Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Dyspnea Severity, COVID-19 Fear, and Death Anxiety Levels in COPD Patients Admitted to the Emergency Department: Descriptive and Relationship-Seeking Study
Acil Servise Başvuran KOAH Hastalarının Dispne Şiddeti ile COVID-19 Korkusu ve Ölüm Kaygısı Düzeyi Arasındaki İlişki: Tanımlayıcı-İlişki Arayıcı Çalışma
Şeyma GÖRPÜZa , Aygül KISSALb
aTokat Gaziosmanpaşa University Institute of Graduate Studies, Department of Emergency Medicine Nursing, Tokat, Türkiye
bTokat Gaziosmanpaşa University Faculty of Health Science, Department of Nursing, Division of Public Health Nursing, Tokat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):247-56
doi: 10.5336/nurses.2022-94887
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to evaluate the association between dyspnea severity, COVID-19 fear, and death anxiety levels in individuals diagnosed with chronic obstructive pulmonary disease (COPD). Material and Methods: This descriptive relationshipseeking study was conducted with 144 patients aged 40 years and older who were admitted to a state hospital emergency department with a diagnosis of COPD. The data were collected using a personal information form, the Medical Research Council (MRC) dyspnea scale, COPD assessment Test-CAT, Death Anxiety Scale (DAS), and Coronavirus Fear Scale (FCV-19S). Results: The mean age of the individuals was 66.39 ± 9.72. The fear of death was severe in 52 patients (36.1%) and mild in 48 patients (33.3%). The difference between DAS and FCV-19S was statistically significant according to the severity of COPD, frequency of admission to hospital, presence of other chronic diseases, ability to meet physical needs, diagnosis of COVID-19, and anxiety levels related to COVID-19 transmission (p<0.05). DAS and FCV-19S increased in accordance with the severity of dyspnea. As the level of death anxiety increased from mild to severe, the mean score of the FCV-19S increased accordingly. Conclusion: The majority of COPD patients (69.4%) experience moderate or higher fear of death and their COVID-19 fear levels are at high levels. COPD patients with severe dyspnea, female patients, and those with additional chronic diseases should be evaluated in terms of death anxiety and fear of COVID-19. Additionally, they should be provided with the necessary psychological support.

Keywords: Chronic obstructive pulmonary disease; attitude to death; fear; COVID-19
ÖZET
 Amaç: Bu çalışma KOAH tanısı alan bireylerde dispne şiddeti ile COVID-19 korkusu ve ölüm kaygısı düzeyleri arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Materyal ve Metod: Tanımlayıcı-ilişki arayıcı nitelikteki bu araştırma bir devlet Hastanesinin acil servisine KOAH tanısı ile başvuran 40 yaş ve üzeri 144 hasta ile yürütülmüştür. Veriler kişisel bilgi formu, Medical Research Council (MRC) Dispne Skalası, KOAH Değerlendirme Testi-CAT, Ölüm Kaygısı Ölçeği ve Koronavirüs Korku Ölçeği ile toplanmıştır. Bulgular: Bireylerin yaş ortalaması 66.39 ± 9.72'dir. Çalışmada 52 hastanın (%36.1) ölüm korkusu düzeyinin şiddetli, 48 hastanın (%33.3) ise hafif düzeyde olduğu tespit edilmiştir. KOAH derecesi, hastaneye başvuru sıklığı, başka kronik bir hastalığın varlığı, fiziksel ihtiyaçlarını karşılayabilme durumu, COVID-19 tanısı alma ve COVID-19 bulaşması ile ilgili kaygı düzeylerine göre ölüm kaygısı ve COVID19 korkusu puanları arasındaki fark istatiksel olarak anlamlı bulunmuştur (p<0.05). Dispne şiddetine göre ölüm kaygısı ve COVID-19 korkusu puanları artış göstermiştir. Ölüm kaygısı düzeyi arttıkça (hafiften ağıra doğru) COVID-19 korkusu ölçeği puan ortalaması artmıştır. Sonuç: KOAH hastalarının çoğunluğu (%69.4) orta düzey ve üzeri ölüm korkusu yaşamaktadır. COVID-19 korku düzeyleri yüksektir. Dispne şiddeti yüksek, kadın ve ek kronik hastalığı olan KOAH'lı hastaların ölüm kaygısı ve COVID-19 korkusu yönünden değerlendirilmesi, bu gruba gerekli ruhsal desteğin sağlanması önerilmektedir.

Anahtar Kelimeler: Kronik obstrüktif akciğer hastalığı; ölüm düşüncesi; korku; COVID-19
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-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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