Sevim ÇELİK, Emrah KESKİN, Sibel KÖSTEKLİ

Covid-19 Pandemisinde Nöroşirurji Hastalarının Perspektifinden Cerrahi Süreç Kaygısı

GİRİŞ ve AMAÇ: Bu çalışma, COVID-19 salgınının yarattığı korkunun nöroşirürji hastaları üzerindeki etkilerini belirlemek amacıyla yapıldı. YÖNTEM ve GEREÇLER: Tanımlayıcı-kesitsel tipte olan çalışmada veriler, telefon görüşmesi yoluyla 93 nöroşirurji hastası ile anket formu ve COVID-19 Fobi Ölçeği kullanılarak toplandı. BULGULAR: Hastaların pandemiye bağlı orta derecede korku yaşadığı ve bu korku nedeniyle hastaların %16.1’nin kontrol takip tarihlerini en az bir kez ertelediği tespit edildi. Acil ameliyat geçirenler, ameliyat süreçleri hakkında yeterli bilgi alamadığını bildirenler (p=0.01), tedavisinin tamamlanamayacağından korkanlar (p=0.01) ve takip için hastaneye otobüsle gidenlerin (p = 0.003) korku düzeyleri anlamlı olarak daha yüksekti. Hastaların korku düzeyleri ile hastanede kalış süreleri (p=0.001) ve takip için hastaneye başvuru sayıları (p=0.01) arasında pozitif yönde güçlü bir ilişki olduğu bulundu. TARTIŞMA ve SONUÇ: Çalışma, pandemi döneminde cerrahi tedavi kılavuzlarının sürekli değişkenlik göstermesine rağmen, anksiyeteleri ne kadar yüksek olursa olsun, hastaların tedavilerini ertelemek istemediklerini göstermiştir. Hastaların kaygılarının giderilmesinde dikkatli davranmak ve standartlaştırılmış bir algoritma oluşturmak, hastaların cerrahi tedavi süreçlerinin tüm aşamalarını rahatlıkla deneyimlemeleri için faydalı olacaktır

Surgical Process Anxiety From The Perspective Of Neurosurgery Patients In The Covid-19 Pandemic

INTRODUCTION: This study was conducted to determine the effects of the fear created by the COVID-19 pandemic on the neurosurgery patients. METHODS: In the descriptive-cross-sectional study, data were collected by phone call using a questionnaire and the COVID-19 Phobia Scale with 93 neurosurgery patients. RESULTS: The patients experienced moderate levels of fear due to the pandemic, and due to this fear, 16.1% postponed their follow-up dates at least once. The COVID-19 fear levels were higher among those who had emergency surgery, those who could not get sufficient information on the surgery processes (p=0.01), those who were afraid that their treatment might not be completed (p=0.01) and those who went to the hospital for follow-up by bus (p=0.003). There were significant positive and strong relationships between the patients’ fear levels and their durations of hospitalization (p=0.001) and numbers of visits to the hospital for follow-up (p=0.01). DISCUSSION and CONCLUSION: The study showed that, although surgical treatment guidelines showed constant variation during the pandemic period, however high their anxieties may be, the patients did not want to delay their treatments. Acting carefully in eliminating the anxieties of patients and creating a standardized algorithm will be useful for patients to experience all stages of surgical treatment processes with comfort.

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1. World Health Organization (WHO) COVID19 Q&A on coronaviruses. Available from: https://www.who.int/emergencies/diseases/no vel-coronavirus-2019/question-and-answershub/q-a-detail/q-a-coronaviruses. Accessed on June 16, 2020.
2. World Health Organization (WHO), Coronavirus Disease 2019 (COVID-19) Situation Report, 51. Available from: https://www.who.int/docs/defaultsource/coronaviruse/situationreports/20200311-sitrep-51-covid19.pdf?sfvrsn=1ba62e57_10. Accessed on June 16, 2020.
3. Ghosh J, Ganguly S, Mondal D, Pandey P. Perspective of oncology patients during Covıd-19 pandemic: a prospective observational study from India. JCO Global Oncology 2020; 6: 844-51.
4. Remuzzi A, Remuzzi G. COVID-19 and Italy: what next?. Lancet 2020; 395 (10231): 1225-1228. doi: 10.1016/S0140- 6736(20)30627-9.
5. Stawicki PS, Jeanmonod R, Miller AC, Paladino L, Gaieski DF, Yaffee AQ, et al. The 2019-2020 novel coronavirus (severe acute respiratory syndrome coronavirus 2) pandemic: a joint american college of academic ınternational medicine-world academic council of emergency medicine multidisciplinary Covıd-19 working group consensus Paper. Journal of Global İnfectious Diseases 2020; 12 (2): 47-93. doi: 10.4103/jgid.jgid_86_20.
6. Hezima A, Aljafari A, Aljafari A, Mohammad A, Adel I. Knowledge, attitudes, and practices of Sudanese residents to wards COVID-19. Eastern Mediterranean Health Journal 2020; 26(6):646-51. https://doi.org/10.26719/emhj.20.076.
7. Barsom EZ, Jansen M, Tanis PJ, van de Ven AWH, van oud-Alblas MB, Buskens CJ, et al. Video consultation during followup care: effect on quality of care and patient-and provider attitude in patients with colorectal cancer. Surgical Endoscopy 2020; 1-10. doi:10.1007/s00464-020-07499-3.
8. Chan B, Lyles C, Kaplan C, Lam R, Karliner L. A comparison of electronic patient-portal use among patients with resident and attending primary care providers. Journal of General Internal Medicine 2020; 33(12): 2085-2091. doi:10.1007/s11606-018-4637-x.
9. Tashkandi E, BaAbdullah M, Zeeneldin A, AlAbdulwahab A, Elemam O, Elsamany S, et al. Optimizing the communication with cancer patients during the Covıd-19 pandemic: patient perspectives. Patient Preference and Adherence 2020; 14: 1205-12. https://doi.org/10.2147/PPA.S263022.
10. De Simone B, Chouillard E, Di Saverio S, Pagani L, Sartelli M, Biffl WL, et al. Emergency surgery during the Covıd-19 pandemic: what you need to know for practice. Annals of the Royal College of Surgeons of England 2020; 102: 323-32. doi 10.1308/rcsann.2020.0097.
11. Çalapkulu Ç, Çelenk E. Patient-physician relationship and communication: Sakarya oral and dental health hospital example. Internatıonal Journal of Socıal Scıences 2018; 1 (2): 87-95.
12. Togay A, Yılmaz, N. Laboratory diagnosis of SARS-CoV-2. The Journal of Tepecik Education and Research Hospital 2020; 30 (Ek sayı): 70-5. doi:10.5222/terh.2020.13007.
13. Wei J, Xu H, Xiong J, Shen Q, Fan B, Ye C, et al. Novel Coronavirus (Covıd-19) pneumonia: serial computed tomography findings. Korean Journal of Radiology 2020; 21: 501-4.
14. Lei S, Jiang F, Su W, Chen C, Mei W, Zhan LY, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinical Medicine 2020; 21:100331. doi: 10.1016/j.eclinm.2020.100331.
15. Moscote-Salazar LR, Agrawal A. Letter to the editor defensive medicine and the neurosurgeon. rules for success in pandemics (Covıd-19). World Neurosurgery 2020; 140: 473. doi: 10.1016/j.wneu.2020.05.265 .
16. Bajunaid K, Alqurashi A, Alatar A, Alkutbi M, Alzahrani AH, Sabbagh AJ, et al. Neurosurgical procedures and safety during the covid-19 pandemic: a case-control multicenter study. World Neurosurgery 2020; 143:179-87. https://doi.org/10.1016/j.wneu.2020.07.093.
17. Kondziolka D, Couldwell WT, Rutka JT. Introduction. on pandemics: the impact of COVID-19 on the practice of neurosurgery. Journal of Neurosurgery 2020; 133:1e2. https://doi.org/10.3171/2020.3.JNS201007.
18. Moletta L, Sefora Pierobon E, Capovilla G, Costantini M, Salvador R, Merigliano S, et al. International guidelines and recommendations for surgery during COVID19 pandemic: a systematic review. International Journal of Surgery 2020;79:180- 8. https://doi.org/10.1016/j.ijsu.2020.05.061.
19. Köstekli S, Çelik S, Karahan E. The importance of nursing care with tele-health method after discharge of the surgical patient. CASEH 2020; 1 (1): 30-8.
20. National Institute for Health and Clinical Excellence (NICE) Guideline. Surgical site infections: prevention and treatment. Availablefrom:https://www.nice.org.uk/guida nce/ng125/resources/surgical-site-infectionsprevention-and-treatment-pdf6141660564421. Accessed on June 21, 2020.
21. Nindrea RD, Sari NP, Harahapc WA, Haryono SJ, Kusnanto H, Dwiprahasto I, et al. Survey data of Covıd-19 awareness, knowledge, preparedness and related behaviors among breast cancer patients in Indonesia. Data Brief 2020;32(2020):106-45. http://creativecommons.org/licenses/by/4.0/.
22. Arpacı I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Personality and Individual Differences, 2020; 164 (2020): 1- 6. https://doi.org/10.1016/j.paid.2020.110108.
23. T.R. Presidential COVID-19 Normalization Plan.Availablefrom:https://www.tccb.gov.tr/h aberler/410/119206/-normal-hayata-donusukademe-kademe-baslatacagiz. Accessed on July 01, 2020.
24. Jean WC, Ironside NT, Sack KD, Felbaum DR, Syed HR. The impact of Covıd-19 on neurosurgeons and the strategy for triaging non-emergent operations: a global neurosurgery study. Acta Neurochirurgica (Wien) 2020;162(6):1229-40. doi:10.1007/s00701-020-04342-5.
25. Yetkin F. Systemic infections in neurosurgery intensive care units. Turkiye Klinikleri Journal of Neurosurg-Special Topics 2016; 6(1): 113- 20.
26. Panciani PP, Saraceno G, Zanin L, Renisi G, Signorini L, Fontanella MM. Letter: Covıd-19 infection affects surgical outcome of chronic subdural hematoma. Neurosurgery 2020; 87: 167-71. https://doi.org/10.1093/neuros/nyaa140.
27. Voisin MR, Oliver K, Farrimond S, Chee T, Arzbaecher J, Kruchko C, et al. Brain tumors and COVID-19: the patient and caregiver experience. Neuro-Oncology Advances 2020; 2(1): 1-16. doi: 10.1093/noajnl/vdaa104.
28. Doglietto F, Vezzoli M, Biroli A, Saraceno G, Zanin L, Pertichetti M, et al. Anxiety in neurosurgical patients undergoing nonurgent surgery during the COVID-19 pandemic. Neurosurgical Focus 2020; 49 (2020): Issue 6:1-10. https://doi.org/10.3171/2020.9.FOCUS20681
29. Richard A, Loura N. Covıd-19 and the consequences of isolating the elderly. The Lancet Public Health 2020; 5 (5): 256. doi: 10.1016/ S2468-2667(20)30061-X.
30. Istanbul Union of Chambers of Tradesmen and Craftsmen (ISTESOB), Circular No. 144 on Urban and Intercity Passenger Transport. Availablefrom:https://www.istesob.org.tr/wpcontent/uploads/2020/06/144-Nolu-Genelge02-06-2020-Sehir-Ici-ve-Sehirlerarasi-YolcuTasimaciligi-Hakkinda. pdf. Accessed on October 03, 2020.
31. Kayani B, Onochie E, Patil V, Begüm F, Cuthbert R. The effects of Covıd-19 on perioperative morbidity and mortality in patients with hip fractures. The Bone&Joint Journal 2020; 102 (9): 1136-45. doi: 10.1302/0301-620X.102B9.BJJ-2020- 1127.R1.
32. Gustafsson UO, Scott MJ, Hubner M, Nygren J, Demartines N, Francis N, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018. World Journal of Surgery 2019; 43(3): 659- 95. doi: 10.1007/s00268-018-4844-y.
33. McLean S, Sheikh A, Cresswell K, Nurmatov U, Mukherjee M, Hemmi A, et al. The impact of telehealth care on the quality and safety of care: a systematic overview. PLoS One 2013; 8(8):e71238. doi:10.1371/journal.pone.0071238.
34. Naser AY, Dahmash EZ, Alwafi H, Alsairafi ZK, Al Rajeh AM, Alhartani YJ, et al. Knowledge and practices towards Covıd-19 during its outbreak: A multinational crosssectional study. MedRxiv preprint. 2020. https://doi.org/10.1101/2020.04.13.20063560