COVID-19 Pandemisinin Anesteziyoloji ve Reanimasyon Uzmanları ve Araştırma Görevlilerindeki Stres Üzerine Olan Etkisi
Öz
Amaç: Bu çalışmada, Türkiye’de koronavirüs hastalığı-2019 (COVID-19) pandemisi ile ilk mücadelede görev alan anesteziyoloji ve reanimasyon hekimlerinin anksiyete düzeylerindeki değişimi değerlendirmeyi ve anksiyete değişimini etkileyen faktörleri ortaya çıkarmayı amaçladık.
Gereç ve Yöntem: Aralık 2020 ve Mart 2021 tarihleri arasında iki bölümden oluşan çevrimiçi bir anket gerçekleştirildi. İlk bölümde sosyodemografik bilgileri belirlemeye yönelik sorular yer alırken, ikinci bölümde Durumluk-Sürekli Kaygı Ölçeği Envanteri yer aldı.
Bulgular: Ankete 1210 anesteziyoloji ve reanimasyon hekiminin %19,2’si (n=233) yanıt verdi. Katılımcıların yaş ortalaması 37,61±9,36 olup anketi ağırlıklı olarak araştırma görevlileri (%39,4) ve uzmanlar (%39,4) yanıtladı. Yaş ile Durumluk (p=0,001) ve Sürekli Kaygı Ölçeği (p=0,017) arasında negatif yönde anlamlı bir ilişki bulundu. Araştırma görevlilerdeki Durumluk-Sürekli Kaygı Ölçeği puanları, öğretim üyelerinin puanlarından anlamlı düzeyde farklıydı (sırasıyla p=0,043 ve p=0,039). Gece vardiyasında görev alan katılımcılarda Durumluk Kaygı Ölçeği puanları da gündüz
vardiyasında görev alanlara göre anlamlı derecede daha yüksekti (p=0,011). Yalnız yaşayan katılımcıların Durumluk-Sürekli Kaygı Ölçeği puanları, ailesi ve arkadaşlarıyla yaşayanlara kıyasla anlamlı düzeyde yüksekti (sırasıyla p=0,003 ve p=0,049).
Sonuç: Anesteziyoloji ve reanimasyon hekimlerinin psikolojik olarak desteklenmesi oldukça önemlidir fakat açıkça ihmal edildiği görülmektedir. Bu durum pandemi dönemi içerisinde aile desteğinden uzak kalmış, genç araştırma görevlileri ve uzmanlar için çok daha fazla önem taşımaktadır. Anahtar Kelimeler: Anestezist, anksiyete, COVİD-19, pandemi, Durumluk Sürekli Kaygı Ölçeği
Anahtar Kelimeler
Anestezist anksiyete COVİD-19 pandemi Durumluk Sürekli Kaygı Ölçeği
Etik Beyan
The study was approved by Ankara University, Faculty of Medicine Clinical Research Ethics Committee with the decision number İ10-652-20 on 27/11/2020. Informed Consent: Retrospective study.
Destekleyen Kurum
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Proje Numarası
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Teşekkür
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Kaynakça
- 1. Coronavirus Covid-19 Dashboard. Available from: https://covid19.who.int. Entered on September, 2023.
- 2. Di Tella M, Romeo A, Benfante A, et al. Mental health of healthcare workers during the COVID-19 pandemic in Italy. J Eval Clin Pract. 2020;26:1583- 1587.
- 3. Şahan E, Tangılntız A. State and trait anxiety among medical staff during the first month of COVID-19 pandemic: A sample from Turkey. Int J Psychiatry Med. 2022;57:338-356.
- 4. Julian L. Measures of anxiety. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S467-472.
- 5. Spielberger, Charles D.; Sydeman, Sumner J. (1994). “State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory”. In Maruish, Mark Edward (ed.). The use of psychological testing for treatment planning and outcome assessment. Hillsdale, NJ: Lawrence Erlbaum Associates. pp. 292-321.
- 6. Heeren A, Bernstein EE, McNally RJ (2018). “Deconstructing trait anxiety: a network perspective”. Anxiety Stress Coping. 31:262-276.
- 7. Rekatsina M, Paladini A, Moka E, et al. Healthcare at the time of COVID-19: A review of the current situation with emphasis on anesthesia providers. Best Pract Res Clin Anaesthesiol. 2020;34:539-551.
- 8. Douillet D, Caillaud A, Riou J, et al. Assessment of physicians’ resilience level during the COVID-19 pandemic. Transl Psychiatry. 2021;11:283.
- 9. Tarek II, Shehata FS, Mahrous RSS. Occupational stress and burnout among frontline Egyptian anesthesiologists during COVID-19 outbreak in Egypt. Egyptian Journal of Anaesthesia. 2021;37:91-99.
- 10. Guo F, Han R, Luo T, et al. Psychological distress was still serious among anesthesiologists under the post COVID-19 era. Psychol Res Behav Manag. 2022;15:777-784.
- 11. Guran E, Yan M, Ho D, et al. Evaluation of psychological impact of COVID-19 on anesthesiology residents in the United States. Heliyon. 2022;8:E11815.
- 12. Singh N, Mitra JK, Sriramka B, et al. Effects of the COVID-19 pandemic on the mental health of anesthesiologists: a cross-sectional study. Anesth Essays Res. 2022;16:402-406.
- 13. Vittori A, Marinangeli F, Bignami EG, et al. Analysis on burnout, job conditions, alexithymia, and other psychological symptoms in a sample of Italian anesthesiologists and intensivists, assessed just before the COVID-19 pandemic: an AAROI-EMAC study. Healthcare. 2022;10:1370.
- 14. Che L, Ma S, Zhang YL, et al. Burnout among Chinese anesthesiologists after the COVID-19 pandemic peak: a national survey. Anesth Analg. 2023;137:392-398.
- 15. Chen F, Isaak R, Afroze F, et al. A multi-site survey study on the association between the COVID-19 pandemic and United States anesthesiology residents’ mental health. Cureus. 2023;15:e34782.
- 16. Di Trani M, Mariani R, Renzi A, et al. COVID-19 pandemic burnout in an Italian sample of anaesthesiologists: coping strategies, resilience and the capability of tolerating the uncertainty as preventing factors. Psychol Health Med. 2023;28:648-659.
- 17. Ergenc H, Ergenc Z, Usanmaz M, et al. Investigating anxiety, depression and obsessive-compulsive disorders (OCD) among healthcare workers in COVID-19 unit and the control group. Med-Science. 2020;9:1072-1075.
- 18. Karatas A, Canakci E, Kaya Y, et al. Impact of the Covid-19 pandemic on anxiety and depression levels of the dialysis center employees. Middle Black Sea Journal of Health Science. 2020;6:240-248.
- 19. Acar Sevinc S, Metin S, Balta Basi N, et al. Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: a cross-sectional study. Braz J Anesthesiol. 2022;72:169-175.
- 20. Kefeli Çelik H, Doğanay Z, Canbaz S, et al. Assessment of anxiety, depression and work-related strain levels of healthcare professionals working in operating rooms and intensive care units during the COVID-19 outbreak. Turk J Anaesthesiol Reanim. 2022;50(Supp 1):S8-S14.
- 21. Martin J, Padierna Á, Villanueva A, et al. Evaluation of the mental health of health professionals in the COVID-19 era. What mental health conditions are our healthcare workers facing in the new wave of coronavirus? Int J Clin Pract. 2021;75:e14607.96
- 22. Walker WH, Walton JC, DeVries AC, et al. Circadian rhythm disruption and mental health. Transl Psychiatry. 2020;10:28.
- 23. Costa C, Teodoro M, Briguglio G, et al. Sleep quality and mood state in resident physicians during COVID-19 pandemic. Int J Env Res Pub He. 2021;18:8023.
- 24. Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist. 2020;75:631.
- 25. Chew QH, Chia FL, Ng WK, et al. Perceived stress, stigma, traumatic stress levels and coping responses amongst residents in training across multiple specialties during COVID-19 pandemic-A longitudinal study. Int J Environ Res Public Health. 2020;17:6572.
- 26. Du J, Dong L, Wang T, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020;67:144-145.
- 27. Sharma R, Saxena A, Magoon R, et al. A cross-sectional analysis of prevalence and factors related to depression, anxiety, and stress in health care workers amidst the COVID-19 pandemic. Indian J Anaesth. 2020;64(Suppl 4):S242-S244.
- 28. Huang JZ, Han MF, Luo TD, et al. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020;38:192-195.
- 29. Jain A, Singariya G, Kamal M, et al. COVID-19 pandemic: Psychological impact on anaesthesiologists. Indian J Anaesth. 2020;64:774-783.
The Impact of the COVID-19 Pandemic on Stress in Anesthesiology and Reanimation Specialists and Research Assistants
Öz
Objectives: In this study, we aimed to evaluate the change in anxiety levels of anesthesiology and reanimation physicians who worked in the initialfight against the coronavirus disease-2019 (COVID-19) pandemic in Türkiye while trying to understand the factors affecting the change in anxiety.
Materials and Methods: An online survey of two parts was conducted between December 2020 and March 2021. The first part included questionsto identify the sociodemographic information, while the second part included the State-Trait Anxiety Scale Inventory.
Results: 19.2% (n=233) of 1210 anesthesiology and reanimation physicians responded to the questionnaire. The mean age of the partici pants was37.61±9.36, and the survey was mainly answered by research assistants (39.4%) and specialists (39.4%). A negative significant relationship was found between age and the State (p=0.001) and the Trait Anxiety Scale (p=0.017). The State-Trait Anxiety Scale scores among research assistants differed significantly from those of professors (p=0.043 and p=0.039, respectively). The State Anxiety Scale scores were also significantly higher in
participants in daily shifts than those who worked night shifts (p=0.011). The State-Trait Anxiety Scale scores of the participants living alone were significantly higher than those living with family and friends (p=0.003 and p=0.049, respectively).
Conclusion: Psychological care and treatment for anesthesiology and reanimation physicians, especially young research assistants and specialists living away from the support of their families during a pandemic becomes more important but is clearly neglected.
Key Words: Anesthesiologists, anxiety, COVID-19, pandemic, State-Trait Anxiety Scale survey
Anahtar Kelimeler
Anesthesiologists anxiety COVID-19 pandemic State-Trait Anxiety Scale survey
Etik Beyan
The study was approved by Ankara University, Faculty of Medicine Clinical Research Ethics Committee with the decision number İ10-652-20 on 27/11/2020. Informed Consent: Retrospective study.
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1. Coronavirus Covid-19 Dashboard. Available from: https://covid19.who.int. Entered on September, 2023.
- 2. Di Tella M, Romeo A, Benfante A, et al. Mental health of healthcare workers during the COVID-19 pandemic in Italy. J Eval Clin Pract. 2020;26:1583- 1587.
- 3. Şahan E, Tangılntız A. State and trait anxiety among medical staff during the first month of COVID-19 pandemic: A sample from Turkey. Int J Psychiatry Med. 2022;57:338-356.
- 4. Julian L. Measures of anxiety. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S467-472.
- 5. Spielberger, Charles D.; Sydeman, Sumner J. (1994). “State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory”. In Maruish, Mark Edward (ed.). The use of psychological testing for treatment planning and outcome assessment. Hillsdale, NJ: Lawrence Erlbaum Associates. pp. 292-321.
- 6. Heeren A, Bernstein EE, McNally RJ (2018). “Deconstructing trait anxiety: a network perspective”. Anxiety Stress Coping. 31:262-276.
- 7. Rekatsina M, Paladini A, Moka E, et al. Healthcare at the time of COVID-19: A review of the current situation with emphasis on anesthesia providers. Best Pract Res Clin Anaesthesiol. 2020;34:539-551.
- 8. Douillet D, Caillaud A, Riou J, et al. Assessment of physicians’ resilience level during the COVID-19 pandemic. Transl Psychiatry. 2021;11:283.
- 9. Tarek II, Shehata FS, Mahrous RSS. Occupational stress and burnout among frontline Egyptian anesthesiologists during COVID-19 outbreak in Egypt. Egyptian Journal of Anaesthesia. 2021;37:91-99.
- 10. Guo F, Han R, Luo T, et al. Psychological distress was still serious among anesthesiologists under the post COVID-19 era. Psychol Res Behav Manag. 2022;15:777-784.
- 11. Guran E, Yan M, Ho D, et al. Evaluation of psychological impact of COVID-19 on anesthesiology residents in the United States. Heliyon. 2022;8:E11815.
- 12. Singh N, Mitra JK, Sriramka B, et al. Effects of the COVID-19 pandemic on the mental health of anesthesiologists: a cross-sectional study. Anesth Essays Res. 2022;16:402-406.
- 13. Vittori A, Marinangeli F, Bignami EG, et al. Analysis on burnout, job conditions, alexithymia, and other psychological symptoms in a sample of Italian anesthesiologists and intensivists, assessed just before the COVID-19 pandemic: an AAROI-EMAC study. Healthcare. 2022;10:1370.
- 14. Che L, Ma S, Zhang YL, et al. Burnout among Chinese anesthesiologists after the COVID-19 pandemic peak: a national survey. Anesth Analg. 2023;137:392-398.
- 15. Chen F, Isaak R, Afroze F, et al. A multi-site survey study on the association between the COVID-19 pandemic and United States anesthesiology residents’ mental health. Cureus. 2023;15:e34782.
- 16. Di Trani M, Mariani R, Renzi A, et al. COVID-19 pandemic burnout in an Italian sample of anaesthesiologists: coping strategies, resilience and the capability of tolerating the uncertainty as preventing factors. Psychol Health Med. 2023;28:648-659.
- 17. Ergenc H, Ergenc Z, Usanmaz M, et al. Investigating anxiety, depression and obsessive-compulsive disorders (OCD) among healthcare workers in COVID-19 unit and the control group. Med-Science. 2020;9:1072-1075.
- 18. Karatas A, Canakci E, Kaya Y, et al. Impact of the Covid-19 pandemic on anxiety and depression levels of the dialysis center employees. Middle Black Sea Journal of Health Science. 2020;6:240-248.
- 19. Acar Sevinc S, Metin S, Balta Basi N, et al. Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: a cross-sectional study. Braz J Anesthesiol. 2022;72:169-175.
- 20. Kefeli Çelik H, Doğanay Z, Canbaz S, et al. Assessment of anxiety, depression and work-related strain levels of healthcare professionals working in operating rooms and intensive care units during the COVID-19 outbreak. Turk J Anaesthesiol Reanim. 2022;50(Supp 1):S8-S14.
- 21. Martin J, Padierna Á, Villanueva A, et al. Evaluation of the mental health of health professionals in the COVID-19 era. What mental health conditions are our healthcare workers facing in the new wave of coronavirus? Int J Clin Pract. 2021;75:e14607.96
- 22. Walker WH, Walton JC, DeVries AC, et al. Circadian rhythm disruption and mental health. Transl Psychiatry. 2020;10:28.
- 23. Costa C, Teodoro M, Briguglio G, et al. Sleep quality and mood state in resident physicians during COVID-19 pandemic. Int J Env Res Pub He. 2021;18:8023.
- 24. Prime H, Wade M, Browne DT. Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist. 2020;75:631.
- 25. Chew QH, Chia FL, Ng WK, et al. Perceived stress, stigma, traumatic stress levels and coping responses amongst residents in training across multiple specialties during COVID-19 pandemic-A longitudinal study. Int J Environ Res Public Health. 2020;17:6572.
- 26. Du J, Dong L, Wang T, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020;67:144-145.
- 27. Sharma R, Saxena A, Magoon R, et al. A cross-sectional analysis of prevalence and factors related to depression, anxiety, and stress in health care workers amidst the COVID-19 pandemic. Indian J Anaesth. 2020;64(Suppl 4):S242-S244.
- 28. Huang JZ, Han MF, Luo TD, et al. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020;38:192-195.
- 29. Jain A, Singariya G, Kamal M, et al. COVID-19 pandemic: Psychological impact on anaesthesiologists. Indian J Anaesth. 2020;64:774-783.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Anesteziyoloji |
| Bölüm | Makaleler |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 28 Mart 2024 |
| Gönderilme Tarihi | 21 Kasım 2023 |
| Kabul Tarihi | 26 Mart 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 77 Sayı: 1 |
