SAĞLIK ÇALIŞANLARININ COVID-19 PANDEMİSİ DÖNEMİNDE UYKU KALİTESİNİN ARAŞTIRILMASI

Amaç Bu çalışma, hastane çalışanlarında, pandemi döneminde yoğun iş temposu ile uyku kalitesi arasındaki ilişkinin araştırılması amacıyla yapıldı. Gereç ve Yöntem Kesitsel tipteki araştırmamıza hastanede çalışan sağlık çalışanları dahil edildi. Veriler hastanede pandemi sürecinde aktif olarak görev alan personele; Tanıtıcı Anket Formu, Pandemi Değerlendirme Anketi ve Pittsburg Uyku Kalitesi İndeksi kullanılarak elde edildi. Verilerin değerlendirilmesinde; tanımlayıcı istatistik, ki-kare, korelasyon, t testi ve tek yönlü varyans analizi (ANOVA) kullanıldı. Bulgular Çalışmamıza hemşire, sağlık teknisyeni, doktor, idari personel ve temizlik personelinden oluşan toplam 103 sağlık çalışanı (Erkek: 36 (%35), Kadın: 67 (%65)) katıldı. Çalışanların görev süresi ortalaması 14,12±9,73 yıl olarak saptandı. Sağlık profesyonellerinin vücut kitle indeksi (VKİ) erkek: 26,33±3,13 kg/m2, kadın: 24,07±3,70 kg/m2 olarak bulundu. Çalışmamıza katılan sağlık profesyonellerinin çoğunluğu cerrahi Bölümde (25 (%24,3)), yoğun Bakımda (19 (%18,4), acil serviste (15 (%14,6)) ve idari kısımda (13 (%12,6)) çalışmaktaydı. Geri kalanları laboratuvarda (9 (%8,7)), COVID-19 polikliniğinde (7 (%6,8)), ve diyalizde (5 (%4,9)) çalışmaktaydı. Pandemi öncesi uyku bozukluğu ve buna bağlı olarak ilaç kullanım oranı düşüktü. Pandemi sürecinde; sağlık profesyonellerinde Hemşire ve Temizlik Personeli arasında istatistiksel olarak anlamlı farklılık vardı ve PUKİ puanları Hemşirelerde yüksek bulundu (p=0,002). Sonuç Pandemi döneminde hastane çalışanlarında uyku kalitesinin artan iş yükü ile beraber azaldığı ve artan kaygı düzeyleri ile beraber sağlık çalışanlarının yaşamını olumsuz etkilediği saptandı.

Anahtar Kelimeler:

Pandemi dönemi, Sağlık çalışanı, Uyku kalitesi, Hastane, Yaşam kalitesi

INVESTIGATION OF SLEEP QUALITY OF HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC PERIOD

Objective This study was conducted to investigate the relationship between intense work tempo and sleep quality in hospital workers during the pandemic period. Material and Method Healthcare workers working in the hospital were included in our cross-sectional study. The data were collected using the Introductory Questionnaire, the Pandemic Evaluation Questionnaire and the Pittsburg Sleep Quality Index of the personnel actively involved in the pandemic process in the hospital. In the evaluation of the data; descriptive statistics, chisquare, correlation, t-test and ANOVA analysis were performed. Results A total of 103 healthcare workers (Male: 36 (35%), Female, 67 (65%)) including nurses, healthcare technicians, doctors, administrative personnel and cleaning personnel participated in our study. The average tenure of the employees was 14.12±9.73 years. Body mass index (BMI) of health professionals was found to be male: 26.33±3.13 kg/m2, female: 24.07±3.70 kg/m2. The majority of health professionals participating in our study were in the Surgery Department (25 (24.3%), Intensive Care (19 (18.4%), Emergency Service (15 (14.6%)) and Administrative Department (13 (12.6%) The rest were working in the Laboratory (9 (8.7%), COVID-19 outpatient clinics (7 (6.8%)), Dialysis (5 (4.9%)). Pre-pandemic sleep disorder and accordingly the rate of drug use were found to be low. A significant correlation was found between the PUKI score and the frequency of sleep disturbance before the pandemic (r2=0.579; p=0.001) and the consumption of caffeinated beverages (r2=0.373; p=0.001). There was a statistically significant difference between nurses and cleaning staff in health professionals, and PUKI scores were found to be high in nurses in the pandemic term (p=0.002). Conclusion During the pandemic period, it was determined that the sleep quality of the hospital staff decreased with the increasing workload and negatively affected the lives of the health workers with the increasing anxiety levels.

Keywords:

Pandemic period, Healthcare worker, Sleep quality, Hospital, Quality of life,

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1. WHO. Coronavirus disease Situation Report 85 [Internet]. 14 April 2020. World Health Organisation. Available from: https:// www.who.int/publications/m/item/situation-report 85.
2. Akdogan D, Guzel M, Tosun D, Akpinar O. Diagnostic and early prognostic value of serum CRP and LDH levels in patients with possible COVID-19 at the first admission. J Infect Dev Ctries. 2021;15(6):766-72.
3. Garbarino, S, Nobili L, Costa G. Sleepiness and Human Impact Assessment; Springer Science & Business Media: Berlin, Germany, 2014.
4. Borbély AA, Daan S, Wirz-Justice A, Deboer T. The two-process model of sleep regulation: A reappraisal. J. Sleep Res. 2016;25(2):131-43.
5. Costa G, Accattoli MP, Garbarino S, Magnavita N, Roscelli F. Sleep disorders and work: Guidelines for health surveillance, risk management and prevention. Med. Lav. 2013;104(4):251- 66.
6. Lange T, Dimitrov S, Born J. Effects of sleep and circadian rhythm on the human immune system. Ann NY Acad Sci, 2010;1193:48-59.
7. Yao KW, Yu S, Cheng SP, Chen IJ: Relationships between personal, depression and social network factors and sleep quality in community-dwelling older adults. J Nurs Res, 2008;16(2):131-9.
8. Peng EY, Lee MB, Tsai ST et al: Population-based post-crisis psychological distress: An example from the SARS outbreak in Taiwan. J Formos Med Assoc, 2010;109(7):524-32
9. Sirin A, Kavak O, Ertem G. Determination of the State-Trait Anxiety Levels of Students Who Are on Labour Room in Maternity Hospital. J Nursery Vocational School Cumhuriyet Univ 2003;7(1):27–32.
10. Bingham, A. (2004). Translated by: Ferhan Oğuzkan. Developing problem solving skills in children, İstanbul: MEB Publications, 1998.
11. Saygın M, Öztürk Ö, Gonca T, Has M, Hayri UB, Kurt Y, Yağlı MA, Çalışkan S, Akkaya A, Öztürk M. Investigation of Sleep Quality and Sleep Disorders in Students of Medicine. Turk Thorac J. 2016;17(4):132-140.
12. Koyanagi A, Stickley A. The association between sleep problems and psychotic symptoms in the general population: a global perspective. Sleep. 2015;38(12):1875-85.
13. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227):912-920
14. Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020; 7(3):e14.
15. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatr Clin Neurosci. 2020;74(4):281-82.
16. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.
17. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, 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
18. Wu W, Zhang Y, Wang P, Zhang L, Wang G, Lei G, et al. Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. J Med Virol. 2020;92(10):1962-70.
19. Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med (Lond). 2020;70(5):364-69.
20. Jahrami H, BaHammam AS, AlGahtani H, Ebrahim A, Faris M, AlEid K, et al. The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep Breath. 2021;25(1):503-11.
21. Herrero San Martin A, Parra Serrano J, Diaz Cambriles T, Arias Arias EM, Muñoz Méndez J, Del Yerro Álvarez MJ, et al. Sleep characteristics in health workers exposed to the COVID-19 pandemic. Sleep Med. 2020;75:388-94.
22. Abbas A, Al-Otaibi T, Gheith OA, Nagib AM, Farid MM, Walaa M. Sleep Quality Among Healthcare Workers During the COVID- 19 Pandemic and Its Impact on Medical Errors: Kuwait Experience. Turk Thorac J. 2021;22(2):142-48.
23. Wu K, Wei X. Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China. Med Sci Monit Basic Res. 2020;26:e924085.
24. Ferini-Strambi L, Zucconi M, Casoni F, Salsone M. COVID-19 and Sleep in Medical Staff: Reflections, Clinical Evidences, and Perspectives. Curr Treat Options Neurol. 2020;22(10):29.
25. Bozan Ö, Atiş ŞE, Çekmen B, Şentürk M, Kalkan A. Healthcare workers' sleep quality after COVID-19 infection: A cross-sectional study. Int J Clin Pract. 2021;75(11):e14772.
26. Korkmaz S, Kazgan A, Çekiç S, Tartar AS, Balcı HN, Atmaca M. The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. J Clin Neurosci. 2020;80:131-36.
27. Bilgiç Ş, Çelikkalp Ü, Mısırlı C. Stress level and sleep quality of nurses during the COVID-19 pandemic. Work. 2021;70(4):1021-1029.
28. Yıldız E, Alkan Çeviker S, Tokur ME, Koçak Ö, Bataş Bilgeç S, Yıldırımer A, Balcı C. Pandemi Servisi ve Yoğun Bakımda Çalışan Sağlık Çalışanlarının Anksiyeteve Stres Düzeylerinin Değerlendirilmesi. SDÜ Tıp Fakültesi Dergisi. 2021; 28(Özel Sayı 1 (COVID-19 Özel Sayısı)): 19-29.