COVID-19'lu hastayla riskli teması olan ve/veya COVID-19 tanısı alan sağlık çalışanlarında sosyal damgalanma ve sağlık anksiyetesi ilişkisinin değerlendirilmesi
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda COVID-19 olası veya kesin tanısının sağlık çalışanlarında sosyal
damgalanma algısı ve sağlık anksiyetesi üzerine etkilerinin değerlendirilmesi
amaçlanmıştır.
Gereç ve yöntem: Bu çalışma; Aralık 2020-Şubat 2021 tarihleri arasında Konya
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Çalışan Sağlığı Polikliniği’ne
başvuran, COVID-19’lu hastayla riskli temas öyküsü olan, COVID-19 semptomları olan
ya da kendisi COVID-19 tanısı alan sağlık çalışanları ile yürütülen bir kesitsel çalışmadır.
Katılımcılar izolasyon ve tedavi süreci öncesi ve sonrası değerlendirilmiştir. İlk başvuruda
ve izolasyon/tedavi süreci sonrasında araştırmacılar tarafından oluşturulan
sosyodemografik bilgi formu, Sağlık Anksiyetesi Ölçeği ve Sosyal Damgalanma Algısı
Ölçeği’ni içeren anket formu kullanıldı. Anket formları yüz yüze ve Google Forms
üzerinden olmak üzere hibrit olarak uygulandı.
Bulgular: Çalışmaya katılan 200 kişinin yaş ortalaması 32,85±8,94 (median=30, min=18,
maks=65) yıl olup %56’sı (n=112) kadındı. Katılımcıların %26’sı (n=52) doktor, %31,5’i
(n=63) hemşire/ebe/hasta bakıcı, %13’ü (n=26) sekreter, %29,5’i (n=59) diğer personelden
oluşuyordu. Meslekte geçen süre ortalaması 9,14±8,35 (median=7, min=0,16, maks=45)
yıl idi. Katılımcıların %31’i (n=62) sigara içiyordu, %20’sinin (n=40) kronik hastalığı
vardı, %69’u (n=138) daha önce COVID-19 testi yaptırmıştı, %51,5’inin (n=103) temas
öyküsü vardı, %30’u (n=60) önceden planladığı işlerini iptal etmek zorunda kalmıştı.
COVID-19 nedeni ile hayatını kaybeden yakını olanlar %24,5’i (n=49), daha önce sosyal
damgalanmaya maruz kalanlar ise %5,5’i (n=11) oluşturuyordu. İlk başvuruda katılanların
%93’ünün (n=186), izolasyon ve tedavi süreci sonrası ise %60,5’inin (n=121) şikayeti
vardı. Katılımcıların izolasyon süresi 9,80±3,65 (median=10, min=3, maks=40) gün idi.
Görev ve unvana göre karşılaştırıldığında doktor olanların diğer sağlık çalışanlarına göre
Aim: In our study, it was aimed to evaluate the effects of a probable or definite diagnosis of COVID-19 on the perception of social stigmatisation and health anxiety in healthcare workers. Materials and methods: This intervention study was conducted with healthcare professionals, who applied to Konya Necmettin Erbakan University Meram Medical Faculty Worker Health Outpatient Clinic between December 2020 and February 2021, and had a history of risky contact with a patient with COVID-19, had symptoms of COVID-19, or with a diagnosis of COVID-19. Participants were evaluated before and after the isolation and treatment process. At the first application and after the isolation/treatment process a sociodemographic information form which was created by the researchers, Health Anxiety Scale, and Social Stigma Perception Scale were fulfilled. The questionnaire forms were applied using hybrid technique, face-to-face and via Google Forms. Results: The mean age of the 200 participants was 32.85±8.94 (median=30, min=18, max=65) years old and 56% (n=112) were female. 26% (n=52) of the participants were doctors, 31.5% (n=63) nurse/midwife/caregiver, 13% (n=26) secretary, 29.5% (n= 59) consisted of other personnel. The mean professional working duration was 9.14±8.35 (median=7, min=0.16, max=45) years. Of the participants, 31% (n=62) were smokers, 20% (n=40) had a chronic disease, 69% (n=138) had had a COVID-19 test previously, 51.5% ( n=103) had a history of high risk contact, 30% (n=60) had to cancel their plans. Those who lost a relative due to COVID-19 were 24.5% (n=49), and 5.5% (n=11) had been exposed to social stigmatisation previously. At the first visit, 93% (n=186) of the participants and after the isolation and treatment process 60.5% (n=121) had complaints. The isolation period was 9.80±3.65 (median=10, min=3, max=40) days. When compared according to the position and title, the perception of social stigma of physicians was significantly higher vii than that of other healthcare professionals. The perception of social stigma before the isolation and treatment process was found to be significantly higher in the participants who were single/widowed/divorced compared to the married ones. The perception of social stigma after isolation and treatment was found to be significantly lower in the participants who were doctors, working in internal medicine, were under the age of 30, and had less than 7 years of experience in the profession. While the perception of social stigma after isolation and treatment was significantly higher for those who spent the quarantine period alone, it was found to be significantly lower for those who spent it with their mother or father. The social stigmatisation perception of the participants, who were not financially affected during the quarantine period and postponed any work they planned before the quarantine, was significantly higher after the isolation and treatment process. In participants who are thirty years and older, married, income equal to expenses, working in the profession for seven years or more, not being hospitalized before, not sure about a COVID-19 contact story, having headache or cough complaints, health anxiety scores after the isolation and treatment process were significantly higher. Initial and latter health anxiety of participants with acquaintances who lost their lives due to COVID-19 was found to be significantly high. Conclusion: It is important to protect the physical and mental health of health workers in order to ensure the continuity of health services in the fight against COVID-19. It is necessary to increase knowledge and awareness about epidemic diseases in the society. Since the mental health of health workers will affect their performance and service quality as much as their physical health, it is essential for health care workers being healthy in order to ensure a healthy society.
Aim: In our study, it was aimed to evaluate the effects of a probable or definite diagnosis of COVID-19 on the perception of social stigmatisation and health anxiety in healthcare workers. Materials and methods: This intervention study was conducted with healthcare professionals, who applied to Konya Necmettin Erbakan University Meram Medical Faculty Worker Health Outpatient Clinic between December 2020 and February 2021, and had a history of risky contact with a patient with COVID-19, had symptoms of COVID-19, or with a diagnosis of COVID-19. Participants were evaluated before and after the isolation and treatment process. At the first application and after the isolation/treatment process a sociodemographic information form which was created by the researchers, Health Anxiety Scale, and Social Stigma Perception Scale were fulfilled. The questionnaire forms were applied using hybrid technique, face-to-face and via Google Forms. Results: The mean age of the 200 participants was 32.85±8.94 (median=30, min=18, max=65) years old and 56% (n=112) were female. 26% (n=52) of the participants were doctors, 31.5% (n=63) nurse/midwife/caregiver, 13% (n=26) secretary, 29.5% (n= 59) consisted of other personnel. The mean professional working duration was 9.14±8.35 (median=7, min=0.16, max=45) years. Of the participants, 31% (n=62) were smokers, 20% (n=40) had a chronic disease, 69% (n=138) had had a COVID-19 test previously, 51.5% ( n=103) had a history of high risk contact, 30% (n=60) had to cancel their plans. Those who lost a relative due to COVID-19 were 24.5% (n=49), and 5.5% (n=11) had been exposed to social stigmatisation previously. At the first visit, 93% (n=186) of the participants and after the isolation and treatment process 60.5% (n=121) had complaints. The isolation period was 9.80±3.65 (median=10, min=3, max=40) days. When compared according to the position and title, the perception of social stigma of physicians was significantly higher vii than that of other healthcare professionals. The perception of social stigma before the isolation and treatment process was found to be significantly higher in the participants who were single/widowed/divorced compared to the married ones. The perception of social stigma after isolation and treatment was found to be significantly lower in the participants who were doctors, working in internal medicine, were under the age of 30, and had less than 7 years of experience in the profession. While the perception of social stigma after isolation and treatment was significantly higher for those who spent the quarantine period alone, it was found to be significantly lower for those who spent it with their mother or father. The social stigmatisation perception of the participants, who were not financially affected during the quarantine period and postponed any work they planned before the quarantine, was significantly higher after the isolation and treatment process. In participants who are thirty years and older, married, income equal to expenses, working in the profession for seven years or more, not being hospitalized before, not sure about a COVID-19 contact story, having headache or cough complaints, health anxiety scores after the isolation and treatment process were significantly higher. Initial and latter health anxiety of participants with acquaintances who lost their lives due to COVID-19 was found to be significantly high. Conclusion: It is important to protect the physical and mental health of health workers in order to ensure the continuity of health services in the fight against COVID-19. It is necessary to increase knowledge and awareness about epidemic diseases in the society. Since the mental health of health workers will affect their performance and service quality as much as their physical health, it is essential for health care workers being healthy in order to ensure a healthy society.
Açıklama
Anahtar Kelimeler
COVID-19, Anksiyete, Damgalanma, COVID-19, Anxiety, Stigmatisation
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Işık, B. E. (2021). COVID-19'lu hastayla riskli teması olan ve/veya COVID-19 tanısı alan sağlık çalışanlarında sosyal damgalanma ve sağlık anksiyetesi ilişkisinin değerlendirilmesi. (Yayınlanmamış tıpta uzmanlık tezi) Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi Dahili Tıp Bilimleri Bölümü Aile Hekimliği Anabilim Dalı, Konya.
