Araştırma Makalesi
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Bir Üniversite Hastanesindeki Sağlık Çalışanlarında Covid-19’un Sosyal Destek Algısına ve Strese Etkisi

Yıl 2022, Cilt: 12 Sayı: 1, 54 - 64, 01.04.2022

Öz

Amaç: Sağlık çalışanları, enfekte kişiler ile aynı ortamda uzun süreli olmalarından dolayı daha fazla covıd-19 bulaş riski ile karşı karşıya kalabilmekte, bundan kaynaklı olarak da daha fazla stres altında olabilmektedirler. Bu çalışma bir üniversite hastanesindeki sağlık çalışanlarında covid-19’un sosyal destek algısına ve strese etkisini belirlemek amacıyla planlanmıştır.
Materyal ve Metot: Araştırma tanımlayıcı ve kesitsel nitelikte bir araştırmadır. Araştırmanın evrenini bir üniversite hastanesinde çalışan sağlık çalışanları oluşturmuştur. Araştırmaya 18 Nisan-18 Mayıs 2020 tarihleri arasında çalışmaya katılmayı kabul edenler alınmıştır. Tanıtıcı bilgi formu, Akut Stres Belirti Şiddeti Ölçeği (ASBÖ) ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) ile veriler toplanmıştır. Bu veriler “Statistical Package for the Social Sciences 24.0” kullanılarak analiz edilmiştir. Verilerin değerlendirilmesinde ortalama, standart sapma, sayı ve yüzde, Mann Whitney U testi, Kruskal Wallis Varyans Analizi ve Spearman Korelasyon Analizi kullanılmıştır. Bulgular: Sağlık çalışanlarının ASBÖ puan ortalaması 1,40±0,83, ÇBASDÖ toplam puanı 70,9±14,56’dır. Katılımcıların sosyal destek ölçeği alt boyut ölçek puan ortalamaları Aile 25,07±4,78, Arkadaş 22,57±6,01 ve Özel Bir İnsan 23,27±6,94 olarak bulunmuştur. Sağlık çalışanlarının ASBÖ ile Aile, Arkadaş, Özel Bir İnsan alt boyutları ve ölçek genel toplam arasında zayıf düzeyde, negatif bir ilişki olduğu saptanmıştır (p<0,05).
Sonuç: Sağlık çalışanlarının akut stres belirti düzeyinin hafif olduğu, çok boyutlu sosyal destek algılarının ise oldukça yüksek olduğu sonucuna varılmıştır. Özellikle pandemi gibi riskli dönemlerde, sağlık çalışanlarının stres düzeylerini düşük seviyede tutmak için sosyal destek kaynaklarını harekete geçirerek sosyal desteğin artırılması ve bunun sağlık çalışanları için önemini anlatan düzenli eğitim programlarının hazırlanması önemli olabilir.

Kaynakça

  • 1. World Health Organization (WHO). WHO DirectorGeneral’s opening remarks at the media briefing on COVID-19- 11 March 2020. https://www.who.int/director-general/ speeches/detail/who-director-general-s-opening-remarks-atthe-media-briefing-on-covid-19---11-march-2020 [accessed 25.03.21]
  • 2. Wang H, Liu Y, Hu K, Zhang M, Du M, Huang H, Yue X. Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics. 2020;27(7):1490–500.
  • 3. Çetintepe SP, İlhan MN. COVID-19 salgınında sağlık çalışanlarında risk azaltılması. J Biotechnol and Strategic Health Res. 2020;1:50–4.
  • 4. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3): e203976.
  • 5. Tam CW, Pang EP, Lam LC, Chiu HF. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2004;34(7):1197–204.
  • 6. Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.
  • 7. Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 2007;52(4):233–40.
  • 8. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245–51.
  • 9. Chua SE, Cheung V, Cheung C, McAlonan GM, Wong JW, Cheung EP, et al. Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can J Psychiatry. 2004;49(6):391–3.
  • 10. Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55(9):1055–7.
  • 11. Selye H. The evolution of the stress concept. Am Sci. 1973;61(6):692–9.
  • 12. Lazarus RS, Folkman S. Stres, appraisal, and coping. Springer Publishing Company; 1984.
  • 13. Cüceloğlu D. İnsan ve davranışı. Remzi Kitabevi; 2000.
  • 14. Şar V. Travmatik stres ve bedensel hastalıklar. Şar V (Eds.), Stres ve Bedensel Hastalıklar: Günümüzde Psikosomatik Tıp. Ankara: Türkiye Klinikleri; 2018:1–5.
  • 15. Braham BJ. Ateş altında sakin kalabilmek, stres yönetimi. Hayat Yayınları; 1998.
  • 16. Akman S. Stresin nedenleri ve açıklayıcı kuramlar. Türk Psikoloji Bülteni. 2004;34–35:40–56.
  • 17. Baltaş A, Baltaş Z. Stres ve başa çıkma yolları. İstanbul: Remzi Kitabevi; 2002.
  • 18. Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019(COVID-19)in January and February 2020 in China. Med Sci Monit. 2020;26: e923549.
  • 19. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310–57.
  • 20. Ye Z, Yang X, Zeng C, Wang Y, Shen Z, Li X, Lin D. Resilience, Social Support, and Coping as Mediators between COVID-19- related Stressful Experiences and Acute Stress Disorder among College Students in China. Appl Psychol Health Well Being. 2020;12(4):1074–94.
  • 21. Shi X, Yu NX, Zhou Y, Geng F, Fan F. Depressive Symptoms and Associated Psychosocial Factors among Adolescent Survivors 30 Months after 2008 Wenchuan Earthquake: A Follow-Up Study. Front Psychol. 2016;7:467.
  • 22. Bozdağ F, Ergün N. Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic. Psychol Rep 2020. doi: 10.1177/0033294120965477
  • 23. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.
  • 24. Suwantarat N, Apisarnthanarak A. Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu. Curr Opin Infect Dis. 2015;28(4):349–61.
  • 25. Aşçıbaşı K, Çökmüş PF, Aydemir Ö, DSM-5 Ölçek Çalışma Grubu. DSM-5 Akut Stres Belirti Şiddeti Ölçeği Türkçe Formunu geçerliliği ve güvenilirliği. Anatolian Journal of Psychiatry. 2017;18(Suppl 2):38–44.
  • 26. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30–41.
  • 27. Eker D, Arkar H, Yaldız H. Çok boyutlu algılanan sosyal destek ölçeğinin gözden geçirilmis formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi. 2001;12:17–25.
  • 28. Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One. 2021;16(3): e0247679.
  • 29. 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.
  • 30. Stuijfzand S, Deforges C, Sandoz V, Sajin CT, Jaques C, Elmers J, Horsch A. Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: a rapid review. BMC Public Health. 2020;20(1):1230.
  • 31. Wong TY, Koh GCh, Cheong SK, Lee HY, Fong YT, Sundram M, et al. Concerns, perceived impact and preparedness in an avian influenza pandemic--a comparative study between healthcare workers in primary and tertiary care. Ann Acad Med Singap. 2008;37(2):96–102.
  • 32. Wong EL, Wong SY, Lee N, Cheung A, Griffiths S. Healthcare workers’ duty concerns of working in the isolation ward during the novel H1N1 pandemic. J Clin Nurs. 2012;21(9– 10):1466–75.
  • 33. Zhang WR, Wang K, Yin L, Zhao WF, 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;89(4):242–50.
  • 34. Cao J, Wei J, Zhu H, Duan Y, Geng W, Hong X, et al. A Study of Basic Needs and Psychological Wellbeing of Medical Workers in the Fever Clinic of a Tertiary General Hospital in Beijing during the COVID-19 Outbreak. Psychother Psychosom. 2020;89(4):252–4.
  • 35. Lin CY, Peng YC, Wu YH, Chang J, Chan CH, Yang DY. The psychological effect of severe acute respiratory syndrome on emergency department staff. Emerg Med J. 2007;24(1):12–7.
  • 36. Maunder RG, Lancee WJ, Rourke S, Hunter JJ, Goldbloom D, Balderson K, et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosom Med. 2004;66(6):938–42.

Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital

Yıl 2022, Cilt: 12 Sayı: 1, 54 - 64, 01.04.2022

Öz

Aim: Healthcare workers may be at higher risk of Covid-19 transmission due to sharing the same setting with infected people for a long time, increasing their susceptibility to stress. This study set out to identify the effect of Covid-19 on social support perception and stress levels in healthcare workers based at a tertiary hospital.
Material and Method: This is a descriptive and cross-sectional study. The healthcare workers practicing at a tertiary hospital constituted the study population. Those giving their informed consent to enroll in the study between April 18 and May 18, 2020, were included in the study. Data were collected through an introductory information form, the Acute Stress Symptom Scale (ASSS), and the Multidimensional Scale of Perceived Social Support (MSPSS). The statistical analyses were performed with the Statistical Package for the Social Sciences v.24.0. The data set was evaluated through mean scores, standard deviation, number and percentage, Mann Whitney U test, Kruskal Wallis Variance Analysis, and Spearman Correlation Analysis.
Results: The mean ASSS score of healthcare workers was 1.40±0.83, while the total MSPSS score was 70.9±14.56. The mean scores of sub-dimensions in the perceived social support scale were identified as family 25.07±4.78, friends 22.57±6.01, and significant other 23.27±6.94. A weak, negative correlation was revealed between healthcare workers’ ASSS scores and the subdimensions of family, friends, significant other, and the total scale score (p<0.05).
Conclusion: It can be concluded that healthcare workers’ acute stress symptom level was mild, while their multidimensional social support perception was relatively high. Most notably, in risky times such as pandemics, it may be important to intensify social support by mobilizing social support resources to minimize their stress level and organizing regular training programs explaining the importance of this effort for healthcare workers.

Kaynakça

  • 1. World Health Organization (WHO). WHO DirectorGeneral’s opening remarks at the media briefing on COVID-19- 11 March 2020. https://www.who.int/director-general/ speeches/detail/who-director-general-s-opening-remarks-atthe-media-briefing-on-covid-19---11-march-2020 [accessed 25.03.21]
  • 2. Wang H, Liu Y, Hu K, Zhang M, Du M, Huang H, Yue X. Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics. 2020;27(7):1490–500.
  • 3. Çetintepe SP, İlhan MN. COVID-19 salgınında sağlık çalışanlarında risk azaltılması. J Biotechnol and Strategic Health Res. 2020;1:50–4.
  • 4. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3): e203976.
  • 5. Tam CW, Pang EP, Lam LC, Chiu HF. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2004;34(7):1197–204.
  • 6. Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.
  • 7. Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 2007;52(4):233–40.
  • 8. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245–51.
  • 9. Chua SE, Cheung V, Cheung C, McAlonan GM, Wong JW, Cheung EP, et al. Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can J Psychiatry. 2004;49(6):391–3.
  • 10. Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55(9):1055–7.
  • 11. Selye H. The evolution of the stress concept. Am Sci. 1973;61(6):692–9.
  • 12. Lazarus RS, Folkman S. Stres, appraisal, and coping. Springer Publishing Company; 1984.
  • 13. Cüceloğlu D. İnsan ve davranışı. Remzi Kitabevi; 2000.
  • 14. Şar V. Travmatik stres ve bedensel hastalıklar. Şar V (Eds.), Stres ve Bedensel Hastalıklar: Günümüzde Psikosomatik Tıp. Ankara: Türkiye Klinikleri; 2018:1–5.
  • 15. Braham BJ. Ateş altında sakin kalabilmek, stres yönetimi. Hayat Yayınları; 1998.
  • 16. Akman S. Stresin nedenleri ve açıklayıcı kuramlar. Türk Psikoloji Bülteni. 2004;34–35:40–56.
  • 17. Baltaş A, Baltaş Z. Stres ve başa çıkma yolları. İstanbul: Remzi Kitabevi; 2002.
  • 18. Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019(COVID-19)in January and February 2020 in China. Med Sci Monit. 2020;26: e923549.
  • 19. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310–57.
  • 20. Ye Z, Yang X, Zeng C, Wang Y, Shen Z, Li X, Lin D. Resilience, Social Support, and Coping as Mediators between COVID-19- related Stressful Experiences and Acute Stress Disorder among College Students in China. Appl Psychol Health Well Being. 2020;12(4):1074–94.
  • 21. Shi X, Yu NX, Zhou Y, Geng F, Fan F. Depressive Symptoms and Associated Psychosocial Factors among Adolescent Survivors 30 Months after 2008 Wenchuan Earthquake: A Follow-Up Study. Front Psychol. 2016;7:467.
  • 22. Bozdağ F, Ergün N. Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic. Psychol Rep 2020. doi: 10.1177/0033294120965477
  • 23. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.
  • 24. Suwantarat N, Apisarnthanarak A. Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu. Curr Opin Infect Dis. 2015;28(4):349–61.
  • 25. Aşçıbaşı K, Çökmüş PF, Aydemir Ö, DSM-5 Ölçek Çalışma Grubu. DSM-5 Akut Stres Belirti Şiddeti Ölçeği Türkçe Formunu geçerliliği ve güvenilirliği. Anatolian Journal of Psychiatry. 2017;18(Suppl 2):38–44.
  • 26. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30–41.
  • 27. Eker D, Arkar H, Yaldız H. Çok boyutlu algılanan sosyal destek ölçeğinin gözden geçirilmis formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi. 2001;12:17–25.
  • 28. Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One. 2021;16(3): e0247679.
  • 29. 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.
  • 30. Stuijfzand S, Deforges C, Sandoz V, Sajin CT, Jaques C, Elmers J, Horsch A. Psychological impact of an epidemic/pandemic on the mental health of healthcare professionals: a rapid review. BMC Public Health. 2020;20(1):1230.
  • 31. Wong TY, Koh GCh, Cheong SK, Lee HY, Fong YT, Sundram M, et al. Concerns, perceived impact and preparedness in an avian influenza pandemic--a comparative study between healthcare workers in primary and tertiary care. Ann Acad Med Singap. 2008;37(2):96–102.
  • 32. Wong EL, Wong SY, Lee N, Cheung A, Griffiths S. Healthcare workers’ duty concerns of working in the isolation ward during the novel H1N1 pandemic. J Clin Nurs. 2012;21(9– 10):1466–75.
  • 33. Zhang WR, Wang K, Yin L, Zhao WF, 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;89(4):242–50.
  • 34. Cao J, Wei J, Zhu H, Duan Y, Geng W, Hong X, et al. A Study of Basic Needs and Psychological Wellbeing of Medical Workers in the Fever Clinic of a Tertiary General Hospital in Beijing during the COVID-19 Outbreak. Psychother Psychosom. 2020;89(4):252–4.
  • 35. Lin CY, Peng YC, Wu YH, Chang J, Chan CH, Yang DY. The psychological effect of severe acute respiratory syndrome on emergency department staff. Emerg Med J. 2007;24(1):12–7.
  • 36. Maunder RG, Lancee WJ, Rourke S, Hunter JJ, Goldbloom D, Balderson K, et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosom Med. 2004;66(6):938–42.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Atakan Yılmaz Bu kişi benim

Gülay Taşdemir Yiğitoğlu Bu kişi benim

Halis Yılmaz Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 12 Sayı: 1

Kaynak Göster

APA Yılmaz, A., Taşdemir Yiğitoğlu, G., & Yılmaz, H. (2022). Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital. Kafkas Journal of Medical Sciences, 12(1), 54-64.
AMA Yılmaz A, Taşdemir Yiğitoğlu G, Yılmaz H. Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital. KAFKAS TIP BİL DERG. Nisan 2022;12(1):54-64.
Chicago Yılmaz, Atakan, Gülay Taşdemir Yiğitoğlu, ve Halis Yılmaz. “Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital”. Kafkas Journal of Medical Sciences 12, sy. 1 (Nisan 2022): 54-64.
EndNote Yılmaz A, Taşdemir Yiğitoğlu G, Yılmaz H (01 Nisan 2022) Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital. Kafkas Journal of Medical Sciences 12 1 54–64.
IEEE A. Yılmaz, G. Taşdemir Yiğitoğlu, ve H. Yılmaz, “Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital”, KAFKAS TIP BİL DERG, c. 12, sy. 1, ss. 54–64, 2022.
ISNAD Yılmaz, Atakan vd. “Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital”. Kafkas Journal of Medical Sciences 12/1 (Nisan 2022), 54-64.
JAMA Yılmaz A, Taşdemir Yiğitoğlu G, Yılmaz H. Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital. KAFKAS TIP BİL DERG. 2022;12:54–64.
MLA Yılmaz, Atakan vd. “Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital”. Kafkas Journal of Medical Sciences, c. 12, sy. 1, 2022, ss. 54-64.
Vancouver Yılmaz A, Taşdemir Yiğitoğlu G, Yılmaz H. Effect of Covid-19 on Social Support Perception and Stress in Healthcare Workers at a Tertiary Hospital. KAFKAS TIP BİL DERG. 2022;12(1):54-6.