Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
COVID-19 Salgınının Sağlık Çalışanlarında İkincil Travmatik Strese ve Uyku Kalitesi Üzerine Etkisi
The Effect of COVID-19 Outbreak on Secondary Traumatic Stress and Sleep Quality in Healthcare Workers
Ezgi DEMİRTÜRK SELÇUKa, Birsel Canan DEMİRBAĞb
aErzincan Binali Yıldırım Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Erzincan, TÜRKİYE
bKaradeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Halk Sağlığı Hemşireliği ABD, Trabzon, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(3):533-43
doi: 10.5336/nurses.2020-79415
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmanın amacı, sağlık çalışanlarında koronavirüs salgınının ikincil travmatik stres ve uyku kalitesiyle ilişkisini incelemektir. Gereç ve Yöntemler: Tanımlayıcı olarak planlanan bu araştırmanın evrenini, Türkiye'deki 1, 2 ve 3. basamak sağlık hizmetlerinde görev yapan sağlık çalışanları oluşturmuştur. Araştırmada, kartopu örneklem seçim yöntemi kullanılmış ve araştırmaya katılmayı gönüllü olarak kabul eden sağlık çalışanları araştırma kapsamına alınmıştır. Veriler, kişisel bilgi formu, İkincil Travmatik Stres Ölçeği ve Pittsburgh Uyku Kalitesi İndeksi kullanılarak toplanmıştır. Verilerin tanımlayıcı istatistikleri frekans, yüzde, ortalama, standart sapma, medyan, minimum, maksimum olarak verilmiştir. İstatistiksel karşılaştırmalar için ANOVA, Kruskal-Wallis, Mann-Whitney U testi ve Spearman korelasyon analizi kullanılmıştır. Araştırmadan elde edilen veriler, SPSS (Statistical Package for Social Science) 22.0 istatistik programıyla analiz edilmiştir. Bulgular: Çalışmaya katılan sağlık çalışanların %45,2'si 31-40 yaşında, %77,6'sı kadın, %61,1'i lisans mezunu, %76,2'si hemşire/ebe, %64,4'ü evli, %43,9'unun çocuğu yok, %65'i eşi ve çocuklarıyla birlikte yaşamaktadır. Sağlık çalışanlarının %39,6'sı koronavirüs hastalığı-2019 [coronavirus disease-2019] (COVID-19)] testi pozitif çıkan hastaya bakım vermiş ve %9,2'sine COVID-19 tanısı konulmuştur. Sağlık çalışanlarının Pittsburgh Uyku Kalitesi İndeksi toplam puan ortalamalarının 8,84±3,58 olduğu saptanmıştır. Araştırmada çalışanların ikincil travmatik stres ölçeği puan ortalaması 45,01±15,51 olarak bulunmuştur. Sonuç: Bu çalışmayla bu grubun, uykusuzluk ve ikincil travmatik streslerinin yüksek olduğu tespit edilmiştir. Çalışmanın sonuçları doğrultusunda pandemi döneminde sağlık çalışanlarının çalışma saatlerinin planlanmasının çok dikkatli yapılması ve sirkülasyon yöntemiyle COVID-19 hastalarına bakmaları önerilebilinir.

Anahtar Kelimeler: COVID-19; uyku; stres bozuklukları; post travmatik
ABSTRACT
 Objective: The aim of this study is to examine the relationship between the coronavirus epidemic and secondary traumatic stress and sleep quality in healthcare workers. Material and Methods: The universe of this descriptive and cross-sectional study; in Turkey the primary care, health care workers who were working in secondary and tertiary health care services has joined. The snowball sampling method was used in the study, and healthcare workers who voluntarily accepted to participate in the study were included in the study. The data were collected using a personal information form, Secondary Traumatic Stress Scale, and Pittsburgh Sleep Quality Index (PSQI). Descriptive statistics of the data are given as frequency, percentage, mean, standard deviation, median, minimum, maximum. ANOVA, Kruskal-Wallis, Mann-Whitney U test and Spearman correlation analysis were used for statistical comparisons. The data obtained from the research were analyzed with SPSS (Statistical Package for Social Science) 22.0 statistics program. Results: Health workers participating in the study was 45.2% are 31-40 years old, 77.6% are women, 61.1% are undergraduate, 76.2% are nurses/midwives, 64.4% are married, 43.9% have no children, 65% are with their spouses and children live together. 39.6% of the healthcare professionals provided care to the patient who had a positive coronavirus disease-2019 (COVID-19) test, and 9.2% were diagnosed with COVID-19. It was determined that the PSQI total score mean of healthcare workers was 8.84±3.58. The secondary traumatic stress scale mean score of the employees in the study was found to be 45.01±15.51. Conclusion: The pandemic period causes psychological and physical disorders in healthcare workers. This study found that this group had high levels of insomnia and secondary traumatic stress. Considering that employees with this condition may make much more mistakes and experience burnout, it may be recommended to plan their working hours very carefully in line with the results of this study and to take care of COVID-19 patients with the circulation method.

Keywords: COVID-19; sleep; stress disorders; post-traumatic
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