
  • Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, ... & Wang H. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-598. https://doi.org/10.1016/j.ajic.2020.03.018
  • Moradi Y, Baghaei R, Hosseingholipour K, & Mollazadeh F. Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: A qualitative study. J Nurs Manag. 2021;29(5):1159-1168. https://doi.org/10.1111/jonm.13254
  • Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980;20(6):649-655. https://doi.org/10.1093/geront/20.6.649
  • İnci FH, Erdem M. Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2008;11(4):85-95.
  • Irani E, Niyomyart A, Hickman Jr RL. Family caregivers’ experiences and changes in caregiving tasks during the COVID-19 pandemic. Clinical Nursing Research. 2021;30(7):1088-1097. https://doi.org/10.1177/10547738211014211
  • Giordani RCF, Zanoni da Silva M, Muhl C, Giolo SR. Fear of COVID-19 scale: Assessing fear of the coronavirus pandemic in Brazil. Journal of Health Psychology. 2022;27(4):901-912. https://doi.org/10.1177/1359105320982035
  • Quadros S, Garg S, Ranjan R, Vijayasarathi G, Mamun MA. Fear of COVID 19 infection across different cohorts: A scoping review. Front Psychiatry. 2021;12:708430. https://doi.org/10.3389/fpsyt.2021.708430
  • Cori L, Curzio O, Adorni F, Prinelli F, Noale M, Trevisan C, ... & Bianchi F. Fear of COVID-19 for individuals and family members: Indications from the national cross-sectional study of the epicovid19 web-based survey. Int. J. Environ. Res. Public Health. 2021;18(6):3248. https://doi.org/10.3390/ijerph18063248
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Ebru Gül 0000-0002-2218-6913

Ümmühan Aktürk 0000-0003-2203-5223

Behice Erci 0000-0002-1527-2207

Proje Numarası -
Yayımlanma Tarihi 7 Aralık 2024
Gönderilme Tarihi 24 Haziran 2024
Kabul Tarihi 7 Ekim 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

Vancouver Gül E, Aktürk Ü, Erci B. Fear of COVID-19 and Care Burden in Home Caregivers of COVID-19 Patients. BÜSAD. 2024;5(3):662-74.