Covid-19 Pandemisinin Neden Olduğu Obstetrik ve Jinekoloji Uzmanlari Üzerindeki Psikososyal Yükler. Bir Ölçek Çalışması

Year 2024, Volume: 34 Issue: 1, 57 - 64, 29.02.2024

Mete Can Ateş , Abdül Hamid Güler , Ersin Çintesun , Fazıl Avcı , Ahmet Bilgi , Memduha Aydın , Cetin Celik

https://doi.org/10.54005/geneltip.1343015

Abstract

Giriş: Yeni koronavirüs enfeksiyonu (COVID-19) dünya çapında pandemiye neden olmuştur. Pandemi, sağlık çalışanları üzerinde ağır bir psikolojik yük oluşturmuştur. Obstetrik ve jinekoloji alanındaki sağlık hizmeti sağlayıcıları da benzer zorluklarla karşı karşıya kalmıştır.
Amaç: Bu çalışma, obstetrik ve jinekoloji uzmanlarının COVID-19 pandemisinden kaynaklanan psikososyal yüklerini ve endişelerini incelemiştir.
Yöntemler: Çalışmanın katılımcıları obstetrik ve jinekoloji uzmanlarından oluşmuştur. Katılımcılara kartopu örnekleme tekniği kullanılarak sosyal medya üzerinden ulaşılmıştır. Bu bir anket ve ölçek çalışmasıdır. Anket araştırmacılar tarafından oluşturulmuştur. Ankette katılımcıların demografik özellikleri ve COVID-19 pandemisinin yol açtığı sorunlar sorgulanmıştır. Ayrıca katılımcılara Maslach Tükenmişlik Envanteri, Koronavirüs Kaygı Ölçeği ve Depresyon Kaygı Stres Ölçeği-21 olmak üzere üç farklı ölçek uygulanmıştır.
Bulgular: Maslach Tükenmişlik Envanteri Kişisel Başarı ve Maslach Genel Tükenmişlik Envanteri için istatistiksel olarak anlamlı fark bulunmuştur. Pandemi hastanelerinde çalışan katılımcıların Maslach Tükenmişlik Envanteri Duyarsızlaşma ve Koronavirüs Kaygı Ölçeği puanları, bu hastanelerde çalışmayanlara göre istatistiksel olarak anlamlı derecede yüksektir. MANOVA sonuçlarına göre bağımsız değişkenler Maslach Tükenmişlik Envanteri Genel ölçeğindeki varyansın %35'ini, Koronavirüs Kaygı Ölçeği'ndeki %51'ini ve Depresyon Kaygısı Stres Ölçeği genelindeki varyansın %53'ünü açıklamaktadır.
Sonuç: Kadın doğum ve jinekolojik hizmetler sunan sağlık personeli, COVID-19 pandemisi sırasında kendine özel zorlukların yanında diğer sağlık çalışanlarının yaşadığı zorluklarla da karşılaşmıştır.

Keywords

COVID-19, Koronavirüs Kaygı Ölçeği, Maslach Tükenmişlik Ölçeği Depresyon Kaygı Stres Ölçeği-21, Kadın Hastalıkları ve Doğum Uzmanları

Psychosocial Loads Caused by Covid-19 Pandemic on Obstetricians and Gynecologists. A Scale Study

Abstract

Introduction: The novel coronavirus infection (COVID-19) has caused a worldwide pandemic. The pandemic created a heavy psychological burden on healthcare workers. Healthcare providers in obstetrics and gynecology faced similar challenges.
Aim: This study studied obstetricians' and gynecologists' psychosocial burdens and concerns due to the COVID-19 pandemic.
Methods: Participants of the study consisted of obstetricians and gynecologists. They reached through social media using the snowball sampling technique. This is a survey and scale study. The researchers created the survey. The survey questioned the demographic characteristics of the participants and the problems caused by the COVID-19 pandemic. In addition, three different scales were applied to the participants: Maslach Burnout Inventory, Coronavirus Anxiety Scale, and Depression Anxiety Stress Scale-21.
Results: The statistically significant difference was found for Maslach Burnout Inventory Personal Achievement and Maslach Burnout Inventory General. Maslach Burnout Inventory Depersonalization and Coronavirus Anxiety Scale scores of the participants working in pandemic hospitals were statistically significantly higher than those not working in these hospitals. According to the MANOVA results, independent variables explained 35% of the variance in the Maslach Burnout Inventory General scale, 51% in the Coronavirus Anxiety Scale, and 53% in the overall Depression Anxiety Stress Scale.
Conclusion: Healthcare personnel who provide obstetric and gynecologic services have faced unique challenges during the COVID-19 pandemic, and to the difficulties experienced by other healthcare workers.

Keywords

COVID-19, Coronavirus Anxiety Scale, Maslach Burnout Inventory Depression Anxiety Stress Scale-21, Obstetricians and Gynecologists

References

• Umazume T, Miyagi E, Haruyama Y, Obata S, Kobashi G, Kurasawa K, et al. The physical and mental burden on obstetricians and gynecologists during the COVID-19 pandemic: A September 2020 questionnaire study. J Obstet Gynaecol Res. 2021 Sep;47(9):3001–7.
• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw open. 2020 Mar;3(3):e203976.
• da Silva FCT, Neto MLR. Psychiatric symptomatology associated with depression, anxiety, distress, and insomnia in health professionals working in patients affected by COVID-19: A systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan;104:110057.
• Marton G, Vergani L, Mazzocco K, Garassino MC, Pravettoni G. 2020s Heroes Are Not Fearless: The Impact of the COVID-19 Pandemic on Wellbeing and Emotions of Italian Health Care Workers During Italy Phase 1. Front Psychol. 2020;11:588762.
• Giusti EM, Pedroli E, D’Aniello GE, Stramba Badiale C, Pietrabissa G, Manna C, et al. The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study. Front Psychol. 2020;11:1684.
• Bourne T, Shah H, Falconieri N, Timmerman D, Lees C, Wright A, et al. Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study. BMJ Open. 2019 Nov;9(11):e030968.
• Slade P, Balling K, Sheen K, Goodfellow L, Rymer J, Spiby H, et al. Work-related post-traumatic stress symptoms in obstetricians and gynaecologists: findings from INDIGO, a mixed-methods study with a cross-sectional survey and in-depth interviews. BJOG. 2020 Apr;127(5):600–8.
• Alfieri N, Manodoro S, Marconi AM. COVID-19 does not stop obstetrics: what we need to change to go on safely birthing. The experience of a University Obstetrics and Gynecology Department in Milan. J Perinat Med. 2020 Nov;48(9):997–1000.
• Del Piccolo L, Donisi V, Raffaelli R, Garzon S, Perlini C, Rimondini M, et al. The Psychological Impact of COVID-19 on Healthcare Providers in Obstetrics: A Cross-Sectional Survey Study. Front Psychol. 2021;12:632999.
• Adhikari EH, Moreno W, Zofkie AC, MacDonald L, McIntire DD, Collins RRJ, et al. Pregnancy Outcomes Among Women With and Without Severe Acute Respiratory Syndrome Coronavirus 2 Infection. JAMA Netw open. 2020 Nov;3(11):e2029256.
• Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397–422.
• Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335–43.
• Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Vol. 20, International journal of mental health and addiction. 2022. p. 1537–45.
• Gunasekera A, Berg L, Sekar H, Patra-Das S, Clarke S, Yoong W. Did the COVID-19 pandemic affect mental health, training progression, and fertility planning of obstetrics and gynecology trainees? A survey of London trainees. J Obstet Gynaecol Res. 2022 Apr;48(4):1026–32.
• Pang Y, Li M, Robbs C, Wang J, Jain SF, Ticho B, et al. Risk factors for mental health symptoms during the COVID-19 pandemic in ophthalmic personnel and students in USA (& Canada): a cross-sectional survey study. BMC Psychiatry. 2021;21(1):528.
• Pascoe A, Paul E, Johnson D, Putland M, Willis K, Smallwood N. Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021 Dec;18(24).
• Torjesen I. Covid-19: Doctors need proper mental health support, says BMA. BMJ. 2020 Jun;369:m2192.
• Thakrar A, Raheem A, Chui K, Karam E, Wickramarachchi L, Chin K. Trauma and orthopaedic team members’ mental health during the COVID-19 pandemic: results of a UK survey. Bone Jt open. 2020 Jun;1(6):316–25.
• Shah N, Raheem A, Sideris M, Velauthar L, Saeed F. Mental health amongst obstetrics and gynaecology doctors during the COVID-19 pandemic: Results of a UK-wide study. Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:90–4.
• Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C, et al. A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int J Environ Res Public Health. 2020 May;17(9).
• Kessler RC, Demler O, Frank RG, Olfson M, Pincus HA, Walters EE, et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005 Jun;352(24):2515–23.
• Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol. 2020 Aug;223(2):240.e1-240.e9.
• Umazume T, Miyagi E, Haruyama Y, Kobashi G, Saito S, Hayakawa S, et al. Survey on the use of personal protective equipment and COVID-19 testing of pregnant women in Japan. J Obstet Gynaecol Res. 2020 Oct;46(10):1933–9.
• Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020 Aug;290:113129.
• Yao Y, Tian Y, Zhou J, Diao X, Cao B, Pan S, et al. Psychological Status and Influencing Factors of Hospital Medical Staff During the COVID-19 Outbreak. Front Psychol. 2020;11:1841.