Aile Hekimlerinin COVID-19 Pandemisinde Çalışma Koşulları, Hastalığın Bulaşması ve Aile Üyelerine Bulaşma Konusunda Kaygılarının Değerlendirilmesi
Yıl 2025,
Cilt: 12 Sayı: 2, 246 - 255, 27.06.2025
Ozden Gokdemır
,
Ayla Açıkgöz
,
Çetin Akın
,
Bennur Koca
Öz
Özet
Amaç: Aile hekimleri (AH), COVID-19 salgını nedeniyle yüksek düzeyde stres ve duygusal sıkıntı ile karşı karşıyadır. Pandemiyi yönetme zorluğu nedeniyle "onları hayatta tutmak ya da hayatta kalmak" ikilemiyle de karşı karşıya kalmaktadırlar. Bu çalışmanın amacı, çalışma koşullarını değerlendirmektir.
Yöntem: Bu kesitsel çalışmaya toplam 255 AH katılmıştır. Veri toplama aracı olarak 26 soruluk Tanımlayıcı Veri Formu kullanılmıştır.
Bulgukar: Katılımcıların %92,9'u COVID-19'a karşı aşılandıklarını belirtmiştir. Bulaşmayı önlemek için AH'lerin %22,7'si evlerinden başka bir yerde kalmak zorunda kalmış, %51,4'ü ise çalışma düzenlerini ayarlamak zorunda kalmıştır. %54,1'i bir pandemi hastanesinde çalışmış, %78,8'i ise şüpheli COVID-19 vakalarına bakım sağlamıştır. Tedavi edilen hasta sayısı arttıkça anksiyete seviyeleri artmıştır (p < 0.05). Hastalığa yakalanma ve aileyi enfekte etme endişeleri, günlük rutinde işlev görme zorluğuyla birlikte artmıştır (p < 0.05).
Sonuç: Aile hekimleri, COVID-19 hastalığını aile üyelerine bulaştırma konusunda kendilerinden daha fazla endişe duymuştur. COVID-19 hastalarına hizmet sunarken başa çıkma zorluğu ile hastalığın bulaşması konusundaki endişeler arasında bir ilişki vardır. Aile hekimlerine, sundukları sağlık hizmetleri için değil, aynı zamanda sosyal hakları için de destek sağlanmalıdır.
Etik Beyan
Ethical permissions from the Izmir University of Economics Medical Faculty Clinical Research Ethics Committee (B.30.2.EÜSB.0.05.05-20-111) were obtained for the study's conduct. The research was carried out following the Helsinki Declaration. To conduct the research, permission was obtained from the TR Ministry of Health's COVID-19 Scientific Research Evaluation Commission.
Teşekkür
Acknowledgements: All the authors would like to thank for the FPs participating this study and Simon Mumford for language editing.
"There are no prior publications or submissions with any overlapping information, including studies and patients”
This study has been presented orally at EQUIP Congress.
All the authors declare that there’s no conflict of interest.
There’ no funding for this manuscript.
Kaynakça
-
1. de Sutter A, Llor C, Maier M, Mallen C, Tatsioni A, van Weert H, et al. Family medicine in times of ‘COVID-19’: A generalists’ voice. Eur J Gen Pract. 2020;26(1):58–60.
-
2. Mathews M, Idrees S, Ryan D, Hedden L, Lukewich J, Gard E, et al. Original Article System-Based Interventions to Address Physician Burnout : A Qualitative Study of Canadian Family Physicians ’ Experiences During the COVID-19 Pandemic. Int J Heal Policy. 2024;26–9.
-
3. Hoff T, Trovato K, Kitsakos A. Burnout among Family Physicians in the United States: A Review of the Literature. Qual Manag Health Care. 2024;33(1):1–11.
-
4. Doe S, Coutinho AJ, Weidner A, Cheng Y, Sanders K, Bazemore AW, et al. Prevalence and Predictors of Burnout Among Resident Family Physicians. Fam Med. 2024;56(3):148–55.
-
5. Qian Hui Chew, Chia FL-A, Ng WK, Lee WCI, Tan PLL, Wong CS, et al. COVID-19 as a Stressor: Pandemic Expectations, Perceived Stress, and Negative Affect in Older Adults. Journals Gerontol Ser B. 2021;76(2):e59–64.
-
6. Weir K. The Key to Making Lasting Lifestyle and Behavioral Changes: Is it Skill or Will? Am Psychol Assoc [Internet]. 2015;1. Available from: https://www.apa.org/helpcenter/lifestyle-behavior
-
7. Witzig TE, Smith SM. Work-Life Balance Solutions for Physicians—It’s All About You, Your Work, and Others. Mayo Clin Proc [Internet]. 2019;94(4):573–6. Available from: https://doi.org/10.1016/j.mayocp.2018.11.021
-
8. Lancaster EM, Sosa JA, Sammann A, Pierce L, Shen W, Conte MC, et al. Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community. J Am Coll Surg. 2020;230(6):1064–73.
-
9. Conroy DA, Hadler NL, Cho E, Moreira A, MacKenzie C, Swanson LM, et al. The effects of COVID-19 stay-at-home order on sleep, health, and working patterns: A survey study of US health care workers. J Clin Sleep Med. 2021;17(2):185–91.
-
10. Borzuchowska M, Kilańska D, Kozłowski R, Iltchev P, Czapla T, Marczewska S, et al. The Effectiveness of Healthcare System Resilience during the COVID-19 Pandemic: A Case Study. Med. 2023;59(5):1–19.
-
11. Gokdemir O, Yorok S, Koca B, Acikgoz A. Vaccine hesitancy among university students of healthcare. Med Sci | Int Med J. 2022;11(3):1581.
12. Selman F, Günsoy E, Şenol Y. Effect of Covid-19 on Emergency Service Workers. Eurasian J Crit Care. 2022;4(3):84–90.
-
13. Alenazi TH, Bindhim NF, Alenazi MH, Tamim H. Prevalence and predictors of anxiety among healthcare workers in Saudi Arabia during the COVID-19 pandemic. J Infect Public Health. 2020;(January).
-
14. Abid R, Salzman G. Evaluating Physician Burnout and the Need for Organizational Support. Mo Med [Internet]. 118(3):185–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34149071%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC8211002
-
15. Fikri Z, Bellarifanda A, Sunardi S, ‘ibad MR, Mu’jizah K. The relationship between mental workload and nurse stress levels in hospitals. Healthc Low-Resource Settings. 2024;12(1).
-
16. Cengiz ÖK, Yakaryılmaz FD. Are the Psychological Effects of the COVID-19 Pandemic Similar in Old-aged and Young Patients? Eur J Geriatr Gerontol. 2022;4(2):108–13.
-
17. Saeed H, Eslami A, Nassif NT, Simpson AM, Lal S. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations. Int J Environ Res Public Health. 2022;19(4).
-
18. David E, DePierro JM, Marin DB, Sharma V, Charney DS, Katz CL. COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review. Psychiatr Q [Internet]. 2022;93(1):227–47. Available from: https://doi.org/10.1007/s11126-021-09952-5
-
19. TÜRKİLİ S, UYSAL Y, TOT Ş, MERT E. Aile Heki̇mleri̇nde KoronaVi̇rüs Salgını Nedeni̇yle Yaşanlan Zorluklar, Kaygı veTükenmi̇şli̇k Durumlarının İncelenmesi̇. Turkish J Fam Med Prim Care. 2021;15(2):348–56.
-
20. Saruç S, Kızıltaş A. An analysis of the healthcare personnel’s anxiety levels during the COVID-19 Pandemic in terms of their psychological resilience and the problems they experienced. J Psychiatr Nurs. 2021;12(4):314–23.
-
21. Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Heal. 2020;5(9):e475–83.
-
22. Saatçı E. COVID-19 Pandemisi ve sağlık çalışanları : Yaşatmak mı yaşamak mı ? 2020;24(3):153–66.
-
23. Sakaoğlu HH, Orbatu D, Emiroglu M, Çakır Ö. Spielberger State and Trait Anxiety Level in Healthcare Professionals During the Covid-19 Outbreak: A Case of Tepecik Hospital. J Tepecik Educ Res Hosp. 2020;30:1–9.
-
24. Shanafelt TD, West CP, Dyrbye L, Trockel M, Tutty M, Wang H, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic. Mayo Clin. 2022;21(1):2248–58.
-
25. Efeoğ Lu BE, Klllnçarslan Ö. Pandemic experiences of family physicians infected with the COVID-19: a qualitative study. BMJ Open. 2022;12(4).
-
26. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The Psychological Impact of Quarantine and How to Reduce It: Rapid Review of the Evidence. SSRN Electron J. 2020;(January).
-
27. Maben J, Conolly A, Abrams R, Rowland E, Harris R, Kelly D, et al. ‘You can’t walk through water without getting wet’ UK nurses’ distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. Int J Nurs Stud [Internet]. 2022;131:104242. Available from: https://doi.org/10.1016/j.ijnurstu.2022.104242
-
28. Penwell-Waines L, Runyan C, Kolobova I, Grace A, Brennan J, Buck K, et al. Making sense of family medicine resident wellness curricula: A delphi study of content experts. Fam Med. 2019;51(8):670–6.
-
29. Rawaf S, Allen LN, Stigler FL, Kringos D, Quezada Yamamoto H, van Weel C. Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide. Eur J Gen Pract [Internet]. 2020;26(1):129–33. Available from: https://doi.org/10.1080/13814788.2020.1820479
Evaluation of Family Physicians' Concerns About Working Conditions, Transmission of the Disease and Transmission to Family Members in the COVID-19 Pandemic
Yıl 2025,
Cilt: 12 Sayı: 2, 246 - 255, 27.06.2025
Ozden Gokdemır
,
Ayla Açıkgöz
,
Çetin Akın
,
Bennur Koca
Öz
Evaluation of Family Physicians' Concerns About Working Conditions, Transmission of the Disease and Transmission to Family Members in the COVID-19 Pandemic
Abstract
Objectives: Family physicians (FPs) are facing high levels of stress and emotional distress as a result of the recent COVID-19 epidemic. They are also faced with the dilemma of "keep them alive or survive" due to the difficulty of handling the pandemic. The purpose of this study was to evaluate the working conditions.
Methods: A total of 255 FPs participated in this cross-sectional study. A 26-question Descriptive Data Form was used as data collection tool.
Results: 92.9% said they were vaccinated against COVID-19. To avoid transmission, 22.7% of FPs were compelled to remain somewhere other than their homes, while 51.4% had to adjust their working orders. 54.1% worked at a pandemic hospital, while 78.8% cared for suspected COVID-19 cases. Anxiety levels escalate with the number of patients treated (p < 0.05). Anxiety levels about contracting the sickness and infecting the family rose with the difficulty of functioning in daily routine (p<0.05).
Conclusion: Family physicians were more concerned about transferring the COVID-19 sickness to their family members than with themselves. There was a relationship between the difficulty of coping while providing services to COVID-19 patients and anxiety about disease transmission. Family physicians should get assistance not only for the health services they provide but also for their social rights.
Kaynakça
-
1. de Sutter A, Llor C, Maier M, Mallen C, Tatsioni A, van Weert H, et al. Family medicine in times of ‘COVID-19’: A generalists’ voice. Eur J Gen Pract. 2020;26(1):58–60.
-
2. Mathews M, Idrees S, Ryan D, Hedden L, Lukewich J, Gard E, et al. Original Article System-Based Interventions to Address Physician Burnout : A Qualitative Study of Canadian Family Physicians ’ Experiences During the COVID-19 Pandemic. Int J Heal Policy. 2024;26–9.
-
3. Hoff T, Trovato K, Kitsakos A. Burnout among Family Physicians in the United States: A Review of the Literature. Qual Manag Health Care. 2024;33(1):1–11.
-
4. Doe S, Coutinho AJ, Weidner A, Cheng Y, Sanders K, Bazemore AW, et al. Prevalence and Predictors of Burnout Among Resident Family Physicians. Fam Med. 2024;56(3):148–55.
-
5. Qian Hui Chew, Chia FL-A, Ng WK, Lee WCI, Tan PLL, Wong CS, et al. COVID-19 as a Stressor: Pandemic Expectations, Perceived Stress, and Negative Affect in Older Adults. Journals Gerontol Ser B. 2021;76(2):e59–64.
-
6. Weir K. The Key to Making Lasting Lifestyle and Behavioral Changes: Is it Skill or Will? Am Psychol Assoc [Internet]. 2015;1. Available from: https://www.apa.org/helpcenter/lifestyle-behavior
-
7. Witzig TE, Smith SM. Work-Life Balance Solutions for Physicians—It’s All About You, Your Work, and Others. Mayo Clin Proc [Internet]. 2019;94(4):573–6. Available from: https://doi.org/10.1016/j.mayocp.2018.11.021
-
8. Lancaster EM, Sosa JA, Sammann A, Pierce L, Shen W, Conte MC, et al. Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community. J Am Coll Surg. 2020;230(6):1064–73.
-
9. Conroy DA, Hadler NL, Cho E, Moreira A, MacKenzie C, Swanson LM, et al. The effects of COVID-19 stay-at-home order on sleep, health, and working patterns: A survey study of US health care workers. J Clin Sleep Med. 2021;17(2):185–91.
-
10. Borzuchowska M, Kilańska D, Kozłowski R, Iltchev P, Czapla T, Marczewska S, et al. The Effectiveness of Healthcare System Resilience during the COVID-19 Pandemic: A Case Study. Med. 2023;59(5):1–19.
-
11. Gokdemir O, Yorok S, Koca B, Acikgoz A. Vaccine hesitancy among university students of healthcare. Med Sci | Int Med J. 2022;11(3):1581.
12. Selman F, Günsoy E, Şenol Y. Effect of Covid-19 on Emergency Service Workers. Eurasian J Crit Care. 2022;4(3):84–90.
-
13. Alenazi TH, Bindhim NF, Alenazi MH, Tamim H. Prevalence and predictors of anxiety among healthcare workers in Saudi Arabia during the COVID-19 pandemic. J Infect Public Health. 2020;(January).
-
14. Abid R, Salzman G. Evaluating Physician Burnout and the Need for Organizational Support. Mo Med [Internet]. 118(3):185–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34149071%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC8211002
-
15. Fikri Z, Bellarifanda A, Sunardi S, ‘ibad MR, Mu’jizah K. The relationship between mental workload and nurse stress levels in hospitals. Healthc Low-Resource Settings. 2024;12(1).
-
16. Cengiz ÖK, Yakaryılmaz FD. Are the Psychological Effects of the COVID-19 Pandemic Similar in Old-aged and Young Patients? Eur J Geriatr Gerontol. 2022;4(2):108–13.
-
17. Saeed H, Eslami A, Nassif NT, Simpson AM, Lal S. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations. Int J Environ Res Public Health. 2022;19(4).
-
18. David E, DePierro JM, Marin DB, Sharma V, Charney DS, Katz CL. COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review. Psychiatr Q [Internet]. 2022;93(1):227–47. Available from: https://doi.org/10.1007/s11126-021-09952-5
-
19. TÜRKİLİ S, UYSAL Y, TOT Ş, MERT E. Aile Heki̇mleri̇nde KoronaVi̇rüs Salgını Nedeni̇yle Yaşanlan Zorluklar, Kaygı veTükenmi̇şli̇k Durumlarının İncelenmesi̇. Turkish J Fam Med Prim Care. 2021;15(2):348–56.
-
20. Saruç S, Kızıltaş A. An analysis of the healthcare personnel’s anxiety levels during the COVID-19 Pandemic in terms of their psychological resilience and the problems they experienced. J Psychiatr Nurs. 2021;12(4):314–23.
-
21. Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Heal. 2020;5(9):e475–83.
-
22. Saatçı E. COVID-19 Pandemisi ve sağlık çalışanları : Yaşatmak mı yaşamak mı ? 2020;24(3):153–66.
-
23. Sakaoğlu HH, Orbatu D, Emiroglu M, Çakır Ö. Spielberger State and Trait Anxiety Level in Healthcare Professionals During the Covid-19 Outbreak: A Case of Tepecik Hospital. J Tepecik Educ Res Hosp. 2020;30:1–9.
-
24. Shanafelt TD, West CP, Dyrbye L, Trockel M, Tutty M, Wang H, et al. Changes in Burnout and Satisfaction With Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic. Mayo Clin. 2022;21(1):2248–58.
-
25. Efeoğ Lu BE, Klllnçarslan Ö. Pandemic experiences of family physicians infected with the COVID-19: a qualitative study. BMJ Open. 2022;12(4).
-
26. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The Psychological Impact of Quarantine and How to Reduce It: Rapid Review of the Evidence. SSRN Electron J. 2020;(January).
-
27. Maben J, Conolly A, Abrams R, Rowland E, Harris R, Kelly D, et al. ‘You can’t walk through water without getting wet’ UK nurses’ distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. Int J Nurs Stud [Internet]. 2022;131:104242. Available from: https://doi.org/10.1016/j.ijnurstu.2022.104242
-
28. Penwell-Waines L, Runyan C, Kolobova I, Grace A, Brennan J, Buck K, et al. Making sense of family medicine resident wellness curricula: A delphi study of content experts. Fam Med. 2019;51(8):670–6.
-
29. Rawaf S, Allen LN, Stigler FL, Kringos D, Quezada Yamamoto H, van Weel C. Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide. Eur J Gen Pract [Internet]. 2020;26(1):129–33. Available from: https://doi.org/10.1080/13814788.2020.1820479