COVID-19 Salgınının Sağlık Çalışanları Üzerindeki Etkisinin Değerlendirilmesi
Amaç: 2019 yılının son günlerinde Çin’de ortaya çıkan Covid-19, öncelikle salgınla mücadelede ön cephede savaşan sağlık çalışanlarını etkilemek suretiyle bütün dünyaya yayılmıştır. Bu çalışmada, Covid-19 ve buna sekonder problemler açısından en riskli grubu teşkil eden sağlık çalışanları arasında depresyonun görülme sıklığını tespit etmeyi amaçladık.
Metot: Bolu ambulans ve acil servisleri biriminde çalışan sağlık personelleri ile yapılmış kesitsel bir çalışmadır. Toplamda 262 kişi çalışmaya dahil edilmiştir.
Bulgular: Çalışmada yer alan kişilerin yaş ortalaması 31.50±7.19 olup en genç katılımcı 20 ve en yaşlısı 58 yaşında idi. Katılımcıların 54.4%’ü erkek ve 45.6%’sı kadındı. Katılımcıların %11,9’unda hafif ve 13,7%’sinde orta düzeyde depresyon vardı. Şiddetli düzeyde depresyona maruz kalanların oranı yalnızca 1.8% olarak tespit edildi. Kadın cinsiyet ve eşlik eden kronik hastalıklar, depresyon oluşumunda risk faktörü olarak görünmektedir.
Sonuç: Devam etmekte olan Covid-19 küresel salgını süresince, sağlık çalışanları enfeksiyon için olduğu gibi depresyon için de risk altındadırlar.
Evaluating The Impact Of The Covid-19 Outbreak On Healthcare Professionals
Aim: Covid-19, which emerged in China in the last days of 2019 has spread to the whole world primarily affecting health-care professionals who fight on the forefront against the outbreak. In this study, we aimed to determine depression prevalence among health-care professionals who represent the riskiest group for Covid-19 and its secondary problems.
Methods: The study is a cross-sectional study consisting of health-care staff working in emergency ambulance service of Bolu. A total of 262 subjects was included in the study.
Results: The mean age of the subjects in the study was 31.50±7.19, the youngest participant was 20 and the oldest was 58 years old. 54.4% of the participants were male, 45.6% were female. Among the participants 11.9% had mild depression and 13,7% moderate depression. The rate of those who suffered from severe depression was found to be only 1.8%. Female gender and co-existing chronic diseases seemed to be risk factors for occurrence of depression.
Conclusion: During the on-going Covid-19 outbreak, health-care workers are at risk for infection as well as psychiatric problems such as depression.
___
- 1. Huang C, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395 (10223): 497-506. doi: https://doi.org/10.1016/S0140-6736(20)30183-5.
- 2. Wang L, et al. A review of the 2019 Novel Coronavirus (COVID-19) based on current evidence. Int J Antimicrob Agents. 2020; 55(6): 105948 doi: https://doi.org/10.1016/j.ijantimicag.2020.105948.
- 3. Chen P, et al. Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of Sport and Health Science. 2020; 9(2): 103-104. doi: 10.1016/j.jshs.2020.02.001. PMID: 32099716; PMCID: PMC7031771
- 4. 15 med¬ical staff are d¬iagnosed as COVID-19 ¬in Wuhan. X¬inhua Net 1-02-2020;http://www.x¬nhuanet.com/local/2020-01/21/c_1125487270.htm. access; 16 June 2020.
- 5. Ward CL, et al. Critical incident exposure in South African emergency services personnel: prevalence and associated mental health issues. Emergency Medicine Journal 2006; 23(3): 226-231. doi: 10.1136/emj.2005.025908. PMID: 16498167; PMCID: PMC2464423.
- 6. Rahimi A, et al. Relationship Between Low Back Pain With Quality of Life, Depression, Anxiety and Stress Among Emergency Medical Technicians. Trauma Mon. 2015; 20(2): e18686. doi:10.5812/traumamon.18686. PMID: 26290857; PMCID: PMC4538730.
- 7. Sterud T, et al. Occupational stressors and its organizational and individual correlates: A nationwide study of Norwegian ambulance personnel. BMC Emergency Medicine. 2008; 8(16). http://dx.doi.org/10.1186/1471-227X-8-1. PMID: 19046466; PMCID: PMC2612695.
- 8. Aktürk Z, et al. Birinci basamak için Beck Depresyon Tarama Ölçeğinin Türkçe Çevriminin Geçerlilik ve Güvenilirliği, Türk Aile Hek. Derg. 2005; 9(3): 117122.
- 9. Lu W, et al. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020; 288: 112936. doi: 10.1016/j.psychres.2020.112936. PMID: 32276196; PMCID: PMC7195354.
- 10. Liu S, et al. Online mental health services in China during the COVID-19 outbreak.The Lancet Psychiatry. 2020; 7(4): E17–E18. doi: https://doi.org/10.1016/S2215-0366(20)30077-8.
- 11. Kang L, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behavior İmmunity. 2020; 87: 11-17. doi: 10.1016/j.bbi.2020.03.028. PMID: 32240764; PMCID: PMC7118532.
- 12. Liu CY, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020; 148: e98. doi: 10.1017/S0950268820001107. PMID: 32430088; PMCID: PMC7251286.
- 13. Gupta AK, et al. Prevalence of anxiety and depression among the healthcare workers in Nepal during the COVID-19 pandemic. Asian J Psychiatr. 2020; 54:102260. doi: 10.1016/j.ajp.2020.102260. PMID: 32599546; PMCID: PMC7313505.
- 14. Wang C, 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. PMID: 32155789; PMCID: PMC7084952.
- 15. Zhang W, et al., Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020; 89(4): 242-250. doi: https://doi.org/10.1159/000507639.
- 16. Que J, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020; 33(3): e100259. doi: 10.1136/gpsych-2020-100259. PMID: 32596640; PMCID: PMC7299004.