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COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri

Yıl 2022, Cilt 15, Sayı 2, 345 - 354, 01.04.2022
https://doi.org/10.31362/patd.1040339

Öz

Amaç: Bu çalışmada; uzmanlık eğitimi sonrasında perkütan nefrolitotomiyi (PNL) 2. basamak ilçe devlet
hastanesinde gerçekleştiren bir cerrahın başarı oranları ve karşılaşılan komplikasyonları değerlendirmek
amaçlandı.
Gereç ve yöntem: Ocak 2019 ile Ocak 2020 tarihleri arasında böbrek taşı olan 97 hastadaki 102 renal üniteye
2. basamak devlet hastanesinde PNL uygulandı. Tüm hastalara standart PNL 26 Fr rijit nefroskop ve pnömotik litotriptör kullanılarak prone pozisyonda uygulandı. Hastaların verileri retrospektif olarak toplandı. Başarı oranları, yatış süreleri, karşılaşılan komplikasyonlar literatür eşliğinde değerlendirildi.
Bulgular: PNL yapılan 97 hastanın yaş ortalaması 41,7±10,5 ve bu hastaların 54’ü (%55,7) erkek, 43’ü (%44,3)
kadındı. 42’si (%41,2) sol, 60’ı (%58,8) sağ böbrek olmak üzere 102 renal üniteye giriş sağlandı. Ortalama
taş yükü 8,3±5,5 cm2 ve ortalama taş sayısı 2,4 olarak tespit edildi. Operasyon süresi ortalama 85±32 dakika olarak ölçüldü. Skopi süresi ortalama 1,2±0,2 dakika olarak izlendi. Toplam 102 vakanın 86’sında (%84,3) taşsızlık sağlandı. Klinik önemsiz rezidüel fragmanlar (>4 mm) da dahil edildiğinde genel başarı oranı %93,1 idi. Hastaların hastanede kalış süresi 2,7 (1-11) gün olarak izlendi. Majör ve minör komplikasyon görülen hasta sayısı 21 (%20,6)’di.
Sonuç: PNL uzmanlık eğitimi sonrası 2. basamak ilçe devlet hastanelerinde literatürle uyumlu komplikasyon ve başarı oranları ile güvenli ve etkin bir şekilde uygulanabileceğini düşünmekteyiz.

Kaynakça

  • 1. Applegate WB, Ouslander JG. COVID-19 Presents High Risk to Older Persons. J Am Geriatr Soc J Am Geriatr Soc 2020;68:681. https://doi.org/10.1111/jgs.16426
  • 2. Bialek S, Boundy E, Bowen V, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep [Internet] MMWR Morb Mortal Wkly Rep 2020;69:343-346. https://doi.org/10.15585/mmwr.mm6912e2
  • 3. Hua W, Xiaofeng L, Zhenqiang B, Jun R, Ban W, Liming L. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. 2020;41:297–300. https://doi.org/ 10.3760/cma.j.issn.0254-6450.2020.02.003
  • 4. Loyola WS, Camillo CA, Torres CV, Probst VS. Effects of an exercise model based on functional circuits in an older population with different levels of social participation. Geriatr Gerontol Int Geriatr Gerontol Int 2018;18:216–223. https://doi.org/ 10.1111/ggi.13167
  • 5. Sepúlveda-Loyola W, Ganz F, Maciel RPT, et al. Social participation is associated with better functionality, health status and educational level in elderly women / A participação social está associada a melhor funcionalidade, estado de saúde e nível educacional em mulheres idosas. Brazilian J Dev 2020;6:20690–20701. https://doi.org/ 10.34117/bjdv6n4-299
  • 6. Santini ZI, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Heal, 2020;5:e62–70. https://doi.org/ 10.1016/S2468-2667(19)30230-0
  • 7. Adamson JA, Price GM, Breeze E, Bulpitt CJ, Fletcher AE. Are older people dying of depression? Findings from the Medical Research Council trial of the assessment and management of older people in the community. J Am Geriatr Soc 2005;53:1128–1132. https://doi.org/10.1111/j.1532-5415.2005.53355.x
  • 8. Canuto A, Weber K, Baertschi M, et al. Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country. Am J Geriatr Psychiatry 2018;26:174–185. https://doi.org/10.1016/j.jagp.2017.08.015
  • 9. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and Treatment of Depression in Late Life: Consensus Statement Update. JAMA 1997;278:1186–1190. PMID: 9326481
  • 10. Kirmizioglu Y, Doǧan O, Kuǧu N, Akyüz G. Prevalence of anxiety disorders among elderly people. Int J Geriatr Psychiatry 2009;24:1026–33. https://doi.org/ 10.1002/gps.2215
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370. https://doi.org/ 10.1186/1477-7525-1-29
  • 12. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psik Derg 1997;8:280–287
  • 13. Yurumez Korkmaz B, Gemci E, et al. Attitudes of a geriatric population towards risks about COVID-19 pandemic: in the context of anxiety and depression. Psychogeriatrics 2021;21:730–737. https://doi.org/10.1111/psyg.12731
  • 14. Byers AL, Yaffe K, Covinsky KE, Friedman MB, Bruce ML. High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Arch Gen Psychiatry 2010;67:489–96. https://doi.org/ 10.1001/archgenpsychiatry.2010.35
  • 15. Andreas S, Schulz H, Volkert J, et al. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. Br J Psychiatry 2017;210:125–131. https://doi.org/10.1192/bjp.bp.115.180463
  • 16. Yaka E, Keskinoglu P, Ucku R, Yener GG, Tunca Z. Prevalence and risk factors of depression among community dwelling elderly. Arch Gerontol Geriatr 2014;59:150–154. https://doi.org/10.1016/j.archger.2014.03.014
  • 17. Cigiloglu A, Ozturk ZA, Efendioglu EM. How have older adults reacted to coronavirus disease 2019? Psychogeriatrics 2021;21:112–117. https://doi.org/ 10.1111/psyg.12639
  • 18. Santini ZI, Jose PE, York Cornwell E, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health, 2020; 5:e62–70. https://doi.org/10.1016/S2468-2667(19)30230-0
  • 19. Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M. Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Med Sci Monit 2020;26:1–12. https://doi.org/ 10.12659/MSM.924609
  • 20. Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Health Rev 2017;41:455–462. https://doi.org/10.1071/AH16038
  • 21. Tomioka K, Kurumatani N, Hosoi H. Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study. PLoS One 2015;10 https://doi.org/10.1371/journal.pone.0139065
  • 22. García-Portilla P, de la Fuente Tomás L, Bobes-Bascarán T, et al. Are older adults also at higher psychological risk from COVID-19? Aging Ment Heal Routledge, 2021;25:1297–1304. https://doi.org/10.1080/13607863.2020.1805723
  • 23. Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry 2012;27:262–270. https://doi.org/10.1002/gps.2712
  • 24. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002;156:328–334. https://doi.org/10.1093/aje/kwf047
  • 25. Callow DD, Arnold-Nedimala NA, et al. The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic. Am J Geriatr Psychiatry 2020;28:1046–1057. https://doi.org/10.1016/j.jagp.2020.06.024
  • 26. Rogers NT, Waterlow NR, Brindle H, Enria L, Eggo RM, Lees S, Roberts C h. Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown. Front Public Health 2020;8. https://doi.org/10.3389/fpubh.2020.575091
  • 27. Lesser IA, Nienhuis CP. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17113899
  • 28. Teychenne M, White RL, Richards J, Schuch FB, Rosenbaum S, Bennie JA. Do we need physical activity guidelines for mental health : what does the evidence tell us? Ment Health Phys Act 2020;18 https://doi.org/10.1016/j.mhpa.2019.100315
  • 29. Mazza C, Ricci E, Biondi S, et al. A nationwide survey of psychological distress among Italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. Int J Environ Res Public Health 2020;17:1–14. https://doi.org/10.3390/ijerph17093165

The psychological impacts of COVID-19 outbreak among older adults

Yıl 2022, Cilt 15, Sayı 2, 345 - 354, 01.04.2022
https://doi.org/10.31362/patd.1040339

Öz

Purpose: The COVID-19 outbreak and the quarantine period had important psychosocial consequences. This study aimed to reveal the effects of the outbreak on anxiety and depression symptoms in older people and the factors associated with these symptoms.
Materials and methods: Three hundred six people over the age of 65 were included in this study.
Sociodemographic data form containing questions related to COVID-19 such as whether there is a health
worker in their first-degree relatives, whether they have had COVID-19, whether there is a decrease in the
frequency of physical activity and Hospital Anxiety Depression Scale (HADS) were applied in the online survey.
Results: The mean age of the participants was 69.46±4.69 (167 women, 54.6%). Twenty-nine (9.5%) of the
participants reported that they had COVID-19, and 247 (80.7%) reported that their physical activity decreased after the outbreak. The frequencies of those with above-threshold scores in depression and anxiety subscales were 28.8% and 28.4%, respectively. The frequency of above-threshold depression sypmtoms was less in those whose first-degree relatives are healthcare worker and more frequently in those with a decrease in daily physical activity. The frequency of above-threshold anxiety symptoms was more common in women, those living in rural areas, and those with low education. In the logistic regression analysis the decrease in physical activity after the epidemic predicted the presence of above-threshold depression symptoms; living in a rural area and having a shorter education level predicted the presence of above-threshold anxiety symptoms. In addition, having a first-degree relative of a healthcare worker was also found to be protective in terms of depression symptom risk.
Conclusion: The COVID-19 outbreak had negative psychological consequences on older adults. While taking
precautions to prevent these results, older people living in rural areas with low education should be targeted first, and physical activity should be increased. Knowing these results can guide the prevention and treatment of psychiatric disorders that may occur in older people.

Kaynakça

  • 1. Applegate WB, Ouslander JG. COVID-19 Presents High Risk to Older Persons. J Am Geriatr Soc J Am Geriatr Soc 2020;68:681. https://doi.org/10.1111/jgs.16426
  • 2. Bialek S, Boundy E, Bowen V, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep [Internet] MMWR Morb Mortal Wkly Rep 2020;69:343-346. https://doi.org/10.15585/mmwr.mm6912e2
  • 3. Hua W, Xiaofeng L, Zhenqiang B, Jun R, Ban W, Liming L. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. 2020;41:297–300. https://doi.org/ 10.3760/cma.j.issn.0254-6450.2020.02.003
  • 4. Loyola WS, Camillo CA, Torres CV, Probst VS. Effects of an exercise model based on functional circuits in an older population with different levels of social participation. Geriatr Gerontol Int Geriatr Gerontol Int 2018;18:216–223. https://doi.org/ 10.1111/ggi.13167
  • 5. Sepúlveda-Loyola W, Ganz F, Maciel RPT, et al. Social participation is associated with better functionality, health status and educational level in elderly women / A participação social está associada a melhor funcionalidade, estado de saúde e nível educacional em mulheres idosas. Brazilian J Dev 2020;6:20690–20701. https://doi.org/ 10.34117/bjdv6n4-299
  • 6. Santini ZI, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Heal, 2020;5:e62–70. https://doi.org/ 10.1016/S2468-2667(19)30230-0
  • 7. Adamson JA, Price GM, Breeze E, Bulpitt CJ, Fletcher AE. Are older people dying of depression? Findings from the Medical Research Council trial of the assessment and management of older people in the community. J Am Geriatr Soc 2005;53:1128–1132. https://doi.org/10.1111/j.1532-5415.2005.53355.x
  • 8. Canuto A, Weber K, Baertschi M, et al. Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country. Am J Geriatr Psychiatry 2018;26:174–185. https://doi.org/10.1016/j.jagp.2017.08.015
  • 9. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and Treatment of Depression in Late Life: Consensus Statement Update. JAMA 1997;278:1186–1190. PMID: 9326481
  • 10. Kirmizioglu Y, Doǧan O, Kuǧu N, Akyüz G. Prevalence of anxiety disorders among elderly people. Int J Geriatr Psychiatry 2009;24:1026–33. https://doi.org/ 10.1002/gps.2215
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370. https://doi.org/ 10.1186/1477-7525-1-29
  • 12. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psik Derg 1997;8:280–287
  • 13. Yurumez Korkmaz B, Gemci E, et al. Attitudes of a geriatric population towards risks about COVID-19 pandemic: in the context of anxiety and depression. Psychogeriatrics 2021;21:730–737. https://doi.org/10.1111/psyg.12731
  • 14. Byers AL, Yaffe K, Covinsky KE, Friedman MB, Bruce ML. High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Arch Gen Psychiatry 2010;67:489–96. https://doi.org/ 10.1001/archgenpsychiatry.2010.35
  • 15. Andreas S, Schulz H, Volkert J, et al. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. Br J Psychiatry 2017;210:125–131. https://doi.org/10.1192/bjp.bp.115.180463
  • 16. Yaka E, Keskinoglu P, Ucku R, Yener GG, Tunca Z. Prevalence and risk factors of depression among community dwelling elderly. Arch Gerontol Geriatr 2014;59:150–154. https://doi.org/10.1016/j.archger.2014.03.014
  • 17. Cigiloglu A, Ozturk ZA, Efendioglu EM. How have older adults reacted to coronavirus disease 2019? Psychogeriatrics 2021;21:112–117. https://doi.org/ 10.1111/psyg.12639
  • 18. Santini ZI, Jose PE, York Cornwell E, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health, 2020; 5:e62–70. https://doi.org/10.1016/S2468-2667(19)30230-0
  • 19. Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M. Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Med Sci Monit 2020;26:1–12. https://doi.org/ 10.12659/MSM.924609
  • 20. Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Health Rev 2017;41:455–462. https://doi.org/10.1071/AH16038
  • 21. Tomioka K, Kurumatani N, Hosoi H. Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study. PLoS One 2015;10 https://doi.org/10.1371/journal.pone.0139065
  • 22. García-Portilla P, de la Fuente Tomás L, Bobes-Bascarán T, et al. Are older adults also at higher psychological risk from COVID-19? Aging Ment Heal Routledge, 2021;25:1297–1304. https://doi.org/10.1080/13607863.2020.1805723
  • 23. Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry 2012;27:262–270. https://doi.org/10.1002/gps.2712
  • 24. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002;156:328–334. https://doi.org/10.1093/aje/kwf047
  • 25. Callow DD, Arnold-Nedimala NA, et al. The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic. Am J Geriatr Psychiatry 2020;28:1046–1057. https://doi.org/10.1016/j.jagp.2020.06.024
  • 26. Rogers NT, Waterlow NR, Brindle H, Enria L, Eggo RM, Lees S, Roberts C h. Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown. Front Public Health 2020;8. https://doi.org/10.3389/fpubh.2020.575091
  • 27. Lesser IA, Nienhuis CP. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17113899
  • 28. Teychenne M, White RL, Richards J, Schuch FB, Rosenbaum S, Bennie JA. Do we need physical activity guidelines for mental health : what does the evidence tell us? Ment Health Phys Act 2020;18 https://doi.org/10.1016/j.mhpa.2019.100315
  • 29. Mazza C, Ricci E, Biondi S, et al. A nationwide survey of psychological distress among Italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. Int J Environ Res Public Health 2020;17:1–14. https://doi.org/10.3390/ijerph17093165

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Yayınlanma Tarihi Nisan 2022
Bölüm Araştırma Makalesi
Yazarlar

Bengü YÜCENS (Sorumlu Yazar)
PAMUKKALE ÜNİVERSİTESİ
0000-0002-4721-7288
Türkiye


Ahmet BÜBER
PAMUKKALE ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-6293-2565
Türkiye

Yayımlanma Tarihi 1 Nisan 2022
Kabul Tarihi 3 Şubat 2022
Yayınlandığı Sayı Yıl 2022, Cilt 15, Sayı 2

Kaynak Göster

Bibtex @araştırma makalesi { patd1040339, journal = {Pamukkale Tıp Dergisi}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2022}, volume = {15}, number = {2}, pages = {345 - 354}, doi = {10.31362/patd.1040339}, title = {COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri}, key = {cite}, author = {Yücens, Bengü and Büber, Ahmet} }
APA Yücens, B. & Büber, A. (2022). COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri . Pamukkale Tıp Dergisi , 15 (2) , 345-354 . DOI: 10.31362/patd.1040339
MLA Yücens, B. , Büber, A. "COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri" . Pamukkale Tıp Dergisi 15 (2022 ): 345-354 <https://dergipark.org.tr/tr/pub/patd/issue/65532/1040339>
Chicago Yücens, B. , Büber, A. "COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri". Pamukkale Tıp Dergisi 15 (2022 ): 345-354
RIS TY - JOUR T1 - COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri AU - Bengü Yücens , Ahmet Büber Y1 - 2022 PY - 2022 N1 - doi: 10.31362/patd.1040339 DO - 10.31362/patd.1040339 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 345 EP - 354 VL - 15 IS - 2 SN - -1308-0865 M3 - doi: 10.31362/patd.1040339 UR - https://doi.org/10.31362/patd.1040339 Y2 - 2022 ER -
EndNote %0 Pamukkale Tıp Dergisi COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri %A Bengü Yücens , Ahmet Büber %T COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri %D 2022 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 15 %N 2 %R doi: 10.31362/patd.1040339 %U 10.31362/patd.1040339
ISNAD Yücens, Bengü , Büber, Ahmet . "COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri". Pamukkale Tıp Dergisi 15 / 2 (Nisan 2022): 345-354 . https://doi.org/10.31362/patd.1040339
AMA Yücens B. , Büber A. COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri. Pam Tıp Derg. 2022; 15(2): 345-354.
Vancouver Yücens B. , Büber A. COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri. Pamukkale Tıp Dergisi. 2022; 15(2): 345-354.
IEEE B. Yücens ve A. Büber , "COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri", Pamukkale Tıp Dergisi, c. 15, sayı. 2, ss. 345-354, Nis. 2022, doi:10.31362/patd.1040339
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