Burcu OKTAY ARSLAN, Emre ŞENEL, Özgür BATUM, Yelda VAROL, Zeynep Zeren UÇAR

Sağlık çalışanlarında COVID-19 fobisi; bir pandemi hastanesinden kesitsel bir çalışma

Giriş: Sağlık çalışanları koronavirüsle mücadelede en ön saflarda yer almaktadırlar. Bu çalışmanın amacı, bir pandemi hastanesinde görev yapan sağlık çalışanlarının COVID-19 fobi düzeylerini değerlendirmek ve ilgili faktörleri araştırmaktır. Materyal ve Metod: Bu çalışma, bir pandemi hastanesinde görev yapmakta olan sağlık çalışanları üzerinde gerçekleştirilen tanımlayıcı kesitsel bir çalışmadır. Çalışmaya 365 sağlık çalışanı (95 doktor, 187 hemşire ve 83 yardımcı sağlık personeli) dahil edilmiştir. COVID-19 fobisini değerlendirmek için koronavirüs-19 fobi ölçeği (C19P-S) uygulanmıştır. Ön saflarda görev alan ve almayan sağlık çalışanlarının koronofobi seviyeleri karşılaştırılmıştır. Ayrıca farklı departmanlarda, mesleklerde çalışmanın ve ilişkili faktörlerin COVID-19 fobisi üzerindeki etkisi değerlendirilmiştir. Bulgular: Toplamda 172 sağlık çalışanı C19P-S tamamladı ve çalışmaya katılmayı kabul etti. Katılımcıların toplam C19P-S puanı 50,1 ± 17,3 idi. Katılımcıların %59,3’ü ön saflarda görev alan sağlık çalışanlarından ve 40.7’si ön saflarda görev olmayan sağlık çalışanlarından oluşmaktaydı. Ön saflarda görev alan ve almayan sağlık çalışanları toplam C19P-S ve alt ölçek puanları (psikolojik, psiko-somatik, ekonomik, sosyal) açısından karşılaştırıldığında istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p= 0,914, p= 0,687, p= 0,766, p= 0,347, p= 0,794, sırasıyla). Sağlık çalışanları, COVID-19 hastaları ile çalışıp çalışmadıklarına bakılmaksızın, bölümlere göre (servis, yoğun bakım ünitesi (YBÜ), acil servis) gruplandırıldıklarında, YBÜ’de görev yapan sağlık çalışanlarının toplam C19P-S ve alt ölçek puanları (psikolojik, psiko-somatik, ekonomik, sosyal) yönünden en yüksek değerlere sahip oldukları belirlenmiştir (p= 0,002, p= 0,001, p= 0,001, p= 0,001, p= 0,012, p= 0,002 sırasıyla). Meslek temelli karşılaştırmada gruplar arasında C19P-S skoru açısından istatistiksel anlamlı farklılık tespit edilmemiştir (p= 0,117). Sonuç: Yalnızca COVID-19 salgınını kontrol edebilmek için değil, aynı zamanda sağlık çalışanlarının ruh sağlığını korumak için de, salgının sağlık çalışanları üzerindeki etkilerini kapsamlı bir şekilde değerlendirmek oldukça önemlidir. Bu bağlamda yoğun bakım çalışanlarının, sağlık çalışanları arasında özel bir ilgiye ihtiyacı olduğu görülmektedir. Koronofobi düzeyini psikolojik, psiko-somatik, ekonomik ve sosyal yönleriyle değerlendiren C19P-S, bu amaca yönelik kullanılabilecek uygun bir tarama anketi olabilir.

COVID-19 phobia in healthcare workers; a cross-sectional study from a pandemic hospital

Introduction: Healthcare workers (HCWs) are at the forefront of the fight against coronavirus. The purpose of this study was to evaluate COVID-19 phobia levels of HCWs of a pandemic hospital and explore associated factors. Materials and Methods: This was a descriptive cross-sectional study conducted on HCWs employed in a pandemic hospital. A total of 365 HCWs (95 physicians, 187 nurses and 83 assistant healthcare staffs) were included in the study. In order to evaluate COVID-19 phobia, coronavirus-19 phobia scale (C19P-S) was administrated. Chronophobia levels of frontline and nonfrontline HCWs were compared. Additionally, the effect of working in different departments, profession and associated factors on COVID-19 phobia was evaluated. Results: Overall, 172 HCWs completed the C19P-S and agreed to participate in the study. Mean total CP19P-S score of the HCWs included in the study was 50.1 ± 17.3. Of the study population, 59.3% participants were frontline HCWs and 40.7% were non-frontline HCWs. When frontline HCWs and nonfrontline HCWs were compared in terms of total C19P-S and subscales scores (psychological, psycho-somatic, economic, social), no statistically significant differences were found (p= 0.914, p= 0.687, p= 0.766, p= 0.347, p= 0.794, respectively).When the HCWs were divided into three groups according to departments (clinics, intensive care unit (ICU), emergency department) where they worked regardless of whether they cared for patients with COVID-19, HCWs employed in the ICUs had the highest scores regarding total C19P-S and subscales scores (p= 0.002, p= 0.001, p= 0.001, p= 0.012,p= 0.002,respectively) . Profession based comparison revealed no significant difference between the groups regarding total C19P-S score (p= 0.117). Conclusion: It is essential to make a comprehensive evaluation regarding the effects of pandemics on HCWs, not only for controlling the COVID-19 pandemic but also to protect the mental health of HCWs. Critical care professions appear to need particular attention among HCWs. The C19P-S, which assesses coronaphobia levels with psychological, psycho-somatic, economic, and social aspects could be a convenient screening tool for evaluating COVID-19 phobia levels in HWCs.

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