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Yıl:2020; Cilt: 33; Sayı: 4>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2020;33(4):366-375
Hekimlerde Covid-19 ile İlgili anksiyete düzeyleri: Bir ön çalışma
B Sancak, U Ozer, C Kilic, G H Sayar
Ministry of Justice Council of Forensic Medicine, Istanbul
Amaç: 2019 yılının Aralık ayında, Çin’in Wuhan kentinde ortaya çıkan yeni tip Coronavirus, tüm dünyaya büyük bir hızla yayılmış ve pandemiye neden olmuştur. Sağlık çalışanları salgınla mücadelede ön saflarda bulunmaktadır. Çalışmamızda ülkemizdeki hekimlerin Covid-19 pandemisinden ruhsal olarak etkilenme ve anksiyete düzeyleri ile bunları etkileyen değişkenleri belirlemek amaçlanmıştır. Yöntem: Araştırmacılar tarafından hazırlanmış olan anket formu internet üzerinden katılımcılara uygulanmıştır. Anket formu anonim olarak hazırlanmış olup sosyodemografik ve mesleki özellikler, yakın zamanlı yurtdışı seyahat öyküsü, mevcut kronik hastalık öyküsü, Covid-19 hakkındaki bilgi düzeyleri, bilgi edinme yolları, günlük ve mesleki yaşamlarında aldıkları önlemler gibi değişkenlere ilişkin sorular içermektedir. Bilgi formunun ardından Hastane Anksiyete ve Depresyon Ölçeği (HADÖ) gelmektedir. Bulgular: Çalışmamıza anketi eksiksiz dolduran 1249 hekim dahil edilmiştir. Çalışmaya katılan hekimlerin %50.4’ü Covid-19 ile ilgili güncel olaylardan ruhsal olarak etkilendiğini bildirmiştir. HADÖ anksiyete alt ölçeğinin ortalama puanı 7.342 (SS 4.756), depresyon alt ölçeğinin ortalama puanı 5.64 (SS 4.236) olarak saptanmıştır. Ruhsal olarak etkilendiğini belirten hekimlerin, etkilenmediğini belirten hekimlere göre daha düşük bilgi düzeylerine sahip olduğu, anksiyete ve depresyon skorlarının daha yüksek olduğu görülmüştür. Ayrıca kadın cinsiyet, ruhsal hastalığı bulunma, ailede kronik hastalığı olan birinin bulunması, ailesiyle birlikte yaşıyor olmanın artmış anksiyete ve depresyon düzeyleriyle ilişkili olduğu tespit edilmiştir. Sonuç: Dünyanın her yerinde olduğu gibi, salgınla baş etmek durumunda kalan hekimlerin anksiyete düzeyleri ülkemizde de belirgin olarak artmaktadır. Anksiyete ile ilişkili olabilecek özelliklere sahip hekimler açısından gerekli önlemlerin alınması yarar sağlayacaktır. Tüm hekimlere yönelik psikososyal destek programlarının oluşturulması ve sürdürülmesi önem taşımaktadır.
Covid-19 related anxiety levels ın physicians: a preliminary study
Objective: A new type of coronavirus appeared in Wuhan, China, in December 2019, spreading rapidly and causing a pandemic. Healthcare professionals were at the front line fighting the pandemic. The aim of this study is to examine the effects of the Covid-19 pandemic on physicians in Turkey, including anxiety levels and other possible contributing variables. Method: The questionnaire prepared by the researchers was administered to the participants over the internet. The questionnaire was anonymized and contained questions about variables such as sociodemographic and professional characteristics, recent history of traveling abroad, presence of a chronic disease history, level of knowledge about Covid-19, ways of obtaining information, and measures taken in their daily and professional lives. The Hospital Anxiety and Depression Scale (HADS) was administered following the information form. Results: In the specified timeframe, 1249 doctors who completed the questionnaire in full were included in the study. Of the study participants, 50.4% reported that they were psychologically affected by current events related to Covid-19. The mean score of the HADS anxiety subscale was 7.342 (standard deviation [SD]=4.756) and the mean score of the depression subscale was 5.64 (SD=4.236). It was observed that physicians who state being affected psychologically have lower levels of knowledge and higher anxiety and depression scores than physicians who declare not to be affected. In addition, it was found that being of the female gender, having a mental illness, having a family member with a chronic illness, and living with one’s family are associated with increased levels of anxiety and depression. Conclusion: The anxiety levels of physicians in Turkey having to deal with the Covid-19 pandemic increase significantly as is the case in other parts of the world. It will be beneficial to take necessary precautions for physicians with characteristics that may be related to anxiety. It is important to create and maintain psychosocial support programs for all physicians.

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