Corona Virüslü Hastalara Bakım Veren Hemşirelerde Depresyon, Anksiyete ve Stres Düzeyinin Belirlenmesi

Amaç: Corona virüslü hastalara bakım veren hemşirelerde depresyon, anksiyete ve stres düzeyinin belirlenmesiçalışmanın amacıdır. Örneklem ve Yöntem: Eylül 2020 tarihinde gerçekleştirilen tanımlayıcı niteliktekiaraştırmanın evrenini, Bilecik Devlet Hastanesi’nde corona virüslü (Covid-19) hastalara bakım veren hemşireleroluşturdu. Örneklemi ise, veri toplama sürecinde ulaşılabilen, araştırmaya katılmayı gönüllü olarak kabul eden, 18yaş üstü, karar verme yetisine sahip, herhangi bir psikolojik hastalığı olmayan, herhangi bir psikolojik ilaçkullanmayan, corona virüslü hastalara bakım veren 70 hemşire oluşturdu. Araştırmada Tanılama Formu veDepresyon, Anksiyete, Stres Ölçeği (DASS 21) kullanıldı. Veriler tanımlayıcı testler ve karşılaştırmalı istatistikyöntemler kullanılarak değerlendirildi. Önemlilik düzeyi p<0.05 kabul edildi. Bulgular: Araştırmaya katılanhemşirelerin yaş ortalaması 30.9±7.6 (20-46) yıl idi. Katılımcıların %80’ini (n=56) kadın, %52.9’u (n=37) evli,%60’ı(n=42) üniversite mezunu, %40’ı (n=28) 10 yıl ve üzerinde mesleki deneyime sahipti. Hemşirelere uygulananDASS-21 ölçeğinden alınan toplam puan ortalamaları; depresyon alt boyutunda 11.39±4.46,anksiyetealt boyutunda14.13±3.74 ve stres alt boyutunda 14.01±3.70 olarak belirlenmiştir. Buna göre katılımcıların %37.1’inin (n=26) çokileri düzeyde depresyonve %85.7’sinin (n=60) çok ileri düzeydeanksiyete,%41.4’ünün (n=29) ileri düzeyde stresbelirtisi yaşadığı saptanmıştır. Sonuç: Corona virüslü hastalara bakım veren hemşirelerde depresyon, anksiyete vestres belirtilerinin yüksek düzeylerde olduğu bulgulanmıştır. Bu faktörler verilen bakım hizmetinin kalitesini deetkileyebilir. Sağlık Bakanlığı Covid-19 psikososyal destek hizmeti, korona virüs pandemisinde online ruhsal destekprogramı (KORDEP) gibi güçlendirme programlarının sağlık çalışanlarına tanıtımının arttırılması ve önerilmesifaydalı olacaktır.

Anahtar Kelimeler:

hemşirelerde anksiyete, hemşirelerde depresyon, hemşirelerde stres, korona

Determination of Depression, Anxiety and Stress Levels among Nurses Caring for Corona Virus Patients

Aim: The aim of the study is to determine the level of depression, anxiety and stress in nurses who care for patientswith Corona virus. Subject and Methods: The population of the descriptive study, which was carried out inSeptember 2020, consisted of nurses who care for patients with corona virus (Covid-19) at Bilecik State Hospital.The sample consisted of 70 nurses who can be reached during the data collection process, who voluntarily agree toparticipate in the study, are over 18 years old, have decision-making ability, do not have any psychological illness,do not use any psychological medication, and provide care to patients with corona virus. Diagnostic Form andDepression, Anxiety, Stress Scale (DASS 21) were used in the study. Data were evaluated using descriptive tests andcomparative statistical methods. The significance level was accepted as p<0.05. Results: The mean age of the nursesparticipating in the study was 30.9±7.6 (20-46) years. 80% (n=56) of the participants were women, 52.9% (n=37)were married, 60% (n=42) were university graduates, 40% (n=28) had 10 years or more professional experience. hehad. The total score averages obtained fromthe DASS-21 scale applied to the nurses; It was determined as 11.39±4.46in the depression sub-dimension, 14.13±3.74 in the anxiety sub-dimension, and 14.01±3.70 in the stress subdimension.Accordingly, it was determined that 37.1% (n=26) of the participants experienced very severe depression,85.7% (n=60) experienced very severe anxiety, and 41.4% (n=29) experienced severe stress symptoms. Conclusion.It has been found that the symptoms of depression, anxiety and stress are at high levels in nurses who care for patientswith Corona virus. All these factors can also affect the quality of care provided. It would be beneficial to increase thepromotion and recommendation of empowerment programs such as the Ministry of Health's Covid-19 psychosocialsupport service and the Online Spiritual Support Program in the Corona Virus Pandemic (KORDEP).

Keywords:

Anxiety in nurses, depression in nurses, stress in nurses, corona,

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Arafa, A., Mohammed, Z., Mahmoud, O., Elshazley, M., & Ewis, A. (2021). Depressed, anxious, and stressed: What have healthcare workers on the frontlines in Egypt and Saudi Arabia experienced during the COVID-19 pandemic? Journal of affective disorders, 278, 365-371.
Chua, S. E., Cheung, V., Cheung, C., McAlonan, G. M., Wong, J. W., Cheung, E. P., . . . Choy, K. M. (2004). Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. The Canadian Journal of Psychiatry, 49(6), 391-393.
Ersoy, S., Koç, Ş. Ö., & Ersoy, İ. H. (2020). Covid-19’lu Hastalara Tedavi ve Bakım Veren Sağlık Çalışanlarının Görüşlerinin Belirlenmesi. Electronic Turkish Studies, 15(6).
Hu, Y., Sun, J., Dai, Z., Deng, H., Li, X., Huang, Q., . . . Xu, Y. (2020). Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. Journal of clinical virology, 104371.
Jin, J.-M., Bai, P., He, W., Wu, F., Liu, X.-F., Han, D.-M., . . . Yang, J.-K. (2020). Gender differences in patients with COVID-19: focus on severity and mortality. Frontiers in public health, 8, 152.
Kluge, H. (2020). Statement–Older people are at highest risk from COVID-19, but all must act to prevent community spread. Retrieved from World Health Organization website: http://www. euro. who. int/en/health-topics/health-emergencies/coronavirus-covid-19/statements/statement-older-people-are-at-highest-risk-from-covid-19,-but-all-must-act-to-prevent-community-spread.
Lai, C.-C., Shih, T.-P., Ko, W.-C., Tang, H.-J., & Hsueh, P.-R. (2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International journal of antimicrobial agents, 55(3), 105924.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., . . . Li, R. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open, 3(3), e203976-e203976.
Lian, J., Jin, X., Hao, S., Cai, H., Zhang, S., Zheng, L., . . . Zhang, Y. (2020). Analysis of epidemiological and clinical features in older patients with coronavirus disease 2019 (COVID-19) outside Wuhan. Clinical infectious diseases, 71(15), 740-747.
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., . . . Wang, Y. (2020). Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Research, 287, 112921.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.
Luceño-Moreno, L., Talavera-Velasco, B., García-Albuerne, Y., & Martín-García, J. (2020). Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. International journal of environmental research and public health, 17(15), 5514.
Mak, I. W. C., Chu, C. M., Pan, P. C., Yiu, M. G. C., & Chan, V. L. (2009). Long-term psychiatric morbidities among SARS survivors. General hospital psychiatry, 31(4), 318-326.
Peckham, H., de Gruijter, N. M., Raine, C., Radziszewska, A., Ciurtin, C., Wedderburn, L. R., . . . Deakin, C. T. (2020). Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nature communications, 11(1), 1-10.
Polat, Ö. P., & Coşkun, F. l. z. (2020). COVID-19 Salgınında sağlık çalışanlarının kişisel koruyucu ekipman kullanımları ile depresyon, anksiyete, stres düzeyleri arasındaki ilişkinin belirlenmesi. Batı Karadeniz Tıp Dergisi, 4(2), 51-58.
Sampaio, F., Sequeira, C., & Teixeira, L. (2020). Nurses’ mental health during the Covid-19 outbreak: A cross-sectional study. Journal of occupational and environmental medicine, 62(10), 783-787.
Schultz, D. P., & Schultz, S. E. (2016). Theories of personality: Cengage Learning.
Sinclair, A., & Abdelhafiz, A. (2020). Age, frailty and diabetes–triple jeopardy for vulnerability to COVID-19 infection. EClinicalMedicine, 22. UK, G. (2020). Guidance on social distancing for everyone in the UK. Archived from the Original on, 24.
Viruses, C. (2020). o. TIC o. T. o.; Coronaviridae Study Group of the International Committee on Taxonomy of, V., The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nature Microbiology, 5(4), 536-544.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health, 17(5), 1729.
Wang, H., Liu, Y., Hu, K., Zhang, M., Du, M., Huang, H., & Yue, X. (2020). Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective. Nursing ethics, 27(7), 1490-1500.
Xu, K., Cai, H., Shen, Y., Ni, Q., Chen, Y., Hu, S., . . . Huang, H. (2020). Translation: management of Coronavirus disease 2019 (COVID-19): experience in Zhejiang Province, China. Infectious Microbes & Diseases.
Yılmaz, Ö., Hakan, B., & Arslan, A. (2017). Depresyon Anksiyete Stres Ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi, 2(2), 78-91.
Zhou, C., Shi, L., Gao, L., Liu, W., Chen, Z., Tong, X., . . . Fan, L. (2018). Determinate factors of mental health status in Chinese medical staff: A cross-sectional study. Medicine, 97(10), e0113.
Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., . . . Lu, R. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England journal of medicine.