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COVID-19 pandemisinin kadın hastalıkları ve doğum kliniğindeki sağlık çalışanları üzerindeki psikolojik ve sosyal etkileri

Yıl 2020, Cilt: 4 Sayı: 5, 355 - 358, 01.05.2020
https://doi.org/10.28982/josam.735384

Öz

Amaç: Bu çalışmanın amacı, Korana virüs pandemisi sürecinde kadın hastalıkları ve doğum sevisinde çalışan doktor, ebe ve hemşirelerde psikolojik ve sosyal etkilerin araştırılması amaçlanmıştır.
Yöntem: Bu kesitsel çalışma Mardin ilinde kadın hastalıkları ve doğum kliniklerinde çalışan sağlık çalışanları arasında yapıldı. Çalışma Mardin ilinde “Pandemi Hastanesi” olarak kabul edilen Mardin Devlet Hastanesi ve Kızıltepe Devlet Hastanesi’nde gerçekleştirildi. Tüm katılımcılara Sosyodemografik Veri Formu, Psikolojik Belirti Tarama Testi (SCL-90-R), Beck Anksiyete Ölçeği ve Kısa Psikiyatrik Değerlendirme Ölçeği uygulandı. Toplamda Kadın Hastalıkları ve Doğum kliniklerinde çalışan 13 doktor, 52 ebe ve 38 hemşireye bu değerlendirme ölçekleri uygulandı. Meslek, cinsiyet, 29 yaş ve altı (≤29) ve 29 yaş üstü (>29) olarak değerler karşılaştırıldı. 29 yaş katılımcıların median yaşı olduğu için seçildi.
Bulgular: Analiz istatistiksel olarak anlamlı olmamasına ragmen; kaygı, öfke-düşmanlık ve fobik anksiyete 29 yaş üzerinde daha fazla olarak saptandı (sırasıyla P=0,472, P=0,549, P=0,776). Mesleklere göre karşılaştırıldığında ise fobik anksiyete doktor grubunda daha yüksek saptanırken (P=0.373); somatizasyon, obsesif kompulsiyon, kişilerarası duyarlılık, depresyon, kaygı, öfke-düşmanlık, paranoid düşünce, psikotizm, yeme içme ve gastrointestinal semptomlar (GIS) ebelerde daha fazla saptandı (sırasıyla P=0,166, P=0,624, P=0,531, P=0,321, P=0,147, P=0,205, P=0,359, P=0,490, P=0,696, P=0,557).
Sonuç: Pandemi ile birlikte hastanelerde çalışan sağlık çalışanlarına COVID-19 salgını sırasında ve sonrasında psikolojik sorunları ele alınmalı ve yardımcı olacak stratejiler geliştirilmesini öneriyoruz.

Kaynakça

  • 1. Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976
  • 2. Zhang W, Wang K, Yin L, Zhao W, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom 2020. doi: 10.1159/000507639
  • 3. Petzold MB, Plag J, Ströhle A. Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie [Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia]. Nervenarzt. 2020;91(5):417‐421. doi:10.1007/s00115-020-00905-0
  • 4. Ventura SJ, Martin JA, Curtin SC, Mathews TJ. Report of final natality statistics, 1995.Monthly vital statistics report; vol 45 no 11, supp. Hyattsville, Maryland: National Center for Health Statistics. 1997.
  • 5. Ulusoy M. Beck Anksiyete Envanteri: Geçerlik ve güvenirlik çalışması. Yayınlanmamış uzmanlık tezi. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul; 1993.
  • 6. Eren I, Sahin M, Tunc SE, Cure E, Civi II: Psychiatric symptoms and quality of life in patients with Behçet’s disease. Neurol Psychiatr Brain Res. 2006;13:169-74.
  • 7. Kılıç M . Belirti Tarama Listesi (SCL-90-R)'nin Geçerlilik ve Güvenirliği. Türk Psikolojik Danışma ve Rehberlik Dergisi. 1991;1(2):45-52.
  • 8. Dağ İ. Belirti Tarama Listesi (SCL-90-R)’nin Üniversite Öğrencileri için güvenirliği ve geçerliliği. Türk Psikiyatri Dergisi. 1991;2:1.
  • 9. Soykan Ç. Institutional differences and case typicality as related to diagnosis symptom severity, prognosis and treatment. Yayınlanmıs master tezi. Orta Doğu Teknik Üniversitesi; 1990.
  • 10. Tsamakis K, Rizos E, J Manolis A, Chaidou S, Kympouropoulos S, Spartalis E, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020 Jun;19(6):3451-3. doi: 10.3892/etm.2020.8646.
  • 11. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020 Apr;7(4):e15-e16. doi: 10.1016/S2215-0366(20)30078-X.
  • 12. Chew QH, Wei KC, Vasoo S, Chua HC, Sim K. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J 2020. doi:10.11622/smedj.2020046
  • 13. Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. Int J Environ Res Public Health. 2020;17(9):E2997. doi:10.3390/ijerph17092997
  • 14. Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatr Prax. 2020;47(4):190‐7. doi:10.1055/a-1159-5551
  • 15. Lemogne C, Hoertel N, Airagnes G, Limosin F. Pronostic des troubles anxieux [Prognosis of anxiety disorders]. Rev Prat. 2019;69(9):979‐80.

Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees

Yıl 2020, Cilt: 4 Sayı: 5, 355 - 358, 01.05.2020
https://doi.org/10.28982/josam.735384

Öz

Aim: COVID-19 pandemic affected most health care professionals and to the best of our knowledge, there has not been any studies on the gynecology and obstetrics department workers in the literature. In our study, we aim to investigate the psychological and social effects of the COVID-19 epidemic on the healthcare workers serving in the gynecology and obstetrics department and to help healthcare professionals improve their physical and mental health.
Methods: This cross-sectional study was conducted among healthcare professionals working in obstetrics and gynecology clinics in Mardin province. It was carried out in Mardin State Hospital and Kızıltepe State Hospital, which are considered “Pandemic Hospitals”. All participants received Sociodemographic Data Form, Psychological Symptom Screening Test (SCL-90-R), Beck Anxiety Inventory and Short Psychiatric Rating Scale. These evaluation scales were applied to 13 doctors, 52 midwives and 38 nurses working in Gynecology and Obstetrics Clinics in total. They were compared in terms of occupation, gender, and age, as those under or equal to 29 (≤29) years and over 29 years (>29) of age. Twenty-nine was picked because it was the mean age of the group.
Results: Although differences did not reach statistical significance, anxiety, hostility, and phobic anxiety were higher in participants over the age of 29 years (P=0.472, P=0.549, P=0.776, respectively). According to profession groups, only phobic anxiety scores were higher among doctors (P=0.373), and somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, paranoid ideation, psychoticism, eating and gastrointestinal symptoms (GIS) were higher in midwives (P=0.166, P=0.624, P=0.531, P=0.321, P=0.147, P=0.205, P=0.359, P=0.490, P=0.696, P=0.557, respectively).
Conclusion: COVID-19 will undoubtedly have psychological consequences which may be permanent in healthcare professionals. Frontline employees will be at risk, especially in departments with emergency services. Actions are needed to alleviate the effects of COVID-19 on mental health by protecting and promoting the psychological well-being of healthcare workers during and after the outbreak.

Kaynakça

  • 1. Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976
  • 2. Zhang W, Wang K, Yin L, Zhao W, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom 2020. doi: 10.1159/000507639
  • 3. Petzold MB, Plag J, Ströhle A. Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der Covid-19-Pandemie [Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia]. Nervenarzt. 2020;91(5):417‐421. doi:10.1007/s00115-020-00905-0
  • 4. Ventura SJ, Martin JA, Curtin SC, Mathews TJ. Report of final natality statistics, 1995.Monthly vital statistics report; vol 45 no 11, supp. Hyattsville, Maryland: National Center for Health Statistics. 1997.
  • 5. Ulusoy M. Beck Anksiyete Envanteri: Geçerlik ve güvenirlik çalışması. Yayınlanmamış uzmanlık tezi. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul; 1993.
  • 6. Eren I, Sahin M, Tunc SE, Cure E, Civi II: Psychiatric symptoms and quality of life in patients with Behçet’s disease. Neurol Psychiatr Brain Res. 2006;13:169-74.
  • 7. Kılıç M . Belirti Tarama Listesi (SCL-90-R)'nin Geçerlilik ve Güvenirliği. Türk Psikolojik Danışma ve Rehberlik Dergisi. 1991;1(2):45-52.
  • 8. Dağ İ. Belirti Tarama Listesi (SCL-90-R)’nin Üniversite Öğrencileri için güvenirliği ve geçerliliği. Türk Psikiyatri Dergisi. 1991;2:1.
  • 9. Soykan Ç. Institutional differences and case typicality as related to diagnosis symptom severity, prognosis and treatment. Yayınlanmıs master tezi. Orta Doğu Teknik Üniversitesi; 1990.
  • 10. Tsamakis K, Rizos E, J Manolis A, Chaidou S, Kympouropoulos S, Spartalis E, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med. 2020 Jun;19(6):3451-3. doi: 10.3892/etm.2020.8646.
  • 11. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020 Apr;7(4):e15-e16. doi: 10.1016/S2215-0366(20)30078-X.
  • 12. Chew QH, Wei KC, Vasoo S, Chua HC, Sim K. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J 2020. doi:10.11622/smedj.2020046
  • 13. Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. Int J Environ Res Public Health. 2020;17(9):E2997. doi:10.3390/ijerph17092997
  • 14. Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatr Prax. 2020;47(4):190‐7. doi:10.1055/a-1159-5551
  • 15. Lemogne C, Hoertel N, Airagnes G, Limosin F. Pronostic des troubles anxieux [Prognosis of anxiety disorders]. Rev Prat. 2019;69(9):979‐80.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Araştırma makalesi
Yazarlar

Navdar Doğuş Uzun 0000-0003-3015-8821

Mustafa Tekin 0000-0002-7339-0324

Emre Sertel Bu kişi benim 0000-0001-5797-906X

Alpay Tuncar Bu kişi benim 0000-0002-3889-819X

Yayımlanma Tarihi 1 Mayıs 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 4 Sayı: 5

Kaynak Göster

APA Uzun, N. D., Tekin, M., Sertel, E., Tuncar, A. (2020). Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees. Journal of Surgery and Medicine, 4(5), 355-358. https://doi.org/10.28982/josam.735384
AMA Uzun ND, Tekin M, Sertel E, Tuncar A. Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees. J Surg Med. Mayıs 2020;4(5):355-358. doi:10.28982/josam.735384
Chicago Uzun, Navdar Doğuş, Mustafa Tekin, Emre Sertel, ve Alpay Tuncar. “Psychological and Social Effects of COVID-19 Pandemic on Obstetrics and Gynecology Employees”. Journal of Surgery and Medicine 4, sy. 5 (Mayıs 2020): 355-58. https://doi.org/10.28982/josam.735384.
EndNote Uzun ND, Tekin M, Sertel E, Tuncar A (01 Mayıs 2020) Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees. Journal of Surgery and Medicine 4 5 355–358.
IEEE N. D. Uzun, M. Tekin, E. Sertel, ve A. Tuncar, “Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees”, J Surg Med, c. 4, sy. 5, ss. 355–358, 2020, doi: 10.28982/josam.735384.
ISNAD Uzun, Navdar Doğuş vd. “Psychological and Social Effects of COVID-19 Pandemic on Obstetrics and Gynecology Employees”. Journal of Surgery and Medicine 4/5 (Mayıs 2020), 355-358. https://doi.org/10.28982/josam.735384.
JAMA Uzun ND, Tekin M, Sertel E, Tuncar A. Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees. J Surg Med. 2020;4:355–358.
MLA Uzun, Navdar Doğuş vd. “Psychological and Social Effects of COVID-19 Pandemic on Obstetrics and Gynecology Employees”. Journal of Surgery and Medicine, c. 4, sy. 5, 2020, ss. 355-8, doi:10.28982/josam.735384.
Vancouver Uzun ND, Tekin M, Sertel E, Tuncar A. Psychological and social effects of COVID-19 pandemic on obstetrics and gynecology employees. J Surg Med. 2020;4(5):355-8.

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