Acil Servis çalışanlarının anksiyete ve depresyon düzeylerinin değerlendirilmesi
Year 2021,
Volume: 2 Issue: 2, 118 - 123, 16.07.2021
Ahmet Tuğrul Zeytin
,
Şeyhmus Kaya
,
Davut Kaplan
,
Aslı Melek Zeytin
,
Filiz Kaya
Abstract
Giriş: Sağlık çalışanlarında psikolojik sıkıntılar toplumun diğer bireylerine göre daha sık görülmektedir. Acil tıp fiziksel ve duygusal olarak zorlu bir tıp branşıdır. Bu çalışmada acil servis profesyonellerinin anksiyete ve depresyon düzeyleri ve ilişkili faktörlerin tanımlanması amaçlanmıştır.
Yöntemler: Eskişehir Devlet Hastanesi ve Eskişehir Yunus Emre Devlet Hastanesi acil servislerinde çalışan sağlık profesyonelleri ile önceden acil serviste çalışmış ancak son bir yıldır acil servis dışında başka bir birimde çalışmaya devam eden sağlık profesyonelleri de karşılaştırma grubu olarak çalışmaya dahil edilmişdir. Demografik bilgiler, Beck Anksiyete Ölçeği ve Beck Depresyon Ölçeğini içeren form ile veri toplaması gerçekleştirilmiştir.
Bulgular: Sağlık profesyonelleri 75 kişilik vaka ve 75 kişilik karşılaştırma grubu olarak çalışmada yer almıştır. Acil servis çalışanları çalışma şartları (fiziksel şartlar ve çalışma saatleri) açısından incelendiğinde, depresyon düzeyleri çalışma şartlarından memnun olmayanlarda yüksek bulunmuştur (p=0,024). Vaka ve karşılaştırma gruplarında sözel ve fiziksel şiddete mağruz kalanların anksiyete düzeyleri, şiddete mağruz kalmayanlara göre yüksek bulunmuştur (vaka; p=0,006, karşılaştırma; p=0,003).
Sonuç: Acil servis çalışanlarında hafif düzeyde anksiyete ve depresyon izlenmektedir. Ancak sözel veya fiziksel şiddet ve çalışma şartlarının zorluğunun anksiyete ve depresyon üzerinde en etkili faktörler olduğu gözlemlenmiştir. Acil servis çalışanları için çalışma şartlarının düzenlenmesi ve sözel ve fiziki şiddet için önleyici çalışmaların planlanması gerekmektedir.
References
- Arora M, Asha S, Chinnappa J, Diwan AD. Review article: burnout in emergency medicine physicians. Emerg Med Australas. 2013 Dec;25(6):491-5.
- Fernandez-Parsons R, Rodriguez L, Goyal D. Moral distress in emergency nurses. J Emerg Nurs. 2013 Nov;39(6):547-52.
- Stathopoulou H, Karanikola MN, Panagiotopoulou F, Papathanassoglou ED. Anxiety levels and related symptoms in emergency nursing personnel in Greece. J Emerg Nurs. 2011 Jul;37(4):314-20.
- Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007 Apr 1;175(7):693-7.
- Kawano Y. Association of job-related stress factors with psychological and somatic symptoms among Japanese hospital nurses: effect of departmental environment in acute care hospitals. J Occup Health. 2008;50(1):79-85.
- Martin F, Poyen D, Bouderlique E, et al. Depression and Burnout in Hospital Health Care Professionals. Int J Occup Environ Health. 1997 Jul;3(3):204-209.
- Yıldırım A, Hacıhasanoğlu R. Quality of Life and Effective Variables Among Health Care Professionals. J Psy Nurs. 2011;2(2):61-68.
- Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988 Dec;56(6):893-7.
- Beck AT, Ward CH, Mehdelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71.
- Yang MS, Pan SM, Yang MJ. Job strain and minor psychiatric morbidity among hospital nurses in southern Taiwan. Psychiatry Clin Neurosci. 2004 Dec;58(6):636-41.
- Fagin L, Brown D, Bartlett H, Leary J, Carson J. The Claybury Community Psychiatric Nurse Stress Study: is it more stressful to work in hospital or the community? J Adv Nurs. 1995 Aug;22(2):347-58.
- Burbeck R, Coomber S, Robinson SM, Todd C. Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work. Emerg Med J. 2002 May;19(3):234-8.
- Tamagawa R, Lobb B, Booth R. Tolerance of shift work. Appl Ergon. 2007 Sep;38(5):635-42.
- Akerstedt T. Shift work and disturbed sleep/wakefulness. Occup Med (Lond). 2003 Mar;53(2):89-94.
- Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009 Dec;57(12):497-502
- Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci. 2008 Jun 15;11(12):1605-9.
- Garrett DK, McDaniel AM. A new look at nurse burnout: the effects of environmental uncertainty and social climate. J Nurs Adm. 2001 Feb;31(2):91-6.
- Kebapçı A, Akyolcu N. The effects of the work environment on nurse burnout in emergency department. Turk J Emerg Med. 2011;11(2):59-67.
- Al B, Yıldırım C, Togun İ, et al. Factors that affect patient satisfaction in emergency department. JAEM. 2009;8(1):39-44.
- Ayyıldız F, Başpınar İ, Ayyıldız A, et al. Satisfaction Levels of Patients Who Were Followed In Emergency Department And Evaluation Of The Factors That Impact The Outcome. Eskisehir Med J. 2021;2(1):1-5.
- Fernandes CM, Bouthillette F, Raboud JM, et al. Violence in the emergency department: a survey of health care workers. CMAJ. 1999 Nov 16;161(10):1245-8.
- Erickson L, Williams-Evans SA. Attitudes of emergency nurses regarding patient assaults. J Emerg Nurs. 2000 Jun;26(3):210-5.
- Şahin B, Gaygısız S, Balcı FM, et al. Violence against allied healthcare personnel in an emergency department. Turk J Emerg Med. 2011;11(3):110-4.
- Roldan GM, Salazar IC, Garrido L, et al. Violence at work and it relationship with burnout, depression and anxiety in healthcare professionals of the emergency departments. Health. 2013;5(2):193-9.
- Klungsøyr O, Nygård JF, Sørensen T, Sandanger I. Cigarette smoking and incidence of first depressive episode: an 11-year, population-based follow-up study. Am J Epidemiol. 2006 Mar 1;163(5):421-32.
- Morissette SB, Tull MT, Gulliver SB, Kamholz BW, Zimering RT. Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychol Bull. 2007 Mar;133(2):245-72.
- Mykletun A, Overland S, Aarø LE, Liabø HM, Stewart R. Smoking in relation to anxiety and depression: evidence from a large population survey: the HUNT study. Eur Psychiatry. 2008 Mar;23(2):77-84.
AN EVALUATION FOR THE ANXIETY AND DEPRESSION LEVELS OF EMERGENCY MEDICINE PROFESSIONALS
Year 2021,
Volume: 2 Issue: 2, 118 - 123, 16.07.2021
Ahmet Tuğrul Zeytin
,
Şeyhmus Kaya
,
Davut Kaplan
,
Aslı Melek Zeytin
,
Filiz Kaya
Abstract
Introduction: Psychological problems occur higher among medical staff than the other members of society. Emergency medicine is a highly difficult branch both physically and emotionally. In this study, it is aimed to identify anxiety and depression levels and related factors of emergency medicine professionals.
Methods: Eskisehir State Hospital and Eskisehir Yunus Emre State Hospital emergency medicine professionals and, health professionals who had previously work in the emergency department but continued to work in a unit other than the emergency department for the past year were also included in this study as a comparison group. Data collection was carried out with a form containing demographic information, Beck Anxiety Inventory and Beck Depression Inventory.
Results: Health professionals took part in this study as 75 cases and 75 comparison groups. When emergency medicine professionals were examined in terms of working conditions(physical conditions and working hours), depression levels found to be higher in those who were not satisfied with their working conditions(p=0,024). In case and comparison groups, the anxiety levels of participants who have been subjected to verbal or physical violence has been determined higher than the participants who have not been subjected to verbal or physical violence (case group p=0,006, comparison group p=0,003).
Conclusion: A mild level of anxiety and depression is observed in emergency medicine professionals. However, verbal and physical violence and working conditions were observed to be the most effective factors on anxiety and depression. It is necessary to regulate working conditions for emergency medicine professionals and to plan preventive studies for verbal and physical violence.
References
- Arora M, Asha S, Chinnappa J, Diwan AD. Review article: burnout in emergency medicine physicians. Emerg Med Australas. 2013 Dec;25(6):491-5.
- Fernandez-Parsons R, Rodriguez L, Goyal D. Moral distress in emergency nurses. J Emerg Nurs. 2013 Nov;39(6):547-52.
- Stathopoulou H, Karanikola MN, Panagiotopoulou F, Papathanassoglou ED. Anxiety levels and related symptoms in emergency nursing personnel in Greece. J Emerg Nurs. 2011 Jul;37(4):314-20.
- Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007 Apr 1;175(7):693-7.
- Kawano Y. Association of job-related stress factors with psychological and somatic symptoms among Japanese hospital nurses: effect of departmental environment in acute care hospitals. J Occup Health. 2008;50(1):79-85.
- Martin F, Poyen D, Bouderlique E, et al. Depression and Burnout in Hospital Health Care Professionals. Int J Occup Environ Health. 1997 Jul;3(3):204-209.
- Yıldırım A, Hacıhasanoğlu R. Quality of Life and Effective Variables Among Health Care Professionals. J Psy Nurs. 2011;2(2):61-68.
- Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988 Dec;56(6):893-7.
- Beck AT, Ward CH, Mehdelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71.
- Yang MS, Pan SM, Yang MJ. Job strain and minor psychiatric morbidity among hospital nurses in southern Taiwan. Psychiatry Clin Neurosci. 2004 Dec;58(6):636-41.
- Fagin L, Brown D, Bartlett H, Leary J, Carson J. The Claybury Community Psychiatric Nurse Stress Study: is it more stressful to work in hospital or the community? J Adv Nurs. 1995 Aug;22(2):347-58.
- Burbeck R, Coomber S, Robinson SM, Todd C. Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work. Emerg Med J. 2002 May;19(3):234-8.
- Tamagawa R, Lobb B, Booth R. Tolerance of shift work. Appl Ergon. 2007 Sep;38(5):635-42.
- Akerstedt T. Shift work and disturbed sleep/wakefulness. Occup Med (Lond). 2003 Mar;53(2):89-94.
- Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009 Dec;57(12):497-502
- Ardekani ZZ, Kakooei H, Ayattollahi SM, Choobineh A, Seraji GN. Prevalence of mental disorders among shift work hospital nurses in Shiraz, Iran. Pak J Biol Sci. 2008 Jun 15;11(12):1605-9.
- Garrett DK, McDaniel AM. A new look at nurse burnout: the effects of environmental uncertainty and social climate. J Nurs Adm. 2001 Feb;31(2):91-6.
- Kebapçı A, Akyolcu N. The effects of the work environment on nurse burnout in emergency department. Turk J Emerg Med. 2011;11(2):59-67.
- Al B, Yıldırım C, Togun İ, et al. Factors that affect patient satisfaction in emergency department. JAEM. 2009;8(1):39-44.
- Ayyıldız F, Başpınar İ, Ayyıldız A, et al. Satisfaction Levels of Patients Who Were Followed In Emergency Department And Evaluation Of The Factors That Impact The Outcome. Eskisehir Med J. 2021;2(1):1-5.
- Fernandes CM, Bouthillette F, Raboud JM, et al. Violence in the emergency department: a survey of health care workers. CMAJ. 1999 Nov 16;161(10):1245-8.
- Erickson L, Williams-Evans SA. Attitudes of emergency nurses regarding patient assaults. J Emerg Nurs. 2000 Jun;26(3):210-5.
- Şahin B, Gaygısız S, Balcı FM, et al. Violence against allied healthcare personnel in an emergency department. Turk J Emerg Med. 2011;11(3):110-4.
- Roldan GM, Salazar IC, Garrido L, et al. Violence at work and it relationship with burnout, depression and anxiety in healthcare professionals of the emergency departments. Health. 2013;5(2):193-9.
- Klungsøyr O, Nygård JF, Sørensen T, Sandanger I. Cigarette smoking and incidence of first depressive episode: an 11-year, population-based follow-up study. Am J Epidemiol. 2006 Mar 1;163(5):421-32.
- Morissette SB, Tull MT, Gulliver SB, Kamholz BW, Zimering RT. Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychol Bull. 2007 Mar;133(2):245-72.
- Mykletun A, Overland S, Aarø LE, Liabø HM, Stewart R. Smoking in relation to anxiety and depression: evidence from a large population survey: the HUNT study. Eur Psychiatry. 2008 Mar;23(2):77-84.