Covid-19 Salgınında Renal Transplantlı Hastaların Kaygı Düzeylerinin ve Psikolojik Dayanıklılıklarının Sağlık Davranışları Üzerine Etkisi

Abstract

GİRİŞ: Düzenli immün süpresif kullanmak zorunda olan renal transplant olguları, Covid-19 salgını döneminde tedavilerini aksatabilir ve bu durum organ reddine neden olabilir. Bu çalışmada, COVİD-19 salgınında renal transplantlı hastaların kaygı düzeylerinin ve psikolojik dayanıklılıklarının sağlıkla ilgili davranışlarına etkisi araştırılmıştır. MATERYAL-METOD: Kliniğimizde kronik böbrek hastalığı tanısı alıp, böbrek nakline verilen 39 böbrek nakilli olgu çalışmaya alınmıştır. Haziran 2020- Eylül 2020 tarihleri arasında, salgın ile ilgili kaygı düzeylerini ve psikolojik sağlamlılık düzeylerini ölçen ölçekler ve sağlık ile ilgili davranışlarının sorgulandığı sorulardan oluşan online google anket formu hazırlanmıştır. BULGULAR: Anksiyete ölçeğine göre anksiyetesi olmayan hiçbir hasta yoktu, 24 hastada (%61) ılımlı kaygı, 8 hastada (%20) orta kaygı ve 7 hastada (%18) ciddi kaygı düzeyi saptandı. Kaygı ve dayanıklılık ölçekleri primer hastalığa, cinsiyete, sosyo-ekonomik veya demografik verilere göre anlamlı farklılık göstermemekteydi. Tek istatistiki farklılık salgın konusunda profesyonellerden bilgi alanların anksiyete ölçek ortalamalarının, salgın konusunda profesyonellerden bilgi almayanlardan daha yüksek olduğu idi (p=0,045). SONUÇ: İçinde bulunduğumuz salgın gibi olağanüstü durum ve dönemlerde böbrek nakilli hastalar gibi özellikli ve riskli hasta gruplarına koruyucu, önleyici ve tedavi edici tele-tıp uygulamalarının öncelikli olarak gündeme alınmasıdır.

Keywords

• Tele-tıp
• Covid-19
• böbrek nakli
• kaygı
• sağlık davranışı
• psikolojik dayanıklılık

The Effect of Anxiety Levels and Psychological Resilience of Patients with Renal Transplant on the Health Behavior in the Covid-19 Outbreak

Abstract

Introduction: Renal transplant cases, who have to use regular immunosuppressants, may disrupt their treatment during the Covid-19 outbreak, and this may cause organ rejection. In this study, the effects of anxiety levels and psychological resilience on health-related behaviors of renal transplant patients in the COVID-19 outbreak were investigated.
Material and Method: Thirty-nine kidney transplant patients diagnosed with chronic kidney disease in our clinic and given to kidney transplant were included in the study. Between June 2020
and September 2020, an online google questionnaire consisting of scales measuring the levels of anxiety and psychological resilience and questions about health-related behaviors was prepared.
Results: There were no patients without anxiety according to the anxiety scale, 24 patients (61%) had moderate anxiety, 8 patients (20%) had moderate anxiety, and 7 patients (18%)
had severe anxiety levels. Anxiety and strength scales did not differ significantly according to primary disease, gender, socioeconomic or demographic data. The only statistical difference was
that the anxiety scale means of those who received information from professionals about the epidemic was higher than those who did not receive information from professionals about the
epidemic (p=0.045).
Conclusion: In extraordinary situations and periods such as the epidemic we are in, profilactive, preventive and therapeutic tele-medicine applications should be put on the agenda primarily for patients with special and risky patients such as kidney transplant patients

Keywords

• Tele-medicine
• Covid-19
• kidney transplant
• anxiety
• health behavior
• psychological resilience

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