COVID-19 PANDEMİSİ SIRASINDA SUNULAN TELESAĞLIK HİZMETİNİN PSİKOLOJİK GELİŞİM DÜZEYLERİ ÜZERİNE DEĞERLENDİRİLMESİ

Öz

Amaç: COVID-19 pandemisi travmatik bir olay olarak kabul edilmektedir. Bu çalışmanın amacı, İstanbul Tıp Fakültesi‘nde COVID-19 olduğu varsayılan veya şüpheli/doğrulanmış bir COVID-19 hastası ile yakın temasta bulunan sağlık çalışanlarına sunulan telesağlık hizmetlerinin tanıdan bir yıl sonra pandemi yönetimi, aşılama ve psikolojik gelişim üzerine etkilerini incelemektir. Gereç ve Yöntem: Kohort tipindeki bu çalışmada, 6 Nisan-31 Temmuz 2020 tarihleri arasında telesağlık hizmeti ile uzaktan izlenen COVID-19/riskli temaslı 237 çalışan dahil edildi. İlk olarak telesağlık hizmeti ile 21 gün boyunca takip edildiler. İkinci olarak, bir yıl sonra çevrimiçi bir anketi doldurmaları için telefonla arandılar. Katılımcıların 94’ü (%39,7) anketi doldurdu. Anket, son bir yılda yaşanan pandemi ile ilgili zorluklar ve Travma Sonrası Büyüme Envanteri (PTGI) ile ilgili soruları içeriyordu. Bulgular: Çalışmada 234 çalışandan 172’si (%73,5) ve 164’ü (%70,1) sırasıyla birinci ve ikinci doz COVID-19 aşısı yaptırdı. Psikolojik desteğe ihtiyaç duymayan çalışanların benlik algısı ve toplam puanlarındaki PTGI değişimi, psikolojik destek almayan/ alamayanlara göre anlamlı derecede daha düşüktü (sırasıyla p=0,007 ve p=0,016). Kişisel koruyucu ekipmanı (KKD) daha dikkatli kullanan çalışanların KKD kullanma şeklini değiştirmediklerini ve bazen dikkatsiz olduklarını bildiren çalışanlara göre; PTGI benlik algısı puanı (p=0,005), yaşam felsefesi (p=0,014), kişilerarası ilişkiler (p=0,011) ve toplam puanı (p=0,004) anlamlı olarak daha yüksekti. Sonuç: Çalışmamızın sonuçları, sağlık çalışanlarının pandeminin neden olduğu olumsuzlukların yanı sıra olumlu yönlerini de görerek, travma sonrası büyümenin gerçekleştiğini ortaya koymaktadır.

Anahtar Kelimeler

• Kohort
• COVID-19
• psikolojik büyüme
• telesağlık hizmeti
• aşılama

THE EVALUATION OF TELEHEALTH SERVICES DURING THE COVID-19 PANDEMIC ON LEVELS OF PSYCHOLOGICAL GROWTH

Öz

Objective: The COVID-19 pandemic is considered a traumatic event. The aim of this study was to examine the effects of telehealth services offered at the Istanbul University, Istanbul Faculty of Medicine to health workers with presumed COVID-19 or close contact with a suspected/confirmed COVID-19 patient on pandemic management, vaccination, and psychological growth at one year after diagnosis. Materials and Methods: The cohort study included 237 employees with COVID-19/risky contact who were monitored remotely via a telehealth service provided between April 6 and July 31, 2020. First, they were followed up for 21 days with the telehealth service. Second, they were invited by phone to complete an online questionnaire and 94 (39.7%) of them participated. The questionnaire included questions about pandemic-related difficulties experienced during the last year and the Posttraumatic Growth Inventory (PTGI). Results: Of the 234 employees, 172 (73.5%) and 164 (70.1%) had the first and second doses of the COVID-19 vaccine, respectively. Employees who did not need psychological support had significantly lower PTGI change in self-perception and total scores than those who did not/could not receive psychological support (p=0.007 and p=0.016, respectively). Employees who used personal protective equipment (PPE) more carefully had a significantly higher PTGI self-perception score (p=0.005), life philosophy (p=0.014), interpersonal relationships (p=0.011), and total score (p=0.004) than employees who reported that they did not change how they use PPE and were sometimes careless. Conclusion: The results of our study suggest that health workers are showing evidence of posttraumatic growth by seeing the positives as well as the negatives caused by the pandemic.

Anahtar Kelimeler

• Cohort
• COVID-19
• psychological growth
• telehealth service
• vaccination

Kaynakça

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