The Effect of COVID-19 Pandemic on the Intolerance of Uncertainty of Students Studying in Health Departments

Yıl 2022, , 81 - 88, 14.01.2022

Betül Önal Aysun Kazak Serdar Karakullukçu , Ersin Önal

https://doi.org/10.33631/sabd.1055370

Öz

Aim: The study examines to determine the effect of COVID-19 pandemic on uncertainty and intolerance of students studying in health programs.
Material and Methods: The population of the research, which is planned as a descriptive, is consisted of second-year students in the department of health studying at the regional vocational school of the two state universities in the Black Sea region and 807 students who have agreed to participate in the study sample. In the statistical analysis of data, the dual comparison of the number, percentage, average is performed with Student T test and Ki Square test.
Results: It has been determined that 76.6% of the students participating in the study are women, 70.8% of them have a moderate-income level, 47% of them live in the city center. While 95.2% of the students took social isolation measures, 18.3% of them or their relatives were quarantined. When the mental health change of the students were questioned during the pandemic period, it was determined that 53.7%of them got worse and 63.2% of them received psychosocial healthcare. When the data of the students regarding COVID-19 and the scores obtained from the scale of intolerance of uncertainty were compared, the scale scores were found to be statistically significant in those who considered mental health change as bad, quarantined, psychosocial healthcare received (p<0.05).
Conclusion: During the pandemic period, students are highly socially isolated, pandemic affected students psychology in a negative way. The future professionals of our healthcare system, need to raise awareness for education based on psychosocial health through sensitivity programs as a part of the standard healthcare education.

Anahtar Kelimeler

COVID-19, pandemic, student, uncertainty

COVID-19 Pandemisinin Sağlık Programlarında Öğrenim Gören Öğrencilerde Belirsizliğe Tahammülsüzlüğe Etkisi

Öz

Amaç: Bu araştırma, COVID-19 pandemisinin sağlık programlarında öğrenim gören öğrencilerde belirsizliğe tahammülsüzlüğe etkisini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntemler: Tanımlayıcı olarak planlanan araştırmanın evrenini Karadeniz bölgesinde bulunan iki devlet üniversitesinin meslek yüksekokulunda öğrenim gören sağlık bölümü (diyaliz, ilk ve acil yardım, fizyoterapi, yaşlı bakımı, çocuk gelişimi, tıbbi laboratuvar teknikleri, tıbbi dokümantasyon ve sekreterlik) 2. sınıf öğrencileri oluşturmuş olup çalışmaya katılmayı kabul eden 807 öğrenci örneklemi oluşturmuştur. Veriler Mayıs 2020 de birey tanıtım formu, belirsizliğe tahammülsüzlük ölçeği kullanılarak toplanmıştır. Verilerin istatistiksel analizinde; sayı, yüzde, ortalama ile verilmiş, karşılaştırmalarda Student-t test ve ki-kare testi kullanılmıştır.
Bulgular: Araştırmaya katılan öğrencilerin %76,6’si kadın, %70,8’inin gelir durumu orta düzeyde, %47’sinin il merkezinde yaşadığı belirlenmiştir. Öğrencilerin %95,2 sosyal izolasyon önlemi almışken %18,3 kendisi veya yakınları karantinaya alınmıştır. Öğrencilerin pandemi döneminde ruh hali değişimi incelendiğinde %53,7’sinin kötüye gittiği, %63,2’sinin psikososyal destek hizmeti aldığı belirlenmiştir. Öğrencilerin COVID – 19’a ilişkin verileri ile belirsizliğe tahammülsüzlük ölçeğinden alınan puanlar karşılaştırıldığında, ruh hali değişimini kötü olarak niteleyenlerde, karantinaya alınanlarda, psikososyal destek hizmeti alanlarda ölçek puanlarında istatistiksel olarak farkın önemli olduğu belirlenmiştir (p<0,05).
Sonuç: Pandemi döneminde öğrenciler sosyal izolasyona dikkat etmiş, pandemi öğrencilerin ruh halini olumsuz yönde etkilemiştir. Geleceğin sağlık profesyonelleri öğrencilerimizin standart sağlık eğitiminin bir parçası olarak psikososyal destekli eğitimin etkisinin duyarlılık programlarıyla farkındalık kazandırılması gereklidir.

Anahtar Kelimeler

COVID-19, pandemi, öğrenci, belirsizlik

Kaynakça

• Centers for Disease Control and Prevention [Internet].Coronavirus Disease 2019 (COVID-19) How to Protect Yourself 2020 [Updated: 2021 March 8; Cited: 2020 April 4]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html.
• World Health Organization [Internet]. Coronavirus disease (COVID-19) advice for the public 2021 [Updated: 2021 March 26; Cited: 2020 May 12]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
• European Centre for Disease Prevention and Control [Internet]. Novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK – sixth up date [Updated: 2021 March 26; Cited 2020 April 15]. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/RRA-sixth-update-Outbreak-ofnovel-coronavirus-disease-2019-COVID-19.
• Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet. 2020;395(10228):945-947.
• Wang G, Zhang J, Lam SP, Li SX, Jiang Y, Sun W, et al. Ten-year secular trends in sleep/wake patterns in Shanghai and Hong Kong school-aged children: a tale of two cities. Journal of Clinical Sleep Medicine. 2019;15(10):1495-1502.
• Kaparounaki CK, Patsali ME, Mousa D-PV, Papadopoulou EV, Papadopoulou KK, Fountoulakis KN. University students’ mental health amidst the COVID-19 quarantine in Greece. Psychiatry Research. 2020;290:113111.
• Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students’ mental health in the United States: Interview survey study. Journal of Medical Internet Research. 2020;22(9):e21279.
• Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. Journal of Sleep Research. 2020; 29(4): e13074.
• Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of Neurology. 2021; 268(1): 8-15.
• Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research. 2020; 287: 112934.
• Tull MT, Barbano AC, Scamaldo KM, Richmond JR, Edmonds KA, Rose JP, et al. The prospective influence of COVID-19 affective risk assessments and intolerance of uncertainty on later dimensions of health anxiety. Journal of Anxiety Disorders. 2020; 75: 102290.
• Carleton RN. The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics. 2012; 12(8): 937-47.
• Boelen PA, Carleton RN. Intolerance of uncertainty, hypochondriacal concerns, obsessive-compulsive symptoms, and worry. The Journal of Nervous and Mental Disease. 2012;200(3):208-213.
• Deschenes SS, Dugas MJ, Radomsky AS, Buhr K. Experimental manipulation of beliefs about uncertainty: Effects on interpretive processing and access to threat schemata. Journal of Experimental Psychopathology. 2010; 1(1): 52-70.
• Kara A. İlköğretim birinci kademede eğitimde motivasyon ölçeğinin Türkçe'ye uyarlanması. Ege Eğitim Dergisi. 2008; 9(2): 57-78.
• Şişman M. Eğitim bilimine giriş. Pegem Atıf İndeksi. 2017: 1-351.
• Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395(10227): 912-20.
• Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity. 2020; 87: 11-7.
• Freeston MH, Rhéaume J, Letarte H, Dugas MJ, Ladouceur R. Why do people worry? Personality and Individual Differences. 1994; 17(6): 791-802.
• Sarı S, Dağ İ. Belirsizliğe tahammülsüzlük ölçeği, endişe ile ilgili olumlu inançlar ölçeği ve endişenin sonuçları ölçeğinin Türkçeye uyarlanması, geçerliliği ve güvenirliği. Anadolu Psikiyatri Derg. 2009; 10(4): 261-70.
• UNESCO [Internet]. COVID-19 educational disruption and response [updated 2020 March 24; Cited: 2020 June 8]. Available from: https://en.unesco.org/news/covid-19-educational-disruption-and-response.
• de Oliveira Araujo FJ, de Lima LSA, Cidade PIM, Nobre CB, Neto MLR. Impact of Sars-Cov-2 and its reverberation in global higher education and mental health. Psychiatry Research. 2020; 288: 112977.
• 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 Network Open. 2020; 3(3): e203976.
• Tran BX, Dang AK, Thai PK, Le HT, Le XTT, Do TTT, et al. Coverage of health information by different sources in communities: implication for COVID-19 epidemic response. International Journal of Environmental Research and Public Health. 2020; 17(10): 3577-89.
• London M. Toward a theory of career motivation. Academy of Management Review. 1983; 8(4): 620-630.
• Collado-Boira EJ, Ruiz-Palomino E, Salas-Media P, Folch-Ayora A, Muriach M, Baliño P. “The COVID-19 outbreak”—An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Education Today. 2020; 92: 104504.
• Agnew M, Poole H, Khan A. Fall break fallout: Exploring student perceptions of the impact of an autumn break on stress. Student Success. 2019;10(3):45-54.
• Youngminds [Internet]. Coronavirus: Impact on young people with mental health needs. [Updated: 2020 March; Cited: 2020 May 10]. Available from: https://youngminds.org.uk/media/3708/coronavirus-report.
• Franchi T. The impact of the Covid‐19 pandemic on current anatomy education and future careers: A student’s perspective. Anatomical Sciences Education. 2020; 13(3): 312-5.
• Chang J, Yuan Y, Wang D. Mental health status and its influencing factors among college students during the epidemic of COVID-19. Nan fang yi ke da xue xue bao= Journal of Southern Medical University. 2020; 40(2): 171-6.
• Sahu P. Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus. 2020; 12(4): e7541.
• Zhai Y, Du X. Addressing collegiate mental health amid COVID-19 pandemic. Psychiatry Research. 2020; 288: 113003.
• Odriozola-Gonzalez P, Planchuelo-Gomez A, Irurtia MJ, de Luis-Garcia R. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research. 2020; 290: 113108.
• Uzunaslan İ. Geçici koruma statüsü altındaki Suriyeli kadınların belirsizlik toleranslarının bazı demografik değişkenler açısından incelenmesi [Yüksek Lisans Tezi]. Ankara: Ankara Üniversitesi Sağlık Bilimleri Enstitüsü, Sosyal Hizmet Anabilim Dalı; 2019.
• Lally J, Cantillon P. Uncertainty and ambiguity and their association with psychological distress in medical students. Academic Psychiatry. 2014; 38(3): 339-44.
• Boelen PA, Reijntjes A. Intolerance of uncertainty and social anxiety. Journal of Anxiety Disorders. 2009; 23(1): 130-5.
• Gentes EL, Ruscio AM. A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive–compulsive disorder. Clinical Psychology Review. 2011; 31(6): 923-33.
• Coşkun E. Duygusal zeka ve belirsizliğe tahammülsüzlüğün stresle başa çıkma tarzlarına etkisinin incelenmesi [Yüksek Lisans Tezi]. İstanbul: Fatih Sultan Mehmet Vakıf Üniversitesi Lisansüstü Eğitim Enstitüsü, Psikoloji Anabilim Dalı; 2019.
• Zhang J, Wu W, Zhao X, Zhang W. Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine. 2020; 3(1): 3-8.
• Csgb.gov.tr [Internet]. T.C. Çalışma ve Sosyal Hizmetler Bakanlığı COVID-19 Nedeniyle Vatandaşlara Telefonla Psikososyal Destek Veriyor. [Erişim tarihi: 10.07.2020]. Erişim adresi: https://www.ailevecalisma.gov.tr/tr-tr/haberler/bakanligimiz-covid-19-nedeniyle-vatandaslara-telefonla-psikososyal-destek-veriyor/.
• Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020; 7(3): 228-9.
• Yang Y, Li W, Zhang Q, Zhang L, Cheung T, Xiang Y-T. Mental health services for older adults in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020; 7(4): e19.
• Chatterjee K, Chauhan V. Epidemics, quarantine and mental health. Medical Journal, Armed Forces India. 2020; 76(2): 125-7.
• 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.
• Bai Y, Lin C-C, Lin C-Y, Chen J-Y, Chue C-M, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric Services. 2004; 55(9): 1055-7.
• Sprang G, Silman M. Posttraumatic stress disorder in parents and youth after health-related disasters. Disaster Medicine and Public Health Preparedness. 2013; 7(1): 105-10.
• Caleo G, Duncombe J, Jephcott F, Lokuge K, Mills C, Looijen E, et al. The factors affecting household transmission dynamics and community compliance with Ebola control measures: a mixed-methods study in a rural village in Sierra Leone. BMC Public Health. 2018; 18(1): 1-13.
• Cava MA, Fay KE, Beanlands HJ, McCay EA, Wignall R. The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nursing. 2005; 22(5): 398-406.
• Reynolds DL, Garay J, Deamond S, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiology & Infection. 2008; 136(7): 997-1007.
• Yoon M-K, Kim S-Y, Ko H-S, Lee M-S. System effectiveness of detection, brief intervention and refer to treatment for the people with post-traumatic emotional distress by MERS: a case report of community-based proactive intervention in South Korea. International Journal of Mental Health Systems. 2016; 10(1): 1-5.
• 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. Medical science monitor: International Medical Journal of Experimental and Clinical Research. 2020; 26: e924609-1- e924609-12.