Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients
Yıl: 2020 Cilt: 26 Sayı: 4 Sayfa Aralığı: 236 - 243 Metin Dili: İngilizce DOI: 10.5222/GKDAD.2020.69345 İndeks Tarihi: 23-06-2021
Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients
Öz: Objective: This study aims to determine the changes of anxiety-depression-stress levels in ICUpersonnel working on COVID-19 patients at an early stage, to set precautions so that they can feelsecure and mentally relaxed during their work.Method: One month after starting to admit COVID-19 patients into our ICU, we planned a surveyto determine above-mentioned changes in healthcare personnel, using standard scales (perceivedstress level, Beck Anxiety Inventory, Beck’s Depression Inventory). Survey forms were filled in by 102people in our ICU.Results: The rates of depression [58.8% (n=60)], anxiety [67.6 % (n=69)] and average perceived stressscale score (29.92±6.86) were determined. Men’s perceived stress scale scores were statisticallysignificantly lower than women’s. Compared to other groups, among the people who previouslyreceived psychiatric support, depression rate was higher in 5 of 6 patients (83.3%) and anxiety in 6 of6 (100 %) patients. The rate of Beck Anxiety Inventory scores in men (51.4 %) were statisticallysignificantly lower than in women (76.1 %). Similarly, prevalence of anxiety was at higher level (76.2%) in healthcare personnel with children.Conclusion: These outbreaks can re-occur in future and create more challenging cases. Therefore,countries should prepare their health systems, especially healthcare professionals, against suddenwork overloads to prevent serious psychological problems in these professionals and in society.Healthcare personnel should receive support against mental problems and undergo periodicaltraining to prevent further trauma and impact in future cases. Furthermore, in epidemic settings,preventive diagnosis and treatment studies should be carried out to tackle psychological problemscommonly encountered in female healthcare personnel.
Anahtar Kelime: Yoğun Bakımda Covid-19 Hastalarına Bakan Sağlık Personelinin Anksiyete, Depresyon ve Stres Düzeyi Değerlendirilmesi
Öz: Amaç: Bu çalışma, COVID-19 hastaları üzerinde çalışan YBÜ personelinde anksiyete-depresyonstres düzeylerindeki değişiklikleri erken belirlemeyi, sağlık personelinin işleri sırasında kendilerini güvende ve zihinsel olarak rahat hissedebilmeleri için önlemler almayı amaçlamaktadır. Yöntem: COVID-19 hastalarını YBÜ’mize kabul etmeye başladıktan 1 ay sonra, standart ölçekler (algılanan stres ölçeği, beck anksiyete ve beck depresyon) kullanarak sağlık personelinde yukarıda belirtilen değişiklikleri belirlemek için bir anket planladık. Anket formları yoğun bakım ünitemizde 102 kişi tarafından dolduruldu. Bulgular: Depresyon oranı (60 [% 58,8]), anksiyete (69 [% 67.6]) ve algılanan stres ölçeği düzeyi 29,92±6,86 idi. Erkeklerin algılanan stres ölçeği puanları istatistiksel olarak kadınlardan anlamlı derecede düşüktü. Diğer gruplarla karşılaştırıldığında daha önce psikiyatrik destek alan bireylerde depresyon oranı 6 hastanın 5’inde (% 83.3), anksiyete 6 hastanın 6’sında (% 100) daha yüksekti. Erkeklerde beck anksiyete oranı (% 51.4) kadınlara (% 76.1) göre istatistiksel olarak anlamlı derecede düşüktü. Çocuklu sağlık personelinde de benzer şekilde anksiyete prevalansı (% 76.2) daha yüksekti. Sonuç: Bu salgınlar gelecekte yeniden ortaya çıkabilir ve daha zorlu olgular yaratabilir. Bu nedenle ülkeler, bu alanlarda ve toplumda ciddi psikolojik sorunları önlemek için sağlık sistemlerini, özellikle de sağlık çalışanlarını, ani aşırı yüklenmelere karşı hazırlamalıdır. Sağlık personeli, zihinsel sorunlara karşı destek almalı ve gelecekteki olgularda daha fazla travma ve etkiyi önlemek için periyodik eğitim almalıdır. Ayrıca salgın ortamlarda kadın sağlık personelinde sık karşılaşılan psikolojik sorunların üstesinden gelmek için önleyici tanı ve tedavi çalışmaları yapılmalıdır
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
- 2. Lin K, Yang BX, Luo D, et al: The Mental Health Effects of COVID-19 on Health Care Providers in China. American Journal of Psychiatry Letter to the Editor Accepted 29 April 2020. https://doi.org/10.1176/appi.ajp.2020.20040374
- 3. Shanafelt T, Ripp J, Trockel M. Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. April 7 Jama, 2020. https://doi.org/10.1001/jama.2020.5893
- 4. Maunder R, Hunter J, Vincent L, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-51.
- 5. Chua SE, Cheung V, Cheung C, et al. Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can J Psychiatry. 2004;49(6):391-3. https://doi.org/10.1177/070674370404900609
- 6. Lee AM, Wong JG, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 2007;52(4):233- 40. https://doi.org/10.1177/070674370705200405
- 7. (American Psychological Association (APA). Stress in America 2017 Snapshot: Coping with Change. https://www.apa.org/news/press/releases/stress/2016/ copingwith-change.pdf.) 8. Li Q, Guan X,Wu P, et al. Early transmission dynamics inWuhan, China, of novel coronavirus-infected pneumonia [published online January 29, 2020]. N Engl J Med. 2020. https://doi.org/10.1056/NEJMoa2001316
- 9. Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany [published online January 30, 2020]. N Engl J Med. 2020. https://doi.org/10.1056/NEJMc2001468
- 10. Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol. 2020;92(4):441-7. https://doi.org/10.1002/jmv.25689
- 11. Chan-YeungM. Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health. 2004;10(4):421-7. https://doi.org/10.1179/oeh.2004.10.4.421
| APA | SARİ A, Sertçelik S, Efendioglu M, Kaymakcı A, Ekinci O (2020). Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. , 236 - 243. 10.5222/GKDAD.2020.69345 |
| Chicago | SARİ AHMET,Sertçelik Sencan,Efendioglu Mustafa,Kaymakcı Aytekin,Ekinci Osman Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. (2020): 236 - 243. 10.5222/GKDAD.2020.69345 |
| MLA | SARİ AHMET,Sertçelik Sencan,Efendioglu Mustafa,Kaymakcı Aytekin,Ekinci Osman Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. , 2020, ss.236 - 243. 10.5222/GKDAD.2020.69345 |
| AMA | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. . 2020; 236 - 243. 10.5222/GKDAD.2020.69345 |
| Vancouver | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. . 2020; 236 - 243. 10.5222/GKDAD.2020.69345 |
| IEEE | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O "Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients." , ss.236 - 243, 2020. 10.5222/GKDAD.2020.69345 |
| ISNAD | SARİ, AHMET vd. "Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients". (2020), 236-243. https://doi.org/10.5222/GKDAD.2020.69345 |
| APA | SARİ A, Sertçelik S, Efendioglu M, Kaymakcı A, Ekinci O (2020). Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26(4), 236 - 243. 10.5222/GKDAD.2020.69345 |
| Chicago | SARİ AHMET,Sertçelik Sencan,Efendioglu Mustafa,Kaymakcı Aytekin,Ekinci Osman Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26, no.4 (2020): 236 - 243. 10.5222/GKDAD.2020.69345 |
| MLA | SARİ AHMET,Sertçelik Sencan,Efendioglu Mustafa,Kaymakcı Aytekin,Ekinci Osman Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, vol.26, no.4, 2020, ss.236 - 243. 10.5222/GKDAD.2020.69345 |
| AMA | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(4): 236 - 243. 10.5222/GKDAD.2020.69345 |
| Vancouver | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(4): 236 - 243. 10.5222/GKDAD.2020.69345 |
| IEEE | SARİ A,Sertçelik S,Efendioglu M,Kaymakcı A,Ekinci O "Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients." Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26, ss.236 - 243, 2020. 10.5222/GKDAD.2020.69345 |
| ISNAD | SARİ, AHMET vd. "Evaluation of Anxiety, Depression and Stress Levels of Intensive Care Medical Personnel Caring for Covid-19 Patients". Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26/4 (2020), 236-243. https://doi.org/10.5222/GKDAD.2020.69345 |
