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ANXIETY AND E-HEALTH LITERACY LEVELS, AND ASSOCIATED FACTORS IN HEALTH CARE WORKERS INVOLVED IN THE TREATMENT AND CARE OF COVID-19 PATIENTS

Yıl 2022, Cilt 7, Sayı 2, 340 - 350, 04.06.2022
https://doi.org/10.35232/estudamhsd.1065427

Öz

This study was conducted to determine the level of anxiety and eHealth literacy and related factors among physicians and nurses working in inpatient and intensive care units where COVID-19 patients were cared for during the pandemic. This descriptive study was conducted with 161 physician and nurse working in inpatient and intensive care units. A p-value of <0.05 was considered statistically significant. The mean scores of the Coronavirus Anxiety Scale and eHealth Literacy Scale (eHEALS) of physicians and nurses were 2.74±3.57 and 28.72±7.74, respectively. It was found that physicians and nurses who desired psychological support had high anxiety scores but low scores on the eHEALS. Anxiety increased the longer one engaged in viewing/reading information or news about the pandemic. During the pandemic outbreak, it is crucial to regularly inform physicians and nurses about the pandemic through appropriate sources and provide them with the necessary psychological support after determining their level of anxiety.

Kaynakça

  • 1. Casadevall A, Pirofski LA. The convalescent sera option for containing COVID-19. The Journal of Clinical Investigation. 2020;130(4):1545-8. doi:10.1172/JCI138003.
  • 2. World Health Organization (WHO). Coronavirus (COVID-19) Dashboard. [cited 2021 Mar 23]. Available from URL: https://covid19.who.int/
  • 3. Bai Y, Wang X, Huang Q, Wang H, Gurarie D, Ndeffo-Mbah M, et al. SARS-CoV-2 infection in health care workers: a retrospective analysis and a model study. MedRxiv. 2020. doi:10.1101/2020.03.29.20047159.
  • 4. Salcan S, Sarikaya B. The prevalence of anxiety, insomnia, and depression of pharmacy employees in the Covid-19 pandemic. Turk J Public Health. 2020;18(COVID-19 Special):58-65. doi:10.20518/tjph.770288.
  • 5. Qi J, Xu J, Li BZ, Huang JS, Yang Y, Zhang ZT, et al. The evaluation of sleep disturbances for Chinese frontline medical workers under the outbreak of COVID-19. Sleep Med. 2020;72:1-4. doi:10.1016/j.sleep.2020.05.023.
  • 6. Havlioglu S, Demir HA. Determining the Anxiety Levels of Emergency Service Employees' Working During the COVID-19 Pandemic. J of Harran University Medical Faculty. 2020;17(2):251-5. doi.org/10.35440/hutfd.752467.
  • 7. Duong VT, Lin IF, Sorensen K, Pelikan JM, Van den Broucke S, Lin YC, Chang PW. Health literacy in Taiwan: a population-based study. Asia Pacific J Public Heal. 2015;27(8):871-80. doi:10.1177/1010539515607962.
  • 8. Vannucci A, Flannery KM, Ohannessian CM. Social media use and anxiety in emerging adults. J Affect Disord. 2017;207:163-6. doi:10.1016/j.jad.2016.08.040.
  • 9. Chong YY, Cheng HY, Chan HYL, Chien WT, Wong SYS. COVID-19 pandemic, infodemic and the role of eHealth literacy. International Journal of Nursing Studies. 2020;108:103644. doi:10.1016/j.ijnurstu.2020.103644.
  • 10. Levin-Zamir D, Bertschi I. Media health literacy, eHealth literacy, and the role of the social environment in context. International Journal of Environmental Research and Public Health. 2018;15(8):1643. doi:10.3390/ ijerph15081643.
  • 11. Berens EM, Vogt D, Messer M, Hurrelmann K, Schaeffer D. Health literacy among different age groups in Germany: results of a cross-sectional survey. BMC Public Health. 2016;16(1):1-8. doi:10.1186/s12889-016-3810-6.
  • 12. Benli SS, Yildirim A. Relationship between nurses' life satisfaction and attitudes towards death. GUSBD. 2017;6(4):167-179. Available from: https://dergipark.org.tr/tr/pub/gumussagbil/368461
  • 13. Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies. 2020;44(7):393-401. doi:10.1080/07481187.2020.1748481.
  • 14. Sayik D, Yigit D, Acikgoz A, Colak E, Mumcu O. Turkish validity and reliability of the coronavirus anxiety scale. Eskisehir Med J. 2021;2(1):16-22. doi:10.48176/esmj.2021.10.
  • 15. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. Journal of Medical Internet Research. 2006;8(2):e506. doi:10.2196/jmir.8.2.e9.
  • 16. Coskun S, Bebis H. Psychometric evaluation of a Turkısh version of the e-health literacy scale (e-heals) in adolescents. Gulhane Med J. 2015;57(4):378. doi:10.5455/gulhane.
  • 17. Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Chinese Journal Of Industrial Hygiene And Occupational Diseases. 2020;38:E001. doi:10.3760/cma.j.cn121094-20200219-00063.
  • 18. Nwachukwu I, Nkire N, Shalaby R, Hrabok M, Vuong W, Gusnowski A, et al. COVID-19 pandemic: age-related differences in measures of stress, anxiety, and depression in Canada. Int J Environ Res Public Health. 2020;17(17):6366. doi:10.3390/ijerph17176366.
  • 19. Yáñez JA, Jahanshahi AA, Alvarez-Risco A, Li J, Zhang SX. Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis. Am J Trop Med Hyg. 2020;103(4):1614-20. doi:10.4269/ajtmh.20-0800.
  • 20. Zhang R, Hou T, Kong X, Wang G, Wang H, Xu S, et al. Effects of the region, epidemic stage, and demographic characteristics on sleep quality and mental disturbances among health care workers during COVID-19 outbreak. Researchsquare. 2020. doi:10.21203/rs.3.rs-23260/v1.
  • 21. Hosgor H, Ulker Dorttepe Z, Sagcan H. THE effect of covid-19 anxiety on the professional performances of emergency medical health services staff and demographic differences. MAKU IIBFD. 2020;7(3):865-86. doi:10.30798/makuiibf.793641.
  • 22. Atac O, Sezerol MA, Tascı Y, Hayran O. Anxiety and insomnia among healthcare workers during the Covid-19 pandemic. Turk J Public Health. 2020;18(Special issue):47-57. doi:10.20518/tjph.767187.
  • 23. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2 0 2 0 ; 2 8 8 : 1 1 2 9 5 4 . doi:10.1016/j.psychres.2020.112954.
  • 24. Nguyen HT, Do BN, Pham KM, Kim GB, Dam HT, Nguyen TT, et al. Fear of COVID-19 scale-associations of its scores with health literacy and health-related behaviors among medical students. Int J Environ Res Public Health. 2020;17(11):4164. doi:10.3390/ijerph17114164.
  • 25. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun. 2020;87:11-17. doi:10.1016/j.bbi.2020.03.028.
  • 26. Hyun J, You S, Sohn S, Kim SJ, Bae J, Baik M, et al. Psychosocial support during the COVID-19 outbreak in Korea: activities of multidisciplinary mental health professionals. J Korean Med Sci. 2020;35(22). doi:10.3346/jkms.2020.35.e211.
  • 27. Berlin J. Battling Burnout. Tex Med. 2018;114(4):10-3. Available from: https://pubmed.ncbi.nlm.nih.gov/30053918/
  • 28. Bozkurt Y, Zeybek Z, Askin R. Covıd-19 pandemic: psychological effects and therapeutic interventions. Istanbul Ticaret University. 2020;19(37):304-18. Available from: http://acikerisim.ticaret.edu.tr/xmlui/handle/11467/4265
  • 29. Kumar S. Burnout and doctors: prevalence, prevention, and intervention. Healthcare. 2016;4(3):37. https://doi.org/10.3390/healthcare4030037
  • 30. Deniz S. Bireylerin e-sağlık okuryazarlığı ve siberkondri düzeylerinin incelenmesi. Insan ve Insan. 2020;7(24):84-96. doi:10.29224/insanveinsan.674726.
  • 31. Do BN, Tran TV, Phan DT, Nguyen HC, Nguyen T T, Nguyen HC, .et al. Health literacy, eHealth literacy, adherence to infection prevention and control procedures, lifestyle changes, and suspected COVID-19 symptoms among health care workers during a lockdown: Online survey. J Med Internet Res. 2020;22(11):e22894. doi:10.2196/22894.
  • 32. Yaman DK, Yucedag NYE, Keklik FKO. Determining The E-Health Literacy Level Healthcare Users And Healthcare Professionals And Examin. USAYSAD J. 2020;6(3):563-577. Available from: https://dergipark.org.tr/en/download/article-file/1474550
  • 33. Samadbeik M, Saremian M, Sohrabizadeh M, Birjandi M, Garavand S. Evaluation of E-health literacy in Paramedicine and Health Nutrition students of Lorestan University of Medical Sciences. J Heal Lit. 2020;5(1):12-22. doi:10.22038/jhl.2020.45969.1095.
  • 34. Kim H, Xie B. Health literacy in the eHealth era: A systematic review of the literature. Patient Education and Counseling. 2017;100(6):1073-82. doi:10.1016/j.pec.2017.01.015.
  • 35. Ergun S, Kizil Suruculer H, Isik R. E-Health literacy and healthy lifestyle behaviors in adolescents: the case of Balıkesir. JAREN. 2019;5(3):194-203. doi:10.5222/jaren.2019.65002.
  • 36. Bianco A, Zucco R, Nobile CGA, Pileggi C, Pavia M. Parents seeking health-related information on the Internet: a cross-sectional study. J Med Internet Res. 2013;15(9):e204. doi:10.2196/jmir.2752.
  • 37. Daraz L, Morrow AS, Ponce OJ, Beuschel B, Farah MH, Katabi A, et al. Can patients trust online health information? A meta-narrative systematic review addressing the quality of health information on the Internet. J Gen Intern Med. 2019;34(9):1884-91. doi:10.1007/s11606-019-05109-0.
  • 38. AlGhamdi KM, Moussa NA. Internet use by the public to search for health-related information. Int J Med Inform. 2012;81(6):363-73 . doi:10.1016/j.ijmedinf.2011.12.004.
  • 39. Stevenson FA, Kerr C, Murray E, Nazareth I. Information from the Internet and the doctor-patient relationship: the patient perspective–a qualitative study. BMC Fam Pract. 2007;8(1):1-8. doi:10.1186/1471-2296-8-47.
  • 40. Duplaga M, Grysztar M. The association between future anxiety, health literacy and the perception of the COVID-19 pandemic: A cross-sectional study. Healthcare. 2021;9(1):43. doi:10.3390/ healthcare9010043.

COVID-19 TANILI HASTALARIN TEDAVİ VE BAKIMINI YAPAN SAĞLIK PERSONELLERİNİN ANKSİYETE VE E-SAĞLIK OKURYAZARLIK DÜZEYLERİ İLE ETKİLEYEN FAKTÖRLERİN BELİRLENMESİ

Yıl 2022, Cilt 7, Sayı 2, 340 - 350, 04.06.2022
https://doi.org/10.35232/estudamhsd.1065427

Öz

Bu çalışma, pandemi döneminde COVID-19 tanılı hastaların takip edildiği servis veya yoğun bakım ünitelerinde çalışan hekim ve hemşirelerin anksiyete ve e-sağlık okuryazarlık düzeyleri ile ilişkili faktörleri belirlemek amacıyla yapılmıştır. Tanımlayıcı tipte olan bu çalışma servis veya yoğun bakım ünitelerinde çalışan 161 hekim ve hemşire ile tamamlanmıştır. Çalışmada p<0,05 değeri istatistiksel olarak anlamlı kabul edilmiştir. Hekim ve hemşirelerin Koronavirüs Anksiyete Ölçeği ve e-Sağlık Okuryazarlık Ölçeği puan ortalaması sırasıyla 2,74±3,57, 28,72±7,74’tür. Psikolojik destek almak isteyen hekim ve hemşirelerin anksiyete puanlarının arttığı ve e-sağlık okuryazarlık puanının azaldığı saptamıştır. Pandemi ile ilgili bilgi veya haber izleme/okuma süresinin artması ile anksiyetenin arttığı belirlenmiştir. Pandemi döneminde hekim ve hemşirelerin pandemiye ilişkin doğru kaynaklardan düzenli olarak bilgilendirilmelerinin sağlanması ve anksiyete düzeylerinin belirlenerek gerekli psikolojik desteğin verilmesi önemlidir.

Kaynakça

  • 1. Casadevall A, Pirofski LA. The convalescent sera option for containing COVID-19. The Journal of Clinical Investigation. 2020;130(4):1545-8. doi:10.1172/JCI138003.
  • 2. World Health Organization (WHO). Coronavirus (COVID-19) Dashboard. [cited 2021 Mar 23]. Available from URL: https://covid19.who.int/
  • 3. Bai Y, Wang X, Huang Q, Wang H, Gurarie D, Ndeffo-Mbah M, et al. SARS-CoV-2 infection in health care workers: a retrospective analysis and a model study. MedRxiv. 2020. doi:10.1101/2020.03.29.20047159.
  • 4. Salcan S, Sarikaya B. The prevalence of anxiety, insomnia, and depression of pharmacy employees in the Covid-19 pandemic. Turk J Public Health. 2020;18(COVID-19 Special):58-65. doi:10.20518/tjph.770288.
  • 5. Qi J, Xu J, Li BZ, Huang JS, Yang Y, Zhang ZT, et al. The evaluation of sleep disturbances for Chinese frontline medical workers under the outbreak of COVID-19. Sleep Med. 2020;72:1-4. doi:10.1016/j.sleep.2020.05.023.
  • 6. Havlioglu S, Demir HA. Determining the Anxiety Levels of Emergency Service Employees' Working During the COVID-19 Pandemic. J of Harran University Medical Faculty. 2020;17(2):251-5. doi.org/10.35440/hutfd.752467.
  • 7. Duong VT, Lin IF, Sorensen K, Pelikan JM, Van den Broucke S, Lin YC, Chang PW. Health literacy in Taiwan: a population-based study. Asia Pacific J Public Heal. 2015;27(8):871-80. doi:10.1177/1010539515607962.
  • 8. Vannucci A, Flannery KM, Ohannessian CM. Social media use and anxiety in emerging adults. J Affect Disord. 2017;207:163-6. doi:10.1016/j.jad.2016.08.040.
  • 9. Chong YY, Cheng HY, Chan HYL, Chien WT, Wong SYS. COVID-19 pandemic, infodemic and the role of eHealth literacy. International Journal of Nursing Studies. 2020;108:103644. doi:10.1016/j.ijnurstu.2020.103644.
  • 10. Levin-Zamir D, Bertschi I. Media health literacy, eHealth literacy, and the role of the social environment in context. International Journal of Environmental Research and Public Health. 2018;15(8):1643. doi:10.3390/ ijerph15081643.
  • 11. Berens EM, Vogt D, Messer M, Hurrelmann K, Schaeffer D. Health literacy among different age groups in Germany: results of a cross-sectional survey. BMC Public Health. 2016;16(1):1-8. doi:10.1186/s12889-016-3810-6.
  • 12. Benli SS, Yildirim A. Relationship between nurses' life satisfaction and attitudes towards death. GUSBD. 2017;6(4):167-179. Available from: https://dergipark.org.tr/tr/pub/gumussagbil/368461
  • 13. Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies. 2020;44(7):393-401. doi:10.1080/07481187.2020.1748481.
  • 14. Sayik D, Yigit D, Acikgoz A, Colak E, Mumcu O. Turkish validity and reliability of the coronavirus anxiety scale. Eskisehir Med J. 2021;2(1):16-22. doi:10.48176/esmj.2021.10.
  • 15. Norman CD, Skinner HA. eHealth literacy: essential skills for consumer health in a networked world. Journal of Medical Internet Research. 2006;8(2):e506. doi:10.2196/jmir.8.2.e9.
  • 16. Coskun S, Bebis H. Psychometric evaluation of a Turkısh version of the e-health literacy scale (e-heals) in adolescents. Gulhane Med J. 2015;57(4):378. doi:10.5455/gulhane.
  • 17. Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Chinese Journal Of Industrial Hygiene And Occupational Diseases. 2020;38:E001. doi:10.3760/cma.j.cn121094-20200219-00063.
  • 18. Nwachukwu I, Nkire N, Shalaby R, Hrabok M, Vuong W, Gusnowski A, et al. COVID-19 pandemic: age-related differences in measures of stress, anxiety, and depression in Canada. Int J Environ Res Public Health. 2020;17(17):6366. doi:10.3390/ijerph17176366.
  • 19. Yáñez JA, Jahanshahi AA, Alvarez-Risco A, Li J, Zhang SX. Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis. Am J Trop Med Hyg. 2020;103(4):1614-20. doi:10.4269/ajtmh.20-0800.
  • 20. Zhang R, Hou T, Kong X, Wang G, Wang H, Xu S, et al. Effects of the region, epidemic stage, and demographic characteristics on sleep quality and mental disturbances among health care workers during COVID-19 outbreak. Researchsquare. 2020. doi:10.21203/rs.3.rs-23260/v1.
  • 21. Hosgor H, Ulker Dorttepe Z, Sagcan H. THE effect of covid-19 anxiety on the professional performances of emergency medical health services staff and demographic differences. MAKU IIBFD. 2020;7(3):865-86. doi:10.30798/makuiibf.793641.
  • 22. Atac O, Sezerol MA, Tascı Y, Hayran O. Anxiety and insomnia among healthcare workers during the Covid-19 pandemic. Turk J Public Health. 2020;18(Special issue):47-57. doi:10.20518/tjph.767187.
  • 23. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2 0 2 0 ; 2 8 8 : 1 1 2 9 5 4 . doi:10.1016/j.psychres.2020.112954.
  • 24. Nguyen HT, Do BN, Pham KM, Kim GB, Dam HT, Nguyen TT, et al. Fear of COVID-19 scale-associations of its scores with health literacy and health-related behaviors among medical students. Int J Environ Res Public Health. 2020;17(11):4164. doi:10.3390/ijerph17114164.
  • 25. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun. 2020;87:11-17. doi:10.1016/j.bbi.2020.03.028.
  • 26. Hyun J, You S, Sohn S, Kim SJ, Bae J, Baik M, et al. Psychosocial support during the COVID-19 outbreak in Korea: activities of multidisciplinary mental health professionals. J Korean Med Sci. 2020;35(22). doi:10.3346/jkms.2020.35.e211.
  • 27. Berlin J. Battling Burnout. Tex Med. 2018;114(4):10-3. Available from: https://pubmed.ncbi.nlm.nih.gov/30053918/
  • 28. Bozkurt Y, Zeybek Z, Askin R. Covıd-19 pandemic: psychological effects and therapeutic interventions. Istanbul Ticaret University. 2020;19(37):304-18. Available from: http://acikerisim.ticaret.edu.tr/xmlui/handle/11467/4265
  • 29. Kumar S. Burnout and doctors: prevalence, prevention, and intervention. Healthcare. 2016;4(3):37. https://doi.org/10.3390/healthcare4030037
  • 30. Deniz S. Bireylerin e-sağlık okuryazarlığı ve siberkondri düzeylerinin incelenmesi. Insan ve Insan. 2020;7(24):84-96. doi:10.29224/insanveinsan.674726.
  • 31. Do BN, Tran TV, Phan DT, Nguyen HC, Nguyen T T, Nguyen HC, .et al. Health literacy, eHealth literacy, adherence to infection prevention and control procedures, lifestyle changes, and suspected COVID-19 symptoms among health care workers during a lockdown: Online survey. J Med Internet Res. 2020;22(11):e22894. doi:10.2196/22894.
  • 32. Yaman DK, Yucedag NYE, Keklik FKO. Determining The E-Health Literacy Level Healthcare Users And Healthcare Professionals And Examin. USAYSAD J. 2020;6(3):563-577. Available from: https://dergipark.org.tr/en/download/article-file/1474550
  • 33. Samadbeik M, Saremian M, Sohrabizadeh M, Birjandi M, Garavand S. Evaluation of E-health literacy in Paramedicine and Health Nutrition students of Lorestan University of Medical Sciences. J Heal Lit. 2020;5(1):12-22. doi:10.22038/jhl.2020.45969.1095.
  • 34. Kim H, Xie B. Health literacy in the eHealth era: A systematic review of the literature. Patient Education and Counseling. 2017;100(6):1073-82. doi:10.1016/j.pec.2017.01.015.
  • 35. Ergun S, Kizil Suruculer H, Isik R. E-Health literacy and healthy lifestyle behaviors in adolescents: the case of Balıkesir. JAREN. 2019;5(3):194-203. doi:10.5222/jaren.2019.65002.
  • 36. Bianco A, Zucco R, Nobile CGA, Pileggi C, Pavia M. Parents seeking health-related information on the Internet: a cross-sectional study. J Med Internet Res. 2013;15(9):e204. doi:10.2196/jmir.2752.
  • 37. Daraz L, Morrow AS, Ponce OJ, Beuschel B, Farah MH, Katabi A, et al. Can patients trust online health information? A meta-narrative systematic review addressing the quality of health information on the Internet. J Gen Intern Med. 2019;34(9):1884-91. doi:10.1007/s11606-019-05109-0.
  • 38. AlGhamdi KM, Moussa NA. Internet use by the public to search for health-related information. Int J Med Inform. 2012;81(6):363-73 . doi:10.1016/j.ijmedinf.2011.12.004.
  • 39. Stevenson FA, Kerr C, Murray E, Nazareth I. Information from the Internet and the doctor-patient relationship: the patient perspective–a qualitative study. BMC Fam Pract. 2007;8(1):1-8. doi:10.1186/1471-2296-8-47.
  • 40. Duplaga M, Grysztar M. The association between future anxiety, health literacy and the perception of the COVID-19 pandemic: A cross-sectional study. Healthcare. 2021;9(1):43. doi:10.3390/ healthcare9010043.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıp
Bölüm Araştırma Makalesi
Yazarlar

Dilek ŞAYIK> (Sorumlu Yazar)
Eskişehir City Hospital, Education Department, Eskişehir, Turkey
0000-0001-9614-0363
Türkiye


Anıl UÇAN>
Eskişehir City Hospital, Education Department, Eskişehir, Turkey
0000-0001-8771-6121
Türkiye

Yayımlanma Tarihi 4 Haziran 2022
Başvuru Tarihi 31 Ocak 2022
Kabul Tarihi 24 Mayıs 2022
Yayınlandığı Sayı Yıl 2022, Cilt 7, Sayı 2

Kaynak Göster

Vancouver Şayık D. , Uçan A. ANXIETY AND E-HEALTH LITERACY LEVELS, AND ASSOCIATED FACTORS IN HEALTH CARE WORKERS INVOLVED IN THE TREATMENT AND CARE OF COVID-19 PATIENTS. ESTÜDAM Halk Sağlığı Dergisi. 2022; 7(2): 340-350.

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