Muhammed Emin DEMIRKOL, Musa KAYA, Olgu KÜÇAN, Derya KOCADAĞ

COVID-19 Salgınının Sağlık Çalışanları Üzerindeki Etkisinin Değerlendirilmesi: Bolu Acil Ambulans Hizmetlerinde Görev Yapan Sağlık Çalışanlarından Oluşan Kesitsel Bir Çalışma

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. Gereç ve Yöntemler: Bolu ambulans ve acil servisleri biriminde çalışan sağlık personelleri ile yapılmış kesitsel bir çalışmadır. Toplamda 226 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 depre- syona 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 gruplarından biri gibi görünmektedir.

Evaluating the Impact of the Covid-19 Outbreak on Healthcare Professionals: A Cross-Sectional Study Consisting of Health-Care Staff Working in Emergency Ambulance Service of Bolu

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. Material and Methods: The study is a cross-sectional study consisting of health-care staff working in emergency ambulance service of Bolu. A total of 226 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 seem to be one of the risk groups for depression as well as for infection.

PDF

___

1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020 Feb 15;395(10223):497-506.
2. Wang L, Wang Y, Ye D, Liu Q. Review of the 2019 novel coronavirus (SARS-CoV-2) based on current evidence. Int J Antimicrob Agents 2020;55(6):105948.
3. Wilder-Smith A, Chiew CJ, Lee VJ. Can we contain the COVID-19 outbreak with the same measures as for SARS? Lancet Infect Dis 2020;20(5):e102-e107.
4. Zhou J, Sun J, Cao Z, Wang W, Huang K, Zheng F, Xie Y, Jiang D, Zhou Z. Epidemiological and clinical features of 201 COVID-19 patients in Changsha city, Hunan, China. Medicine (Baltimore) 2020;99(34):e21824.
5. Mokhtari T, Hassani F, Ghaffari N, Ebrahimi B, Yarahmadi A, Hassanzadeh G. COVID-19 and multiorgan failure: A narrative review on potential mechanisms. J Mol Histol 2020;51(6):613- 628.
6. Chen P, Mao L, Nassis GP, Harmer P, Ainsworth BE, Li F. Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. J Sport Health Sci 2020;9(2):103-104.
7. Xiang B, Li P, Yang X, Zhong S, Manyande A, Feng M. The impact of novel coronavirus SARS-CoV-2 among healthcare workers in hospitals: An aerial overview. Am J Infect Control 2020;48(8):915-917.
8. Lahner E, Dilaghi E, Prestigiacomo C, Alessio G, Marcellini L, Simmaco M, Santino I, Orsi GB, Anibaldi P, Marcolongo A, Annibale B, Napoli C. Prevalence of Sars-Cov-2 infection in health workers (HWs) and diagnostic test performance: The experience of a teaching hospital in central Italy. Int J Environ Res Public Health 2020;17(12):4417.
9. Çakır Kardeş V. Pandemi süreci ve sonrası ruhsal ve davranışsal değerlendirme. Türk Diyab Obez 2020;2:160-169.
10. Ward CL, Lombard CJ, Gwebushe N. Critical incident exposure in South African emergency services personnel: prevalence and associated mental health issues. Emerg Med J 2006;23(3):226-231.
11. Rahimi A, Vazini H, Alhani F, Anoosheh M. Relationship between low back pain with quality of life, depression, anxiety and stress among emergency medical technicians. Trauma Mon 2015;20(2):e18686.
12. Sterud T, Hem E, Ekeberg O, Lau B. Occupational stressors and its organizational and individual correlates: A nationwide study of Norwegian ambulance personnel. BMC Emerg Med 2008;8:16.
13. Aktürk Z, Dağdeviren N, Türe M, Tuğlu C. Birinci basamak i̇çin Beck Depresyon Tarama Ölçeği’nin Türkçe çeviriminin geçerlik ve güvenirliği. Türkiye Aile Hekimliği Dergisi 2005;9(3):117- 122.
14. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res 2020;288:112936.
15. Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, Zhang B. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7(4):e17-e18.
16. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, Yao L, Bai H, Cai Z, Xiang Yang B, Hu S, Zhang K, Wang G, Ma C, Liu Z. 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 Behav Immun 2020;87:11-17.
17. Polat Ö, Coşkun F. COVID-19 salgınında sağlık çalışanlarının kişisel koruyucu ekipman kullanımları ile depresyon, anksiyete, stres düzeyleri arasındaki i̇lişkinin belirlenmesi. Med J West Black Sea 2020;4(2): 51-58.
18. Khatatbeh M. Efficacy of nationwide curfew to encounter spread of COVID-19: A case from Jordan. Front Public Health 2020;8:394.
19. Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, Cheng ASK. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. Epidemiol Infect 2020;148:e98.
20. Gupta AK, Mehra A, Niraula A, Kafle K, Deo SP, Singh B, Sahoo S, Grover S. Prevalence of anxiety and depression among the healthcare workers in Nepal during the COVID-19 pandemic. Asian J Psychiatr 2020;54:102260.
21. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. 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.
22. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, Min BQ, Tian Q, Leng HX, Du JL, Chang H, Yang Y, Li W, Shangguan FF, Yan TY, Dong HQ, Han Y, Wang YP, Cosci F, Wang HX. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom 2020;89(4):242-250.
23. Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, Gong Y, Huang W, Yuan K, Yan W, Sun Y, Ran M, Bao Y, Lu L. Psychological impact of the COVID-19 pandemic on healthcare workers: A cross- sectional study in China. Gen Psychiatr 2020;33(3):e100259.