Koronavirüs Hastalığı 2019 (COVID-19) Nedenli Evde İzole Olan Bir Sağlık Kuruluşu Çalışanlarının Günlük Semptom Takibi

Amaç: Bu çalışmada COVID-19 sebebiyle ev izolasyonundaki kişilerin semptomlarını takip etmek ve dolayısıyla hastalık dönemini hastane dışında geçiren kişilerin klinik seyri hakkında bilgi sahibi olmak amaçlandı. Gereç ve Yöntemler: Bir sağlık kuruluşu personelinden 27 Mart 2020- 27 Şubat 2021 tarihleri arasında ev izolasyonunda olan, COVID-19 hastası toplam 501 kişi ile bir araştırmacının her gün telefonla görüştüğü çalışma, longitudinal olarak planlandı. Kişilere Sağlık Bakanlığının COVID-19 Rehberi ve literatür doğrultusunda hazırlanan anket soruları yöneltildi. Bezmialem Vakıf Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan izin alındı. Verilerin değerlendirilmesinde Ki-kare, Mann-Whitney U, Spearman’s korelasyon testleri kullanılmış, anlamlılık sınırı olarak 0,05 kabul edilmiştir. Bulgular: Çalışmadaki kişilerin (501) %65,7’si kadın, yaş ortalamaları 34,9 ± 9,1 yıldır. 501 kişiden 201’i (%40,1) temas yerini bildiğini söylemiştir. 107 kişi (%53,2) kurum içi, 94 kişi (%46,8) kurum dışı olarak bildirmiştir. İzolasyon sürecinde hastaneye yatışın sigara kullanımı veya kronik hastalık varlığı ile farklılık göstermediği (sırasıyla p=0,101 ve 0,361), ileri yaş ve erkek cinsiyet ile istatistiksel olarak arttığı bulunmuştur (sırasıyla p<0,001 ve <0,001). Semptom görülen kişilerin (n=497) ilk semptomu genelde kas-iskelet sistemi ağrısı (%37,2), takip boyunca en sık görülen semptom ise öksürük (%59,4) olmuştur. Sonuç: Çalışma, yüz yüze iletişimin azaltılmasının gerektiği salgın veya yüz yüze iletişimin kurulamayabileceği afet durumlarında, telefon gibi bir teknolojiden yararlanarak sağlık hizmetlerinin devamlılığının sağlanabileceğini gösteren bir tele-sağlık uygulaması olarak kabul edilebilir. Bu uygulamaların geliştirilmesine yönelik çalışmalar ile COVID-19 pandemisinin dezavantajları avantaja dönüştürülebilir.

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