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Yıl:2021; Cilt: 12; Sayı: 4>> Özet
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Psikiyatri Hemşireliği Dergisi; 2021;12(4):314-323
COVID-19 pandemi sürecinde sağlık çalışanlarının anksiyete düzeylerinin psikolojik sağlamlıkları ve yaşadıkları sorunlar açısından incelenmesi
S Saruç, A Kızıltaş
Anadolu Üniversitesi, Eskişehir
Amaç: Bu çalışma COVID-19 pandemi sürecinde sağlık çalışanlarının kaygı düzeylerinin psikolojik sağlamlıkları ve yaşadıkları sorunlar açısından incelenmesini amaçlamaktadır. Gereç ve Yöntem: Çalışma ilişkisel tarama modeliyle gerçekleştirilmiştir. Araştırmanın örneklemini Türkiye’deki çeşitli hastanelerde çalışan toplam 411 sağlık çalışanı (hekim, hemşire, ebe, diş hekimi, eczacı, acil tıp/ ameliyat teknikeriteknisyeni, sosyal hizmet uzmanı, psikolog, diyetisyen, paramedik, laborant, tıbbi sekreter gibi) oluşturmaktadır. Araştırmada veri toplama aracı olarak Kişisel Bilgi Formu, Beck Anksiyete Envanteri (BAI) ve Connor ve Davidson Psikolojik Sağlamlık Ölçeği (CD-RISC) kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler için Pearson Momentler Çarpımı Korelasyonu ve Çoklu Hiyerarşik Regresyon Analizi kullanılmıştır. Bulgular: Araştırmanın sonuçları, sağlık çalışanlarının anksiyetelerinin orta düzeyde olduğunu ( =17.25 ve ss=14.81), kadınların, COVID-19 belirtileri gösterenlerin, odaklanma sorunu yaşamanın, fiziksel yorgunluğun, yeterli koruyucu ekipman temin edememenin, virüs bulaştırma endişesiyle dışlanmanın, eş/partnerle iletişim sorunlarının sağlık çalışanlarının anksiyete düzeylerini pozitif yordadığını göstermiştir. Bununla birlikte sosyal hayatı eskisi gibi sürdürememe ve psikolojik sağlamlık düzeyinin yüksek olmasının ise sağlık çalışanlarının anksiyete düzeylerini negatif yordadığı ve modelin toplam varyansın %57.3’ünü açıkladığı bulunmuştur. Sonuç: Sonuçlar ışığında, özellikle pandemi sürecinde sağlık çalışanlarının kaygı düzeylerini azaltmaya yönelik önleyici gelişimsel ruh sağlığı müdahalelerinin planlanarak, disiplinler arası ekiple uygulanması önerilebilir. Anahtar Sözcükler: Anksiyete; COVID-19 pandemi süreci; psikolojik sağlamlık; sağlık çalışanları.
How did the COVID-19 pandemic affect outpatient presentations and consultation requests at a university hospital psychiatry clinic in Turkey?
jectives: The aim of this study was to investigate the change in sociodemographic characteristics and the diagnostic distribution of patients who presented at a psychiatric clinic in Turkey or were the subject of a consultation request during the coronavirus 2019 (COVID-19) pandemic compared with the pre-pandemic period. Methods: The research included patients who presented at the Tokat Gaziosmanpasa University Research and Practice Hospital Psychiatry Outpatient Clinic as well as consultation cases requested by the clinic during 3 periods that reflected conditions prior to and after the declaration of a pandemic: March 12-June 9, 2020, December 13, 2019-March 11, 2020, and March 12-June 9, 2019. An independent samples t-test, one-way analysis of variance or chi-squared test was used to provide statistically descriptive analyses and intergroup comparisons. Results: A total of 5139 cases, 4634 outpatient presentations and 505 consultations, were included in the study. The number of outpatient clinic presentations decreased significantly during the pandemic. The most common psychiatric diagnoses were anxiety disorders (35.8%) and depression disorders (30.2%). The proportional change in depression and sleep disorders was statistically significant during the pandemic; anxiety (n=94, 40.9%) and depression (n=89, 38.7%) complaints increased the most. Inpatient (n=95, 22.9%) and emergency room consultations (n=12, 13.3%) were lower during the pandemic period measured. There was no significant difference in the diagnostic distribution of inpatient consultations during the pandemic period; however, there was a significant increase in the number of requests for consultation from the emergency room for delirium cases. Conclusion: The number of outpatient clinic presentations and consultation requests decreased during the pandemic period. Patients with depression particularly experienced exacerbation, and the number of delirium consultations in the emergency room increased significantly.

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