Kahramanmaraş depremi sonrası psikososyal destek biriminden danışmanlık alan sağlık çalışanlarının travma sonrası stres bozukluğu verilerinin retrospektif değerlendirilmesi

Year 2023, , 753 - 759, 30.12.2023

Betül Uyar , Barış Can Salman Selma Aydar Gülistan Batıhan Kübra Savğa Berna Balıkçı , Hüseyin Baran , Ezgi Çankaya İnan , Ayça Arslan Mehmet Gunes , Mehmet Cemal Kaya , Mahmut Bulut

https://doi.org/10.18663/tjcl.1384085

Abstract

Amaç: Sağlık çalışanları felaket dönemlerinde diğer insanlara yardım ederken ihmal edilen bir meslek grubu gibi görünmektedir. Bu çalışmada Kahramanmaraş Depremi sonrasında sağlık çalışanlarının Travma Sonrası Stres Bozukluğu (TSSB) düzeyleri ile risk faktörlerinin belirlenmesi amaçlandı.
Gereç ve Yöntemler: Dicle Üniversitesi Hastanesi çalışan, 6 Şubat Kahramanmaraş depremi sonrası psikososyal destek ünitesine başvuran sağlık çalışanlarının sosyodemografik, klinik, Ulusal Stresli Olaylar Araştırması Kısa Ölçeği (NSESSS) ASB ve TSSB verileri geriye dönük olarak incelendi. Çalışmamıza depremi sonrası ilk 30 gün ve ikinci 30 günde iki kez değerlendirmeye alınan 102 kişinin verileri dahil edildi.
Bulgular: Katılımcıların yaş ortalaması 32,70±8,26 yıldı. %52'si kadın, %49'u evliydi ve %42,2'sinin çocuk sahibiydi. %38,2'si hekim, %35,3'ü hemşire ve %26,5'i diğer sağlık çalışanıydı. TSSB skorları çocuğu olanlarda olamaynalara göre, heşmşirelerde doktorlara göre, psikiyatrik özgeçmişi olanlarda olmayanlara göre anlamlı düzeyde yüksekti. Cinsiyet, medeni durum, psikiyatrik soygeçmişin ise ölçek skorlarına anlamlı etkisi yoktu. Basit doğrusal regresyon analizine göre ASB puanları TSSB puanlarını %40,6 yordamaktaydı.
Sonuçlar: Yüksek NSESSS-ASB skorları, çocuk sahibi olmak, hemşire olmak, psikiyatrik özgeçmişi olmak sağlık çalışanlarında TSSB geliştirmek için risk faktörleri olarak bulundu. Daha geniş örneklemli, daha uzun takip süreli çalışmalarla sağlık çalışanlarında TSSB için risk grupları tespit edilmeli ve koruyucu önlemler alınmalıdır.

Keywords

Travma Sonrası Stres Bozukluğu, Akut Stres Bozukluğu, Sağlık Çalışanları, Psikolojik Travma, Deprem

Retrospective Evaluation of Post-Traumatic Stress Disorder Data of Healthcare Workers Who Received Counseling from Psychosocial Support Unit After the Kahramanmaraş Earthquake

Abstract

Aim: Healthcare workers seem to be a neglected professional group when helping other people during disasters. This study aimed to determine the Post-Traumatic Stress Disorder(PTSD) levels of healthcare workers and the risk factors for PTSD after the Kahramanmaraş Earthquake.
Material and Methods: Sociodemographic, clinical, National Stressful Events Survey Short Scale(NSESSS) ASD and PTSD data of healthcare professionals working at Dicle University Hospital who applied to the psychosocial support unit after the February 6 Kahramanmaraş earthquake were examined retrospectively. Data from 102 people who were evaluated twice in the first and second 30 days after the earthquake were included in our study.
Results: Participants' mean age was 32.70±8.26 years. 52% of the participants were women, 49% were married, and 42.2% had a child/children. The rates of professions were distributed as follows: 38.2% physician, 35.3% nurse, and 26.5% other healthcare workers. PTSD scores were significantly higher in those with children than in those without, in nurses than in doctors, and in those with a psychiatric history than in those without. Gender, marital status, and psychiatric family history did not significantly affect the scale scores. According to simple linear regression analysis, ASD scores predicted PTSD scores %40.6.
Conclusion: High NSESSS-ASD scores, having a child/children, being a nurse, and having a psychiatric history were found to be risk factors for developing PTSD in healthcare workers. Risk groups for PTSD in healthcare workers should be identified through studies with larger samples and more extended follow-up periods, and protective measures should be taken.

Keywords

Post-Traumatic Stress Disorder, Acute Stress Disorder, Healthcare Workers, Psychological Trauma, Earthquake

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