Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisinin Bulaşıcı Olmayan Hastalığa Sahip Erişkinlere Etkileri: Bir Kentsel Bölgede Kesitsel Araştırma
Impacts of the COVID-19 Pandemic on Adults with Non-Communicable Diseases: Cross-Sectional Study in an Urban Area
Kübra ÇİÇEKa , Erhan ESERa
aManisa Celal Bayar Üniversitesi Tıp Fakültesi, Halk Sağlığı ABD, Manisa, Türkiye
Turkiye Klinikleri J Med Sci. 2024;44(1):15-26
doi: 10.5336/medsci.2024-101341
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, kronik hastalıkları olan erişkinlerin koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisi döneminde hastalık yakınmalarındaki değişimin, pandemi döneminde algılanan genel sağlık ve ruh sağlığı değişimlerinin ve ilişkili faktörlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Mart-Temmuz 2022 tarihleri arasında Manisa il merkezinden seçilen 10 aile sağlığı merkezlerine başvurulara dayanan kesitsel bir çalışmadır. Veriler araştırmaya katılan 500 kişiden yüz yüze toplanmıştır. Araştırmanın bağımlı değişkenleri COVID-19 pandemisi döneminde kronik hastalık semptomlarındaki değişim ve pandemi dönemindeki algılanan genel sağlık ve ruh sağlığı değişimidir. Veri analizinde SPSS 23.0 kullanılmıştır. Çok değişkenli analizlerde lojistik regresyon uygulanmıştır. Bulgular: Katılımcıların yaş ortalaması 60,1±8,4 yıldır. Çalışmamızda katılımcıların %51,8'inin pandemi döneminde kronik hastalıklarıyla ilgili yeni yakınma/yakınmalarında artış olmuştur. Katılımcıların %37,2'si genel sağlık durumunun, %23,2'si ruh sağlığı durumunun pandemi döneminde öncesine göre daha kötü/çok daha kötü olduğunu belirtmiştir. Çalışmamızda, pandemi döneminde sağlık hizmetlerine ulaşmada sorun yaşayan kişilerde, kronik hastalık risk faktörleri olumsuz yönde değişime uğrayan kişilerde, ilaç tedavisine uyumlu olanlarda ve kronik hastalık bakım niteliği pandemi döneminde olumsuz etkilenenlerde hastalıkla ilgili yeni yakınma/var olan yakınmalarda artış riski artmıştır. Pandemi döneminde algılanan ruhsal sağlık değişimi açısından kadınlar, uyku düzeni bozulanlar, aile içi ve sosyal ilişkileri bozulanlar daha risklidir. Çalışmamızda, pandemi döneminde sağlık hizmetlerine ulaşmada sorun yaşayan kişilerde ve kronik hastalık bakımı olumsuz etkilenen kişilerde algılanan genel sağlık değişiminin kötü olma riski artmıştır. Sonuç: Kronik hastalığı olan bireylerin yaklaşık yarısının pandemi döneminde hastalık semptom ve yakınmalarında artış/ yeni yakınmaları olmuştur. Kronik hastalık bakım niteliğinin COVID-19 pandemisi döneminde zayıfladığı görülmüş; bulaş korkusu, randevu alamama ve kısıtlamalar nedeniyle hastaların rutin kontrolleri aksamıştır.

Anahtar Kelimeler: Bulaşıcı olmayan hastalıklar; COVID-19; ruh sağlığı; sağlık hizmeti sunumu; sağlık hizmetlerine ulaşılabilirlik
ABSTRACT
 Objective: It is the evaluation of the change in the complaints of the disease during the coronavirus disease-2019 (COVID-19) pandemic of chronic diseases, the perceived general health and mental health changes and the associated factors. Material and Methods: It is a cross-sectional study based on applications for ten family health centers selected in Manisa between March and July 2022. Data were collected face to face from 500 people who participated in the research. Dependent Variables The change in the symptoms of chronic disease during the COVID-19 pandemic period is the general change of general health and mental health. SPSS 23.0 was used in data analysis and logistics regression was applied. Results: The average age of the participants is 60.1±8.4 years. 51.8% of the participants had an increase in complaints related to their chronic diseases during the pandemic period. 37.2% of the participants stated that their general health status and 23.2% stated that their mental health status was worse than before. There is a higher risk of increasing symptoms related to the disease in people who have problems in achieving health services, in people who have changed negatively in chronic disease risk factors, those who are compatible with drug therapy, and those who weaken chronic disease care. Women, sleep patterns deteriorate, family and social relations are more risky for mental health. The perceived general health of those who do not reach health care and weakened chronic disease care has deteriorated. Conclusion: Approximately half of individuals with chronic diseases experienced an increase in disease symptoms and complaints/new complaints during the pandemic period. The quality of chronic disease care has weakened during the COVID19 pandemic, and routine check-ups of patients have been disrupted due to fear of contamination, inability to make appointments and restrictions.

Keywords: Noncommunicable diseases; COVID-19; mental health; delivery of health care; services accessibility
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-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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