Sağlık Çalışanlarının COVID-19 Maruziyeti ve Endişelerinin Umutsuzluk Düzeylerine Etkisi

Yıl 2023, Cilt: 6 Sayı: 2, 93 - 101, 31.12.2023

Nur Özlem Kılınç , Behice Erci

https://doi.org/10.56728/dustad.1388667

Öz

Bu çalışmanın amacı; sağlık çalışanlarının COVID-19 maruziyeti ve endişelerinin umutsuzluk düzeylerine etkisini belirlemektir. Bu araştırma, kesitsel tipte yapılmış bir araştırmadır. Araştırmanın örneklemini, Türkiye’ nin Doğusundaki bir hastanede çalışmakta olan ve güç analizi ile belirlenen 290 sağlık çalışanı (hekim, hemşire, tekniker vb.) oluşturmuştur. Araştırmanın verilerini toplamak için “Kişisel Bilgi Formu”, “COVID-19 Maruziyet Anketi”, “COVID_19 Endişe Ölçeği” ve “Umutsuzluk Ölçeği” kullanılmıştır. Araştırmaya katılan sağlık çalışanlarının yaş ortalaması incelendiğinde 34.648.51 olduğu tespit edilmiştir. Katılımcıların, ortalama çalışma yılı 12.04 9.08 olarak belirlenmiştir. Katılımcıların % 71’ i kadın olmakla birlikte, % 62.8’ i ise evlidir. Araştırmaya katılan sağlık çalışanlarının % 49’u 10 yıldan daha az süredir herhangi bir sağlık sektöründe çalışmaktadır. Sağlık çalışanlarının % 23.9’ u ayaktan teşhis ve tedavi biriminde çalışmaktadır ve bu katılımcıların % 63.5’i haftalık 40 saat yada altı çalışmaktadır. Sağlık çalışanlarının endişe düzeyinin umutsuzluk düzeyini etkileyen önemli bir değişken olduğu, COVID-19 maruziyetlerinin ise umutsuzluk düzeyine etki etmediği belirlenmiştir. Bu çalışmanın sonucunda; sağlık çalışanlarının endişe düzeyinin umutsuzluk düzeyini etkileyen bir faktör olduğu belirlenmiştir. Bu çalışmanın sonuçları; pandemi sırasında endişe, maruziyet gibi faktörlerin umutsuzluğa etkisini anlamak ve umutsuzlukla mücadelede uygun müdahaleler planlamak için veri desteği sağlayacaktır.

Anahtar Kelimeler

COVID-19, maruziyet, endişe, sağlık çalışanı, umutsuzluk

Effect of COVID-19 Exposure and Concerns of Healthcare Workers on Their Hopelessness Levels

Öz

This study aims to determine the effect of COVID-19 exposure and concerns of healthcare workers on their hopelessness levels. The sample for this cross-sectional study comprised 290 healthcare workers (including physicians, nurses, technicians, etc.) selected through power analysis in a hospital in Eastern Türkiye. The study employed the use of an Information Form, a COVID-19 exposure form, the Scale of Concern for COVID-19, and the Hopelessness Scale as data collection tools. The mean age of the participants was 34.64 ± 8.51, and the mean working years were 12.04 ± 9.08. Among the participants, 71% were female, and 62.8% were married. About 49% of the healthcare workers had been employed in the health sector for 10 years or less. Additionally, 23.9% of the healthcare professionals participating in the research worked in the outpatient diagnosis and treatment unit. Furthermore, 63.5% of the healthcare professionals worked 40 hours or fewer per week. It was found that the concern level of healthcare workers was a significant variable affecting the level of hopelessness; however, COVID-19 exposures did not have an impact. As a result of this study, it has been determined that the anxiety level of healthcare professionals is a factor influencing the level of hopelessness. This study will provide data support to understand the effects of factors such as concern and exposure on hopelessness during the pandemic and to plan appropriate interventions to combat hopelessness.

Anahtar Kelimeler

COVID-19, exposure, concerns, health workers, hopelessness

Kaynakça

• Bayülgen, M.Y., Yılmaz, A., Noyan, C.O., & Dilbaz, N. (2021). Determination of anxiety and hopelessness levels of nurses working during the COVID-19 Pandemic Process, University of Health Sciences. Journal of Nursing, 3(1), 1-6.
• Beck, A.T. (1974). The hopelessness scale. The measurement of pessimism. Journal of Consulting and Clinical Psychology, 42 (6), 861-865.
• Center of Disease Control (CDC) (2021). About 2019 Novel Coronavirus (2019-nCoV). https://www.cdc.gov/coronavirus/2019-ncov/about/index.html (November 07, 2021).
• Erkal Aksoy, Y., & Koçak, V. (2020). Psychological effects of nurses and midwives due to COVID-19 outbreak: The case of Turkey. Archives of Psychiatric Nursing, 34, 427-433. https://doi.org/10.1016/j.apnu.2020.07.011
• Fiorillo, A. & Gorwood P. (2020). The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur. Psychiatr, 63(1), 1-2. https://doi.org/10.1192/j.eurpsy.2020.35
• Franza, F., Basta, R., Pellegrino, F., Solomita, B., & Fasono, V. (2020). The role of fatigue of compassion, burnout and hopelessness in healthcare: Experience in the time of COVID-19 outbreak. Psychiatria Danubina, 32(1), 10-14.
• Gao, J., Zheng, P., Jia Y., Chen H., Mao, Y., Chen, S. … Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. Plose One, 15(4), e0231924. https://doi.org/10.1371/journal.pone.0231924
• Hacımusalar, Y.A., Kahve, A., Yasar, A.B. & Aydın, M.S. (2020). Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. Journal of Psychiatric Research, 129, 181-188.
• Huang, J.Z., Han M.F., Luo, T.D., Ren, AK., & Zhou, X.P. (2020a). Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi, 38(3), 192-195. https://doi.org/10.3760/cma.j.cn121094-20200219-00063
• Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020b). Emotional responses and coping strategies of nurses and nursing. Plose One,n15(8), 1-12. https://doi.org/10.1371/journal.pone.0237303
• Jones-Schenk, J. (2020). Hope as a Generative Force: Lifting Our Gaze to the Future. Journal of Continuing Education in Nursing, 51,203-204. https://doi.org/10.3928/00220124-20200415-03
• Kaplan Serin E., & Doğan, R. (2021). The relationship between anxiety and hopelessness levels among nursing students during the COVID-19 pandemic and related factors. OMEGA-Journal of Death and Dying, 87(3), 793-813. https://doi.org/00302228211029144
• Kazan Kızılkurt, O., Yılmaz, A., Noyan, C.O., & Dilbaz, N. (2021). Health anxiety during the early phases of COVID‐19 pandemic in Turkey and its relationship with postpandemic attitudes, hopelessness, and psychological resilience. Perspectives in Psychiatric Care, 57(1), 399-407. https://doi.org/10.1111/ppc.12646
• Kliem, S., Lohmann, A., Mößle, T., & Brähler, E. (2018). Psychometric properties and measurement invariance of the Beck hopelessness scale (BHS): Results from a German representative population sample. BMC Psychiatry,18(1), 110-111. https://doi.org/10.1186/s12888-018-1646-6
• Kocalevent, R.D., Finck, C., Pérez-Trujillo, M., Sautier, L., Zill, J., & Hinz, A. (2017). Standardization of the Beck Hopelessness Scale in the general population. Journal of Mental Health, 26(6), 516-522. https://doi.org/10.1080/09638237.2016.1244717
• Qarawi A.T.A., Ng, S.J., Gad, A., Mai, L.N., AL-Ahdal, T.M.A., Sharma, A. … Huy, N.T. (2020). Awareness and preparedness of hospital staff against novel coronavirus (COVID-2019): A global survey-study protocol. SSRN. https://doi.org/10.2139/ssrn.3550294
• Sarıçalı, M., Satici, S.A., Satici, B., Gocet-Tekin E., & Griffiths, M.D. (2020). Fear of COVID-19, mindfulness, humor, and hopelessness: A Multiple Mediation Analysis. International Journal of Mental Health and Addiction, 20(4):2151-2164. https://doi.org/10.1007/s11469-020-00419-5
• Seber, G., Dilbaz, N., Kaptanoğlu, C., & Tekin, D. (1993). Umutsuzluk ölçeği: Geçerli̇li̇k ve güvenirliği. Kriz Dergisi, 1(3), 139-142.
• Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S. … Ho, R.C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729.
• World Health Organization (WHO) (2023). WHO’s COVID-19 reponse. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline (accesed November 07, 2023).
• Yılmaz, A.E. (2015). Endişe ve Ruminasyonun kaygı ve depresyon belirtileri üzerindeki rolü. Türk Psikiyatri Dergisi, 26(2), 107-15.