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COVID-19 Pandemisinde Diş Hekimlerinin Anksiyetesi ve Psikolojik Dayanıklılığı: Kesitsel Bir Çalışma

Yıl 2023, , 65 - 71, 31.08.2023
https://doi.org/10.29228/erd.47

Öz

Amaç: Sağlık çalışanları, COVID-19 pandemisiyle ilişkili psikolojik bozukluklar açısından risk altındadır. Bu çalışmanın amacı, pandemi döneminde Türkiye'de sağlık hizmeti veren diş hekimlerinin COVID-19 ile ilgili kaygı düzeylerini ve psikolojik sağlamlıklarını belirlemektir.

Gereç-Yöntem: Pandemi öncesinde en az 1 yıl çalışmış, pandemi sırasında çalışmaya devam eden ve Türkçe okuryazar olan toplam 391 gönüllü çalışmaya katıldı. Çalışamda kullanılan veri toplama formu 3 bölümden oluşmaktadır. İlk bölümde yaş, cinsiyet vb. demografik sorular yer alırken, diğer bölümlerde sırasıyla Koronavirüs Anksiyete Ölçeği (KAS) ve Kısa Dayanıklılık Ölçeği (KDÖ) yer aldı. İstatistiksel anlamlılık p<0.05 olarak ayarlandı.

Bulgular: Katılımcıların %57,5'i kadındı. Devlet hastanelerinde çalışan diş hekimlerinin KAS ortalamaları kendi muayenehanelerinde çalışan diş hekimlerinden daha yüksekti (p<0.05). Meslekte geçirdiği süre 10 ile 15 yıl arasında olan katılımcıların ortalama KDÖ’sü tüm alt gruplar arasında en düşüktü (p<0.05). Katılımcıların uzmanlık alanlarına göre ortalama KAS ve KDÖ değerleri karşılaştırıldığında, cerrahların, pedodontistlerin ve ortodontistlerin KAS ortalama değerlerinin düşük (p<0.05), bu uzmanlıkların KDÖ değerlerinin anlamlı olarak yüksek olduğu (p<0.05) görüldü. Korelasyon analizi sonuçlar KAS ile KDÖ arasında, çok zayıf ve negatif bir ilişki vardı(r=-.145, p<0.01).

Sonuç: Çalışmanın limitasyonları dahilinde elde edilen sonuçlar, COVID-19 pandemisi gibi zor çalışma koşullarında ön planda çalışan diş hekimlerinde psikolojik dayanıklılığın, anksiyete gelişimini önlemek için önemli bir faktör olabileceği şeklinde yorumlanabilir.

Kaynakça

  • Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, Khurshid Z. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health. 2020;17;2821. https://doi.org/10.3390/ijerph17082821
  • Arslan HN, Karabekiroglu A, Terzi O, Dundar C. The effects of the COVID-19 outbreak on physicians' psychological resilience levels. Postgrad Med. 2021 Mar;133(2):223-230. https://doi.org/10.1080/00325481.2021.1874166. Epub 2021 Jan 19.
  • Atay Tekin Ü, Dinçer NN, Uçan Yarkaç F, Öncü E. Covid-19 Pandemi Sürecinde Diş Hekimliği Uzmanlık Öğrencilerinin Korku ve Anksiyete Düzeylerinin Değerlendirilmesi. Neu Dent J. 2020;2;86–93. https://doi.org/10.51122/neudentj.2020.1
  • Biçer İ, Çakmak C, Demi̇r H, Kurt ME. Coronavirus Anxiety Scale Short Form: Turkish Validity and Reliability Study. Anatol Clin. 2020;25(Special Issue on COVID 19):216–225. https://doi.org/10.21673/anadoluklin.731092
  • Gasparro R, Scandurra C, Maldonato NM, Dolce P, Bochicchio V, Valletta A, Sammartino G, Sammartino P, Mariniello M, di Lauro AE, Marenzi G. Perceived Job Insecurity and Depressive Symptoms among Italian Dentists: The Moderating Role of Fear of COVID-19. Int J Environ Res Public Health. 2020 Jul 24;17(15):5338. https://doi.org/10.3390/ijerph17155338
  • Ge ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ Sci B. 2020;21(5):361-368. https://doi.org/10.1631/jzus.B2010010.
  • Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry. 2012;27(3):262-70. https://doi.org/10.1002/gps.2712.
  • Haktanir A, Lenz AS, Can N, Watson JC. Development and evaluation of Turkish language versions of three positive psychology assessments. Int J Adv Counselling. 2016;38:286–297. https://doi.org/10.1007/s10447-016-9272-9
  • Horesh D, Kapel Lev-Ari R, Hasson-Ohayon I. Risk factors for psychological distress during the COVID-19 pandemic in Israel: Loneliness, age, gender, and health status play an important role. Br J Health Psychol. 2020;25(4):925-933. https://doi.org/10.1111/bjhp.12455.
  • Huffman EM, Athanasiadis DI, Anton NE, Haskett LA, Doster DL, Stefanidis D, Lee NK. How resilient is your team? Exploring healthcare providers' well-being during the COVID-19 pandemic. Am J Surg. 2021;221(2):277-284. https://doi.org/10.1016/j.amjsurg.2020.09.005.
  • Jungmann SM, Witthöft M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? J Anxiety Disord. 2020;73:102239. https://doi.org/10.1016/j.janxdis.2020.102239.
  • Kulu M, Özsoy F. Sağlık çalışanları dışı toplumsal örneklemde COVID-19 anksiyete ve sağlık anksiyetesi düzeyleri. Kocaeli Med J. 2021;10;112–117. https://doi.org/10.5505/ktd.2021.64497
  • Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976.
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. https://doi.org/10.1080/07481187.2020.1748481.
  • Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, Cheung T, Xiang YT. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020;16(10):1732-1738. https://doi.org/10.7150/ijbs.45120 Lin J, Ren YH, Gan HJ, Chen Y, Huang YF, You XM. Factors associated with resilience among non-local medical workers sent to Wuhan, China during the COVID-19 outbreak. BMC Psychiatry. 2020;20(1):417. https://doi.org/10.1186/s12888-020-02821-8
  • Majeed MM, Saleem Z, Sarwar H, Ramzan Z, Iqbal SN, Naeem MM. The psychology of coronavirus fear: Are dentists of pakistan suffering from corona-phobia?. J Pak Dent Assoc 2021;30(1):1-6. https://doi.org/10.25301/JPDA.301.1
  • Mosheva M, Hertz-Palmor N, Dorman Ilan S, Matalon N, Pessach IM, Afek A, Ziv A, Kreiss Y, Gross R, Gothelf D. Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic. Depress Anxiety. 2020;37(10):965-971. https://doi.org/10.1002/da.23085.
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026.
  • Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. https://doi.org/10.1038/s41368-020-0075-9.
  • Sağlam E, Saruhan N. Diş Hekimlerinin COVID-19 salgını sürecinde korku düzeylerinin ve klinik uygulamalarındaki değişikliklerinin değerlendirilmesi. Acıbadem Univ Sağlık Bilim Derg. 2021;12(2):260-265. https://doi.org/10.31067/acusaglik.851931.
  • Serafim RB, Póvoa P, Souza-Dantas V, Kalil AC, Salluh JIF. Clinical course and outcomes of critically ill patients with COVID-19 infection: a systematic review. Clin Microbiol Infect. 2021;27(1):47-54. https://doi.org/10.1016/j.cmi.2020.10.017.
  • Shacham M, Hamama-Raz Y, Kolerman R, Mijiritsky O, Ben-Ezra M, Mijiritsky E. COVID-19 factors and psychological factors associated with elevated psychological distress among dentists and dental hygienists in Israel. Int J Environ Res Public Health. 2020;17(8):2900. https://doi.org/10.3390/ijerph17082900.
  • Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. https://doi.org/10.1080/10705500802222972.
  • Tengilimoğlu D, Zekioğlu A, Tosun N, Işık O, Tengilimoğlu O. Impacts of COVID-19 pandemic period on depression, anxiety and stress levels of the healthcare employees in Turkey. Leg Med (Tokyo). 2021;48:101811. https://doi.org/10.1016/j.legalmed.2020.101811.

The Anxiety and Psychological Resilience of Dentists During COVID-19: A Cross-sectional Study

Yıl 2023, , 65 - 71, 31.08.2023
https://doi.org/10.29228/erd.47

Öz

Objectives: Healthcare workers are at risk of psychological disorders as a consequence of the COVID-19 pandemic. The aim of this study was to determine the COVID-19-related anxiety level and psychological resilience of dentists who had provided healthcare interventions in Turkey during the pandemic.
Methods: A total of 391 volunteers were enrolled to be literate in Turkish and to have worked at least 1 year before and during the pandemic. Data collection form was bodied in 3 parts. While the demographic questions such as age, gender, etc., was at first part, the other parts consisted of the Coronavirus Anxiety Scale (CAS) and the Brief Resilience Scale (BRS), respectively. Statistical significance was set at p<0.05.
Results: The 57.5% of the participants were female. The CAS mean of the dentists working in public hospitals was higher than working in their own offices(p<0.05). The mean BRS of the participants with duration in profession between 10 and 15 years was the lowets among all subgroups (p<0.05). Comparison of mean CAS and BRS values of participants regarding with their speciality showed that surgeons, pedodontists and orthodontists had low CAS mean values (p<0.05), whereas BRS levels of these specialities significantly higher (p<0.05). There was a negative association between CAS levels and BRS levels (r=-.145, p<0.01).
Conclusions: The results obtained within the limitations of the study can be interpreted as psychological resilience may be an important factor to prevent the development of anxiety in dentists who worked as forefronted in challenging conditions such as the COVID-19 pandemic.

Teşekkür

M. Sc. Yusuf Iseri is gratefully acknowledged linguistic support he provided.

Kaynakça

  • Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, Khurshid Z. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health. 2020;17;2821. https://doi.org/10.3390/ijerph17082821
  • Arslan HN, Karabekiroglu A, Terzi O, Dundar C. The effects of the COVID-19 outbreak on physicians' psychological resilience levels. Postgrad Med. 2021 Mar;133(2):223-230. https://doi.org/10.1080/00325481.2021.1874166. Epub 2021 Jan 19.
  • Atay Tekin Ü, Dinçer NN, Uçan Yarkaç F, Öncü E. Covid-19 Pandemi Sürecinde Diş Hekimliği Uzmanlık Öğrencilerinin Korku ve Anksiyete Düzeylerinin Değerlendirilmesi. Neu Dent J. 2020;2;86–93. https://doi.org/10.51122/neudentj.2020.1
  • Biçer İ, Çakmak C, Demi̇r H, Kurt ME. Coronavirus Anxiety Scale Short Form: Turkish Validity and Reliability Study. Anatol Clin. 2020;25(Special Issue on COVID 19):216–225. https://doi.org/10.21673/anadoluklin.731092
  • Gasparro R, Scandurra C, Maldonato NM, Dolce P, Bochicchio V, Valletta A, Sammartino G, Sammartino P, Mariniello M, di Lauro AE, Marenzi G. Perceived Job Insecurity and Depressive Symptoms among Italian Dentists: The Moderating Role of Fear of COVID-19. Int J Environ Res Public Health. 2020 Jul 24;17(15):5338. https://doi.org/10.3390/ijerph17155338
  • Ge ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ Sci B. 2020;21(5):361-368. https://doi.org/10.1631/jzus.B2010010.
  • Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry. 2012;27(3):262-70. https://doi.org/10.1002/gps.2712.
  • Haktanir A, Lenz AS, Can N, Watson JC. Development and evaluation of Turkish language versions of three positive psychology assessments. Int J Adv Counselling. 2016;38:286–297. https://doi.org/10.1007/s10447-016-9272-9
  • Horesh D, Kapel Lev-Ari R, Hasson-Ohayon I. Risk factors for psychological distress during the COVID-19 pandemic in Israel: Loneliness, age, gender, and health status play an important role. Br J Health Psychol. 2020;25(4):925-933. https://doi.org/10.1111/bjhp.12455.
  • Huffman EM, Athanasiadis DI, Anton NE, Haskett LA, Doster DL, Stefanidis D, Lee NK. How resilient is your team? Exploring healthcare providers' well-being during the COVID-19 pandemic. Am J Surg. 2021;221(2):277-284. https://doi.org/10.1016/j.amjsurg.2020.09.005.
  • Jungmann SM, Witthöft M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? J Anxiety Disord. 2020;73:102239. https://doi.org/10.1016/j.janxdis.2020.102239.
  • Kulu M, Özsoy F. Sağlık çalışanları dışı toplumsal örneklemde COVID-19 anksiyete ve sağlık anksiyetesi düzeyleri. Kocaeli Med J. 2021;10;112–117. https://doi.org/10.5505/ktd.2021.64497
  • Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976.
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. https://doi.org/10.1080/07481187.2020.1748481.
  • Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, Cheung T, Xiang YT. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020;16(10):1732-1738. https://doi.org/10.7150/ijbs.45120 Lin J, Ren YH, Gan HJ, Chen Y, Huang YF, You XM. Factors associated with resilience among non-local medical workers sent to Wuhan, China during the COVID-19 outbreak. BMC Psychiatry. 2020;20(1):417. https://doi.org/10.1186/s12888-020-02821-8
  • Majeed MM, Saleem Z, Sarwar H, Ramzan Z, Iqbal SN, Naeem MM. The psychology of coronavirus fear: Are dentists of pakistan suffering from corona-phobia?. J Pak Dent Assoc 2021;30(1):1-6. https://doi.org/10.25301/JPDA.301.1
  • Mosheva M, Hertz-Palmor N, Dorman Ilan S, Matalon N, Pessach IM, Afek A, Ziv A, Kreiss Y, Gross R, Gothelf D. Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic. Depress Anxiety. 2020;37(10):965-971. https://doi.org/10.1002/da.23085.
  • Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026.
  • Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. https://doi.org/10.1038/s41368-020-0075-9.
  • Sağlam E, Saruhan N. Diş Hekimlerinin COVID-19 salgını sürecinde korku düzeylerinin ve klinik uygulamalarındaki değişikliklerinin değerlendirilmesi. Acıbadem Univ Sağlık Bilim Derg. 2021;12(2):260-265. https://doi.org/10.31067/acusaglik.851931.
  • Serafim RB, Póvoa P, Souza-Dantas V, Kalil AC, Salluh JIF. Clinical course and outcomes of critically ill patients with COVID-19 infection: a systematic review. Clin Microbiol Infect. 2021;27(1):47-54. https://doi.org/10.1016/j.cmi.2020.10.017.
  • Shacham M, Hamama-Raz Y, Kolerman R, Mijiritsky O, Ben-Ezra M, Mijiritsky E. COVID-19 factors and psychological factors associated with elevated psychological distress among dentists and dental hygienists in Israel. Int J Environ Res Public Health. 2020;17(8):2900. https://doi.org/10.3390/ijerph17082900.
  • Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. https://doi.org/10.1080/10705500802222972.
  • Tengilimoğlu D, Zekioğlu A, Tosun N, Işık O, Tengilimoğlu O. Impacts of COVID-19 pandemic period on depression, anxiety and stress levels of the healthcare employees in Turkey. Leg Med (Tokyo). 2021;48:101811. https://doi.org/10.1016/j.legalmed.2020.101811.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği, Diş Hekimliği (Diğer)
Bölüm Özgün Araştırmalar
Yazarlar

Süleyman Emre Meşeli 0000-0002-8922-155X

Nourtzan Kechagıa 0000-0001-9572-5829

Sanaz Sadry 0000-0002-2160-0908

Yayımlanma Tarihi 31 Ağustos 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Meşeli, S. E., Kechagıa, N., & Sadry, S. (2023). The Anxiety and Psychological Resilience of Dentists During COVID-19: A Cross-sectional Study. European Journal of Research in Dentistry, 7(2), 65-71. https://doi.org/10.29228/erd.47