COVID-19 PANDEMİSİ DÖNEMİNDE GÖĞÜS HASTALIKLARI POLİKLİNİĞİ’NE BAŞVURAN HASTALARDA UYGUN İNHALER TEKNİĞİ VE ANKSİYETE İLİŞKİSİNİN DEĞERLENDİRİLMESİ: PROSPEKTİF KESİTSEL BİR ÇALIŞMA

Öz

Amaç: Bu çalışmadaki amacımız respiratuvar hastalıkları olan hastaların inhaler kullanma becerileri ile koronovirüs anksiyete skorları ve genel anksiyete skorları arasındaki ilişkiyi belirlemektir.
Gereç ve Yöntem: Yetmiş astım ve kronik obstruktif akciğer hastalığı (KOAH) hastasının inhaler kullanma teknikleri üç klinik eczacı tarafından değerlendirildi. Göğüs Hastalıkları Uzmanı tarafından Hamilton Anksiyete Ölçeği (HAM-A) ve Koronavirüs Anksiyete Ölçeği (CAS) kullanılarak hastaların anksiyete skorları ölçüldü. IBM SPSS 25.0 programı kullanılarak ilgili istatistikler yapıldı.
Sonuç ve Tartışma: Doğru inhaler tekniği ile CAS skoru, yaş, komorbidite, veya inhaler tipi arasında ilişki bulunamamıştır. Doğru inhaler tekniği ile HAM-A seviyesi (p=0,096) ve eğitim durumu (p=0.074) arasında istatistiksel anlamlılık bulunamamıştır. Yaş ile CAS skoru arasında zayıf bir korelasyon bulunmuştur (r=-0.278, p=0.02). Astım hastalarının koronovirüs anksiyete oranı KOAH hastalarına göre anlamlı derecede yüksekti (p=0.036). Kadın hastaların HAM-A (p=0,037) ve CAS skorları (p=0,002) erkek hastalardan anlamlı derecede yüksekti. HAM-A ile CAS skorları arasında orta dereceli bir korelasyon bulunmuştur (r=0.407, p<0.001). HAM-A seviyesi ve inhaler kullanma beceri skorları arasındaki korelasyon anlamlı bulunmamıştır. (r=-0.208, p=0.083)Sonuç olarak, hastaların artmış CAS skorları inhaler kullanma becerilerini etkilememiştir. HAM-A skorları inhaler kullanma becerilerini negatif yönde etkilemiştir fakat sonuç anlamlı değildir.  

Anahtar Kelimeler

• Anksiyete
• astım
• COVID-19
• inhaler tekniği
• KOAH

EVALUATION OF THE ASSOCIATION BETWEEN PROPER INHALER TECHNIQUE AND ANXIETY IN CHEST DISEASES OUTPATIENT CLINIC PATIENTS DURING COVID-19 PANDEMIC: A PROSPECTIVE CROSS-SECTIONAL STUDY

Öz

Objective: In this study, we aimed to investigate the association between inhaler use skills and general anxiety or coronavirus anxiety scores in patients with respiratory diseases.
Material and Method: Inhaler techniques of 70 asthma and chronic obstructive pulmonary disease (COPD) patients were evaluated by three clinical pharmacists. A pulmonologist assessed the patients' anxiety scores using the Hamilton Anxiety Rating Scale (HAM-A) and Coronavirus Anxiety Scale (CAS). We used IBM SPSS 25.0 as a software program for related statistical analysis
Result and Discussion: Proper inhaler technique wasn’t found to be associated with CAS score, age, comorbidity, inhaler type. HAM-A stage (p=0.096) and educational status (p=0.074) were not found as statistically significant in affecting the proper inhaler technique. A weak correlation was found between age and CAS score (r=-0.278, p=0.02). Asthma patients have a higher rate of coronavirus anxiety than COPD patients (p=0.036). Female patients had higher HAM-A (p=0,037) and CAS scores (p=0,002) than male patients. There was a moderate correlation between HAM-A and CAS scores (r=0.407, p<0.001). The correlation between HAM-A and inhaler use skills scores were not found in statistical significance (r=-0.208, p=0.083). In conclusion, increase of CAS score wasn’t found to be associated with proper inhaler technique. HAM-A score was found to affect proper inhaler technique negatively, but these results are not significant.

Anahtar Kelimeler

• Anxiety
• asthma
• COVID-19
• COPD
• inhaler technique

Kaynakça

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