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Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers

Yıl 2024, Cilt: 13 Sayı: 4, 1721 - 1732, 25.12.2024
https://doi.org/10.37989/gumussagbil.1366540

Öz

Objectives: Mask use is one of the most important protective equipment for healthcare workers since the beginning of the COVID-19 epidemic but it could be caused psychophysiological problems. Aim of this study, revealing he psychophysiological problems experienced by healthcare professionals regarding the use of masks.
Materials and Methods: This cross-sectional descriptive study were conducted with 552 healthcare workers working of a hospital in Erzurum/Turkey between Dec 2021- Feb 2022. A questionnaire form including socio-demographic characteristics, attitudes towards mask use and psychophysiological characteristics was used as measuring tool.
Results: 295 participants reported that nasal congestion and bad breath. Half of the them had facial irritation and 192 participants had vision problems. 106 participants stated that they were uncomfortable with the team members not wearing masks, 263 participants had negative thoughts about the use of masks, and experienced burnout. Participants stated that use of masks concerns among healthcare workers in terms of identity security.
Conclusion: Long term use of masks causes important psychophysiological problems in healthcare workers. For this reason, hospital administrations and state administrators can take the necessary steps by taking this information as a reference and these results will be an example for other studies.

Kaynakça

  • 1. Lancet, T. (2020). “COVID-19: Protecting health-care workers.” The Lancet. 395 (10228):922.
  • 2. Gül, H, Gülüm, M, İlter, B, Bulut, E.Y, Güzeldemirci, G.B, Koç E.Y, Leblebici, S.Y, Hasde, M, Şirin, H, Felekoğlu, Z. and Topaç, O. (2020). “The effect of protective measures for the health workers during COVID-19.” Ankara Med J. 20 (4):1000-1015
  • 3. Houghton, C, Meskell, P, Delaney, H, Smalle, M, Glenton, C, Booth, A, Chan, X.H.S, Devane, D. and Biesty, L.M. (2020). “Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis.” Cochrane Database of Syst Rev. 4 (4):CD013582.
  • 4. Sarmasoğlu, Ş, Tarakçıoğlu, G.H.Ç. and Korkmaz, F.(2020). “Review: Personal protective equipment usage for COVID19 disease protection.” JOHUFON.7:47-65.
  • 5. World Health Organization (WHO). (2020). “Infection prevention and control during health care when COVID-19 is suspected.” Accessed adress: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125 . (Accessed Date: February 17, 2022)
  • 6. World Health Organization (WHO). ( 2020). “Advice on the use of masks in the context of COVID-19: interim guidance.” Accessed adress: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak (Accessed Date: February 17, 2022).
  • . Ma, Q.X, Shan, H, Zhang, H.L, Li, G.M, Yang, R.M. and Chen J.M. (2020). “Potential utilities of mask-wearing and instant hand hygiene for fighting SARS-CoV-2.” J Med Virol. 92 (9):1567-1571.
  • 8. Zhang, J., Jiang, P., Zhang, Y., Liu, W., Kong, S., Hou, X. and Jiang, G. (2023). “Effects of wearing masks during COVID-19 pandemic on the composition and diversity of skin bacteria and fungi in medical workers.” Frontiers in Microbiology, 14, 1274050.
  • 9. Biçen, Ç. ve Ertürk, E. (2020). “Evaluation of the effects of wearing masks among healthcare professionals during COVID-19 pandemic”. Turkish Studies. 15 (6):205-218.
  • 10. Morishima, M. and Kishida, K. (2018). “Understanding attitudes toward hygiene mask use in Japanese daily life by using a repeated cross-sectional survey.” Work. 61 (2):303-311.
  • 11. Ong, J.J.Y, Bharatendu, C, Goh, Y, Tang J.Z.Y.M, Sooi, K.W.X, Tan, Y.L, Tan, B.Y.Q, Teoh, H, Ong, S.T, Allen, D.M. and Sharma, V.K. (2020). “Headaches associated with personal protective equipment–A crosssectional study among frontline healthcare workers during COVID‐19.” Headache. 60 (5):864-877.
  • 12. Metin, K. M., Semercioğlu, C. S., Hatipoğlu, Ç. A., Esmer, H., Kayretli, H., İnan, L. E.and Yoldaş, T. K. (2023). “Headache caused by the use of personal protective equipment in healthcare workers during the COVID-19 pandemic period.” Heliyon, 9 (3).
  • 13. Binkhamis, K., Alqarni, Y. S., Alasheikh, N. A., Alzahrani, N. S., Alsubaie, N. A., Almezel, S. A. and Awwad, A. W. (2024). “Prevalence of face mask related complications among healthcare workers during the COVID-19 pandemic in Saudi Arabia.” The Journal of Infection in Developing Countries, 18 (02), 211-218
  • 14. Lujia, C., Hanlong, Z., Hui, S., Jieying, T., Jianmin, Y. and Weiwei, L. (2023). “Mask‐related adverse skin reactions in orientals during COVID‐19: Prevalence, social‐psychological impacts and risk factors for acne exacerbation.” Journal of Cosmetic Dermatology, 22 (2), 370-377.
  • 15. Scheid, J. L., Lupien, S. P., Ford, G. S. and West, S. L. (2020). “Commentary: physiological and psychological impact of face mask usage during the COVID-19 pandemic.” International Journal Of Environmental Research And Public Health, 17 (18), 6655.
  • 16. Su, C. Y., Peng, C. Y., Liu, H. L., Yeh, I. J. and Lee, C. W. (2021). “Comparison of effects of N95 respirators and surgical masks to physiological and psychological health among healthcare workers: a randomized controlled trial.” International Journal of Environmental Research and Public Health, 18 (24), 13308.
  • 17. Lim, E, Seet, R, Lee, K.H, Wilder‐Smith, E.P.V, Chuah, B.Y.S, and Ong, B.K.C. (2006). “Headaches and the N95 face‐mask amongst healthcare providers.” Acta Neurol Scand.113 (13):199-202.
  • 18. O’Byrne C, Kenny F, Eustace S. and Gibbons, J.P. (2022). “Knowledge of face masks and attitudes to re-sterilisation among healthcare workers.” Ir J Med Sci.191 (1):97-102.
  • 19. European Centre for Disease Prevention and Control. (2020). “Infection prevention and control for COVID-19 in healthcare settings 12 March 2020.” ECDC Technical Report. Stockholm, Sweden: ECDC. Accessed adress: https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings (Accessed date: February 17, 2022).
  • 20. Kumar, P., Nath, K., Prasad, A., Tiwari, L. K., Chowdhry, B. K., Sinha, A. K. and Chaudhary, N. (2023). “Effects of the Use of N95 Masks on the Vital Signs of Healthy Healthcare Workers During the COVID-19 Pandemic: A Hospital-Based Cross-Sectional Study.” Cureus, 15 (6).
  • 21. Karakuş, T.D. (2021). “Evaluation of the level of knowledge, attitude and personal protective equipment use of healthcare professionals working at Ondokuz Mayıs University Faculty of Medicine Hospital about COVID-19.” Specialization Thesis in Medicine. Health Sciences Institue, Samsun, Türkiye.
  • 22. Lepelletier, D, Grandbastien, B, Romano-Bertrand, S, Aho, S, Chidiac, C, Géhanno, J.F. and Chauvin, F. (2020). “What face mask for what use in the context of COVID-19 pandemic? The French guidelines.” J Hosp Infec. 105 (3):414-418.
  • 23. Zuo, Y, Hua, W, Luo, Y. and Li, L. (2020). “Skin reactions of N95 masks and medial masks among health care personnel: A self-report questionnaire survey in China.” Contact Dermatitis. 83 (2):145-147.
  • 24. Field, M.H, Rashbrook, J.P. and Rodrigues, J.N. (2020). “Hydrocolloid dressing strip over bridge of nose to relieve pain and pressure from Filtered Face Piece (FFP) masks during the coronavirus (COVID-19) pandemic.” Ann R Coll Surg Engl. 102 (5):394-396.
  • 25. Celik, E., Polat, E., Gunder, E. K., Barut, E. and Gonen, T. (2023). “Mask-Associated Dry Eye (MADE) in healthcare professionals working at COVID-19 pandemic clinics.” Nigerian Journal of Clinical Practice, 26 (3), 319-323.
  • 26. Dag, U., Çaglayan, M., Öncül, H., Vardar, S. and Alaus, M. F. (2023). “Mask-associated dry eye syndrome in healthcare professionals as a new complication caused by the prolonged use of masks during Covid-19 pandemic period.” Ophthalmic Epidemiology, 30 (1), 1-6.
  • 27. Swennen, G.R, Pottel, L. and Haers, P.E. (2020). “ Custom-made 3D-printed face masks in case of pandemic crisis situations with a lack of commercially available FFP2/3 masks.” Int J Oral Maxillofac Surg.49 (5):673-677.
  • 28. Li, Z, Ge, J, Yang, M, Feng, J, Qiao, Jiang, R, Bi, J, Zhan, G, Xu, X, Wang, L, Zhou, Q, Zhou, C, Pan, Y, Liu, S, Zhang, H, Yang, J, Zhu, B, Hu, Y, Hashimoto, K, Jia, Y. and Yang, C. (2020). “Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control.” Brain Behav Immun. 88:916-919.
  • 29. Tahernejad, A., Sohrabizadeh, S. and Tahernejad, S. (2024). “Exploring factors affecting the unsafe behavior of health care workers’ in using respiratory masks during COVID-19 pandemic in Iran: a qualitative study.” BMC Health Services Research, 24 (1), 608.
  • 30. Polat, Ö. ve Coşkun, F. (2020). “Determining the relationship between personal protective equipment uses of medical healthcare workers and depression, anxiety and stress levels in the COVID-19 pandemic.” Med J West Black Sea. 4 (2):51‐58.
  • 31. Psychological Trauma and Disaster Study Unit of the Turkish Psychiatric Association. (2020). “COVID-19 and Stigma”. Accessed adress: https://www.psikiyatri.org.tr/uploadFiles/24320200311-DamgalanmaCOVID.pdf . (Accessed date: Apr 26, 2023).
  • 32. Brooks, S.K, Webster, R.K, Smith, L.E, Woodland, L, Wessely, S, Greenberg, N. and Rubin, G.J. (2020). “The psychological impact of quarantine and how to reduce it: Rapid review of the evidence.” Lancet.; 395 (10227):912-920.
  • 33. Javid, B, Weekes, M.P. and Matheson N.J. (2020). “Covid-19 Should the public wear face masks?.” BMJ. 369:m1442.
  • 34. Eikenberry, S.E, Mancuso, M, Iboi, E, Phan, T, Eikenberry, K, Kuang, Y, Kostelich, E. and Gumel, A.B. (2020). “To mask or not to mask: Modeling the potential for face mask use by the general public to curtail the COVID-19 pandemic.” Infect Dis Model. 5:293-308.

covid-19 süreci; uzun süre maske kullanımının sağlık çalışanları üzerindeki fizyopsikolojik etkileri

Yıl 2024, Cilt: 13 Sayı: 4, 1721 - 1732, 25.12.2024
https://doi.org/10.37989/gumussagbil.1366540

Öz

Amaç: Maske kullanımı, COVID-19 salgını başlangıcından itibaren sağlık çalışanları için en önemli koruyucu ekipmanlardan biridir fakat uzun süre maske kullanımı fizyopsikolojik sorunlara neden olabilir. Bu çalışmanın amacı, sağlık çalışanlarının maske kullanımına ilişkin yaşadıkları psikofizyolojik sorunları ortaya koymaktır.
Materyal ve Metot: Kesitsel tanımlayıcı tipte olan bu çalışma, Aralık 2021- Şubat 2022 tarihleri arasında Erzurum/Türkiye'deki bir hastanede çalışan 552 sağlık çalışanını ile yapılmıştır. Ölçüm aracı olarak sosyo-demografik özellikler, maske kullanımına yönelik tutumlar ve psikofizyolojik özelliklerin değerlendirildiği bir anket kullanılmıştır.
Bulgular: 295 katılımcı, burun tıkanıklığı ve ağız kokusu bildirmiştir. Sağlık çalışanlarının yarısı yüzde tahriş ve 192’si görme sorunu yaşamıştır. 106 katılımcı, ekip üyelerinin maske takmamasından rahatsız olduğunu, 263 katılımcı ise maske kullanımına ilişkin olumsuz düşüncelere sahip olduğunu ve tükenmişlik yaşadığını belirtmiştir. Katılımcılar maske kullanımının sağlık çalışanları arasında kimlik güvenliği açısından endişe yarattığını belirtmiştir.
Sonuç: Uzun süreli maske kullanımı sağlık çalışanlarında önemli psikofizyolojik sorunlara yol açmaktadır. Bu nedenle hastane ve devlet yöneticileri çalışmadaki bilgileri referans alarak gerekli adımları atabilirler ve bu sonuçlar diğer çalışmalara örnek olacaktır.

Kaynakça

  • 1. Lancet, T. (2020). “COVID-19: Protecting health-care workers.” The Lancet. 395 (10228):922.
  • 2. Gül, H, Gülüm, M, İlter, B, Bulut, E.Y, Güzeldemirci, G.B, Koç E.Y, Leblebici, S.Y, Hasde, M, Şirin, H, Felekoğlu, Z. and Topaç, O. (2020). “The effect of protective measures for the health workers during COVID-19.” Ankara Med J. 20 (4):1000-1015
  • 3. Houghton, C, Meskell, P, Delaney, H, Smalle, M, Glenton, C, Booth, A, Chan, X.H.S, Devane, D. and Biesty, L.M. (2020). “Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis.” Cochrane Database of Syst Rev. 4 (4):CD013582.
  • 4. Sarmasoğlu, Ş, Tarakçıoğlu, G.H.Ç. and Korkmaz, F.(2020). “Review: Personal protective equipment usage for COVID19 disease protection.” JOHUFON.7:47-65.
  • 5. World Health Organization (WHO). (2020). “Infection prevention and control during health care when COVID-19 is suspected.” Accessed adress: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125 . (Accessed Date: February 17, 2022)
  • 6. World Health Organization (WHO). ( 2020). “Advice on the use of masks in the context of COVID-19: interim guidance.” Accessed adress: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-community-during-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak (Accessed Date: February 17, 2022).
  • . Ma, Q.X, Shan, H, Zhang, H.L, Li, G.M, Yang, R.M. and Chen J.M. (2020). “Potential utilities of mask-wearing and instant hand hygiene for fighting SARS-CoV-2.” J Med Virol. 92 (9):1567-1571.
  • 8. Zhang, J., Jiang, P., Zhang, Y., Liu, W., Kong, S., Hou, X. and Jiang, G. (2023). “Effects of wearing masks during COVID-19 pandemic on the composition and diversity of skin bacteria and fungi in medical workers.” Frontiers in Microbiology, 14, 1274050.
  • 9. Biçen, Ç. ve Ertürk, E. (2020). “Evaluation of the effects of wearing masks among healthcare professionals during COVID-19 pandemic”. Turkish Studies. 15 (6):205-218.
  • 10. Morishima, M. and Kishida, K. (2018). “Understanding attitudes toward hygiene mask use in Japanese daily life by using a repeated cross-sectional survey.” Work. 61 (2):303-311.
  • 11. Ong, J.J.Y, Bharatendu, C, Goh, Y, Tang J.Z.Y.M, Sooi, K.W.X, Tan, Y.L, Tan, B.Y.Q, Teoh, H, Ong, S.T, Allen, D.M. and Sharma, V.K. (2020). “Headaches associated with personal protective equipment–A crosssectional study among frontline healthcare workers during COVID‐19.” Headache. 60 (5):864-877.
  • 12. Metin, K. M., Semercioğlu, C. S., Hatipoğlu, Ç. A., Esmer, H., Kayretli, H., İnan, L. E.and Yoldaş, T. K. (2023). “Headache caused by the use of personal protective equipment in healthcare workers during the COVID-19 pandemic period.” Heliyon, 9 (3).
  • 13. Binkhamis, K., Alqarni, Y. S., Alasheikh, N. A., Alzahrani, N. S., Alsubaie, N. A., Almezel, S. A. and Awwad, A. W. (2024). “Prevalence of face mask related complications among healthcare workers during the COVID-19 pandemic in Saudi Arabia.” The Journal of Infection in Developing Countries, 18 (02), 211-218
  • 14. Lujia, C., Hanlong, Z., Hui, S., Jieying, T., Jianmin, Y. and Weiwei, L. (2023). “Mask‐related adverse skin reactions in orientals during COVID‐19: Prevalence, social‐psychological impacts and risk factors for acne exacerbation.” Journal of Cosmetic Dermatology, 22 (2), 370-377.
  • 15. Scheid, J. L., Lupien, S. P., Ford, G. S. and West, S. L. (2020). “Commentary: physiological and psychological impact of face mask usage during the COVID-19 pandemic.” International Journal Of Environmental Research And Public Health, 17 (18), 6655.
  • 16. Su, C. Y., Peng, C. Y., Liu, H. L., Yeh, I. J. and Lee, C. W. (2021). “Comparison of effects of N95 respirators and surgical masks to physiological and psychological health among healthcare workers: a randomized controlled trial.” International Journal of Environmental Research and Public Health, 18 (24), 13308.
  • 17. Lim, E, Seet, R, Lee, K.H, Wilder‐Smith, E.P.V, Chuah, B.Y.S, and Ong, B.K.C. (2006). “Headaches and the N95 face‐mask amongst healthcare providers.” Acta Neurol Scand.113 (13):199-202.
  • 18. O’Byrne C, Kenny F, Eustace S. and Gibbons, J.P. (2022). “Knowledge of face masks and attitudes to re-sterilisation among healthcare workers.” Ir J Med Sci.191 (1):97-102.
  • 19. European Centre for Disease Prevention and Control. (2020). “Infection prevention and control for COVID-19 in healthcare settings 12 March 2020.” ECDC Technical Report. Stockholm, Sweden: ECDC. Accessed adress: https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings (Accessed date: February 17, 2022).
  • 20. Kumar, P., Nath, K., Prasad, A., Tiwari, L. K., Chowdhry, B. K., Sinha, A. K. and Chaudhary, N. (2023). “Effects of the Use of N95 Masks on the Vital Signs of Healthy Healthcare Workers During the COVID-19 Pandemic: A Hospital-Based Cross-Sectional Study.” Cureus, 15 (6).
  • 21. Karakuş, T.D. (2021). “Evaluation of the level of knowledge, attitude and personal protective equipment use of healthcare professionals working at Ondokuz Mayıs University Faculty of Medicine Hospital about COVID-19.” Specialization Thesis in Medicine. Health Sciences Institue, Samsun, Türkiye.
  • 22. Lepelletier, D, Grandbastien, B, Romano-Bertrand, S, Aho, S, Chidiac, C, Géhanno, J.F. and Chauvin, F. (2020). “What face mask for what use in the context of COVID-19 pandemic? The French guidelines.” J Hosp Infec. 105 (3):414-418.
  • 23. Zuo, Y, Hua, W, Luo, Y. and Li, L. (2020). “Skin reactions of N95 masks and medial masks among health care personnel: A self-report questionnaire survey in China.” Contact Dermatitis. 83 (2):145-147.
  • 24. Field, M.H, Rashbrook, J.P. and Rodrigues, J.N. (2020). “Hydrocolloid dressing strip over bridge of nose to relieve pain and pressure from Filtered Face Piece (FFP) masks during the coronavirus (COVID-19) pandemic.” Ann R Coll Surg Engl. 102 (5):394-396.
  • 25. Celik, E., Polat, E., Gunder, E. K., Barut, E. and Gonen, T. (2023). “Mask-Associated Dry Eye (MADE) in healthcare professionals working at COVID-19 pandemic clinics.” Nigerian Journal of Clinical Practice, 26 (3), 319-323.
  • 26. Dag, U., Çaglayan, M., Öncül, H., Vardar, S. and Alaus, M. F. (2023). “Mask-associated dry eye syndrome in healthcare professionals as a new complication caused by the prolonged use of masks during Covid-19 pandemic period.” Ophthalmic Epidemiology, 30 (1), 1-6.
  • 27. Swennen, G.R, Pottel, L. and Haers, P.E. (2020). “ Custom-made 3D-printed face masks in case of pandemic crisis situations with a lack of commercially available FFP2/3 masks.” Int J Oral Maxillofac Surg.49 (5):673-677.
  • 28. Li, Z, Ge, J, Yang, M, Feng, J, Qiao, Jiang, R, Bi, J, Zhan, G, Xu, X, Wang, L, Zhou, Q, Zhou, C, Pan, Y, Liu, S, Zhang, H, Yang, J, Zhu, B, Hu, Y, Hashimoto, K, Jia, Y. and Yang, C. (2020). “Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control.” Brain Behav Immun. 88:916-919.
  • 29. Tahernejad, A., Sohrabizadeh, S. and Tahernejad, S. (2024). “Exploring factors affecting the unsafe behavior of health care workers’ in using respiratory masks during COVID-19 pandemic in Iran: a qualitative study.” BMC Health Services Research, 24 (1), 608.
  • 30. Polat, Ö. ve Coşkun, F. (2020). “Determining the relationship between personal protective equipment uses of medical healthcare workers and depression, anxiety and stress levels in the COVID-19 pandemic.” Med J West Black Sea. 4 (2):51‐58.
  • 31. Psychological Trauma and Disaster Study Unit of the Turkish Psychiatric Association. (2020). “COVID-19 and Stigma”. Accessed adress: https://www.psikiyatri.org.tr/uploadFiles/24320200311-DamgalanmaCOVID.pdf . (Accessed date: Apr 26, 2023).
  • 32. Brooks, S.K, Webster, R.K, Smith, L.E, Woodland, L, Wessely, S, Greenberg, N. and Rubin, G.J. (2020). “The psychological impact of quarantine and how to reduce it: Rapid review of the evidence.” Lancet.; 395 (10227):912-920.
  • 33. Javid, B, Weekes, M.P. and Matheson N.J. (2020). “Covid-19 Should the public wear face masks?.” BMJ. 369:m1442.
  • 34. Eikenberry, S.E, Mancuso, M, Iboi, E, Phan, T, Eikenberry, K, Kuang, Y, Kostelich, E. and Gumel, A.B. (2020). “To mask or not to mask: Modeling the potential for face mask use by the general public to curtail the COVID-19 pandemic.” Infect Dis Model. 5:293-308.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği
Bölüm Makaleler
Yazarlar

Mehtap Tan 0000-0001-9994-114X

Yasemin Çıracı Yaşar 0000-0002-5443-0642

Yayımlanma Tarihi 25 Aralık 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 4

Kaynak Göster

APA Tan, M., & Çıracı Yaşar, Y. (2024). Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 1721-1732. https://doi.org/10.37989/gumussagbil.1366540
AMA Tan M, Çıracı Yaşar Y. Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers. Gümüşhane Sağlık Bilimleri Dergisi. Aralık 2024;13(4):1721-1732. doi:10.37989/gumussagbil.1366540
Chicago Tan, Mehtap, ve Yasemin Çıracı Yaşar. “Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13, sy. 4 (Aralık 2024): 1721-32. https://doi.org/10.37989/gumussagbil.1366540.
EndNote Tan M, Çıracı Yaşar Y (01 Aralık 2024) Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13 4 1721–1732.
IEEE M. Tan ve Y. Çıracı Yaşar, “Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers”, Gümüşhane Sağlık Bilimleri Dergisi, c. 13, sy. 4, ss. 1721–1732, 2024, doi: 10.37989/gumussagbil.1366540.
ISNAD Tan, Mehtap - Çıracı Yaşar, Yasemin. “Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 13/4 (Aralık 2024), 1721-1732. https://doi.org/10.37989/gumussagbil.1366540.
JAMA Tan M, Çıracı Yaşar Y. Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13:1721–1732.
MLA Tan, Mehtap ve Yasemin Çıracı Yaşar. “Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 13, sy. 4, 2024, ss. 1721-32, doi:10.37989/gumussagbil.1366540.
Vancouver Tan M, Çıracı Yaşar Y. Covid-19 Process; Psychophysiological Effects of Long Term Mask Use on Healthcare Workers. Gümüşhane Sağlık Bilimleri Dergisi. 2024;13(4):1721-32.