OVID-19 ENFEKSİYONU NEDENİYLE HASTANEDE YATAN HASTALARDA ANKSİYETE VE DEPRESYON DÜZEYLERİ
Amaç: Covid-19 nedeniyle hastanede yatarak tedavi gören hastaların bulaşın önlenmesi için tek kişilikodalarda ve yanında refakatçi olmadan tedavileri sağlanmaktadır. Bu hastalara hizmet veren gerek sağlık gerekdestek personelleri kişisel koruyucu ekipman ile hastalarla temas etmektedir. Bu değişen koşulların bireylerinpsikolojileri üzerindeki etkisini değerlendirmeyi planladık. Materyal ve Metot: Araştırma Göğüs Hastalıkları, Enfeksiyon Hastalıkları ve İç Hastalıkları servislerine yatan300 hasta (115 kadın, 185 erkek) ile yapıldı. Veriler, araştırmacı tarafından hazırlanan ve hastaların tanıtıcıözelliklerini içeren kişisel bilgi formu ve Hastane Anksiyete ve Depresyon Ölçeği (HAD) ile toplandı. Ölçeğinülkemizde geçerliliği daha önce araştırılmış ve anksiyete ve depresyon için yararlı ve duyarlı bir tarama aracıolduğu gösterilmiştir. Bulgular: Hasta grubunun ortanca yaşı 42 (min-maks: 18-90) olup, hastaların %61,70'i erkek, %46,30'uilköğretim mezunu, %78,30’u evli, %24'ü ev hanımı, %10,30’u emekli idi. Tüm vakalar arasında %8.30 (n: 25)klinik olarak ciddi depresyon ve %24 (n: 72) hafif depresyon ve %7,70 (n: 23) klinik olarak ciddi anksiyete ve%16 (n: 48) hafif anksiyete vardı. HAD-anksiyete puanının şiddetine göre iki cinsiyet arasında istatistikselolarak anlamlı fark vardı ve kadınlarda anksiyete puanları daha yüksekti (p
ANXIETY AND DEPRESSION LEVELS IN HOSPITALIZEDPATIENTS DUE TO COVID-19 INFECTION
Objectives: Patients who are hospitalized for Covid-19 are treated in single rooms and without an attendant to prevent contamination. Both health and support personnel serving these patients come into contact with patients with personal protective equipment. We planned to evaluate the impact of these changing conditions on individuals' psychology.Materials and Methods: The study was conducted with 300 patients (115 females, 185 males) hospitalized in Chest Diseases, Infectious Diseases, and Internal Diseases services. The data were collected using the personal information form prepared by the researcher and containing the descriptive characteristics of the patients and the Hospital Anxiety and Depression Scale (HAD).Results: The median age of the patient group was 42 (min-max: 18-90), 61.70% of the patients were male, 46,30% were primary education graduates, 78.30% were married and 24% were housewives, 10.30% were retired. Among all cases, there were 8.30% (n: 25) clinically serious depression and 24% (n: 72) mild depression, and 7.70% (n: 23) clinically serious anxiety and 16% (n: 48) mild anxiety. There was a statistically significant difference when compared between two genders according to the severity of HAD-anxiety score, and anxiety scores were higher in women (p
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- 1. Guan WJ, Ni ZY, Hu Y, et al. China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-20 (doi:10.1056/NEJMoa2002032).
- 2. Zu ZY, Jiang MD, Xu PP, et al. Coronavirus Disease 2019 (COVID-19): A Perspective from China. Radiology. 2020;296(2):E15-E25 (doi: 10.1148/radiol.2020200490).
- 3. Fauci AS, Lane HC, Redfield RR. Covid-19 - Navigating the Uncharted. N Engl J Med. 2020;382(13):1268-69 (doi: 10.1056/NEJMe2002387).
- 4. WHO Director-General's opening remarks at the Mission briefing on COVID-19 - 12 March 2020 [Internet]. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-atthe-mission-briefing-on-covid-19---12-march-2020 (Accessed:02.09.2020).
- 5. Nishiura H, Jung SM, Linton NM, et al. The Extent of Transmission of Novel Coronavirus in Wuhan, China, 2020. J Clin Med. 2020;9(2):330 (doi:10.3390/jcm9020330).
- 6. Ornell F, Halpern SC, Kessler FHP, Narvaez JCM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica. 2020;36(4):e00063520 (doi: 10.1590/0102- 311X00063520).
- 7. Sarner M. Maintaining mental health in the time of coronavirus. New Sci. 2020;246(3279):40-6 (doi: 10.1016/S0262-4079(20)30819-8).
- 8. Gold JA. Covid-19: adverse mental health outcomes for healthcare workers. BMJ.2020;369:m1815 (doi: 10.1136/bmj.m1815).
- 9. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361‐70 (doi:10.1111/j.1600-0447.1983.tb09716.x).
- 10. Aydemir Ö, Güvenir T, Küey L. Validity and realibility of Turkish version of Hospital Anxiety and Depression Scale. Turkish Journal of Psychiatry 1997;8:280-7.
- 11. Baykal NB. Yaygın anksiyete bozukluğunun Türkiye’deki yaygınlığı, ek tanıları ve tedavisinin incelenmesi. The Journal of Academic Social Science. 2017;5:539-48.
- 12. T.C. Sağlık Bakanlığı. Sağlık İstatistikleri Yıllığı 2018. Sağlık Bilgi Sistemleri Genel Müdürlüğü [Internet]. https://dosyasb.saglik.gov.tr/Eklenti/36134,siy2018trpdf.pdf?0 (Accessed:01.07.2020).
- 13. Li Z, Ge J, Yang M, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. 2020:S0889-1591(20)30309-3 (doi: 10.1016/j.bbi.2020.03.007).
- 14. Ornell F, Schuch JB, Sordi AO, Kessler FHP. "Pandemic fear" and COVID-19: mental health burden and strategies. Braz J Psychiatry. 2020;42(3):232-5 (doi: 10.1590/1516-4446-2020-0008).
- 15. Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020 (doi: 10.1093/jtm/taaa020).
- 16. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281-2 (doi: 10.1111/pcn.12988).
- 17. Wang C, Pan R, Wan X, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729 (doi: 10.3390/ijerph17051729).
- 18. Zhu Y, Chen L, Ji H, Xi M, Fang Y, Li Y. The Risk and Prevention of Novel Coronavirus Pneumonia Infections Among Inpatients in Psychiatric Hospitals. Neurosci Bull. 2020;36(3):299-302 (doi: 10.1007/s12264-020-00476-9).
- 19. Kendler KS, Karkowski LM, Prescott CA. Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry. 1999;156(6):837-41 (doi: 10.1176/ajp.156.6.837).
- 20. Yang L, Zhao Y, Wang Y, et al. The Effects of Psychological Stress on Depression. Curr Neuropharmacol. 2015;13(4):494-504 (doi: 10.2174/1570159x1304150831150507).
- 21. Liao Q, Cowling BJ, Lam WW, Ng DM, Fielding R. Anxiety, worry and cognitive risk estimate in relation to protective behaviors during the 2009 influenza A/H1N1 pandemic in Hong Kong: ten cross-sectional surveys. BMC Infect Dis. 2014;14:169 (doi: 10.1186/1471-2334-14-169).
- 22. Van Bortel T, Basnayake A, Wurie F, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ. 2016;94(3):210-4 (doi: 10.2471/BLT.15.158543).
- 23. Wang C, Pan R, Wan X, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729 (doi: 10.3390/ijerph17051729).
- 24. Ruo B, Rumsfeld JS, Hlatky MA, Liu H, Browner WS, Whooley MA. Depressive symptoms and healthrelated quality of life: the Heart and Soul Study. JAMA. 2003;290(2):215-21 (doi: 10.1001/jama.290.2.215).
- 25. Özer ZC, Şenuzun F, Tokem Y. Evaluation of anxiety and depression levels in patients with myocardial infarction. Arch Turk Soc Cardiol 2009;37(8):557-62.
- 26. Petrie KJ, Weinman J, Sharpe N, Buckley J. Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. BMJ. 1996;312(7040):1191-4 (doi: 10.1136/bmj.312.7040.1191).
- 27. Kim JW, Stewart R, Kang SJ, Jung SI, Kim SW, Kim JM. Telephone based Interventions for Psychological Problems in Hospital Isolated Patients with COVID-19. Clin Psychopharmacol Neurosci. 2020;18:616-20 (doi: 10.9758/cpn.2020.18.4.616).