Covid -19 Salgın Sürecinde Hemşirelik Öğrencilerinde Bilişsel Kontrol ve Esneklik ile Anksiyete: Kesitsel Bir Çalışma

Yıl 2022, Cilt: 4 Sayı: 4, 324 - 331, 20.12.2022

Burcu Bayrak Kahraman , Sevinç Mersin , Aysun Acun

Öz

Amaç: Hemşirelik öğrencilerinin COVID-19 pandemi sürecinde bilişsel kontrol ve esneklik düzeylerinin değerlendirilmesi, pandemi ile baş etme becerilerini artırma ve kaygılarını azaltmada ilk adım olabilir. Bu çalışma, hemşirelik öğrencilerinde COVID-19 sürecinde bilişsel kontrol ile esneklik ve anksiyete düzeyleri arasındaki ilişkileri belirlemek amacıyla yapılmıştır.
Yöntem: Araştırma 275 hemşirelik öğrencisi ile yürütülmüştür. Veriler bilgi formu, Bilişsel Kontrol ve Esneklik Anketi ve Yaygın Anksiyete Bozukluğu-7 Ölçeği kullanılarak toplanmıştır.
Bulgular: Katılımcıların Bilişsel Kontrol ve Esneklik Anketi ortalamaları 84.40±14.81, Genelleştirilmiş Anksiyete Bozukluğu-7 puan ortalamaları 7.86±4.66 olarak bulundu. Bilişsel Kontrol ve Esneklik Anketi ortalamaları ile Genelleştirilmiş Anksiyete Bozukluğu-7 puanları arasında negatif yönde anlamlı bir ilişkiolduğu sonucuna ulaşıldı. Bilişsel Kontrol ve Esneklik Anketi puanlarının duygu üzerinde bilişsel kontrolü erkeklerde anlamlı düzeyde yüksekken, kadınlarda genelleştirilmiş anksiyete bozukluğu-7 Ölçeği puan ortalaması anlamlı olarak daha yüksek belirlendi.
Sonuç: Araştırmada öğrencilerin bilişsel kontrol ve esneklik düzeyleri ile genel anksiyete düzeyleri arasında negatif yönde anlamlı bir ilişki olduğu sonucuna varılmıştır. Hemşirelik öğrencilerinin ve hemşirelerin Covid-19 pandemisi ile baş etmede bilişsel kontrol ve esneklik düzeylerini artırmaya yönelik müdahaleler önerilebilir.

Anahtar Kelimeler

COVID-19 pandemisi, bilişsel kontrol, esneklik, kaygı, hemşirelik öğrencileri

Cognitive Control and Flexibility and Anxiety in The Times of The COVID-19 Pandemic in Nursing Students: a cross-sectional study

Öz

Aim: Evaluating nursing students' cognitive control and flexibility levels during the COVID-19 pandemic may be the first step in increasing their ability to cope with the pandemic and reducing their anxiety. This study was conducted to determine the relationships between cognitive control and flexibility and anxiety in the times of the COVID-19 pandemic in nursing students.
Methods: The study was conducted with 275 nursing students. Data were collected using an information form, the Cognitive Control and Flexibility Questionnaire and the Generalized Anxiety Disorder-7 Scale.
Results: The participants mean Cognitive Control and Flexibility Questionnaire and Generalized Anxiety Disorder-7 scores were found as 84.40±14.81, 7.86±4.66, respectively. There was a negative significant relationship between the mean Cognitive Control and Flexibility Questionnaire, and Generalized Anxiety Disorder-7 scores. The male had significantly higher the cognitive control over emotion sub-dimension of the Cognitive Control and Flexibility Questionnaire scores, while female had significantly higher the Generalized Anxiety Disorder-7 Scale.
Conclusions: In the study, it was concluded that there was a negative significant relationship between the cognitive control and flexibility levels of the students and their generalized anxiety levels. It can be suggested that interventions to increase the cognitive control and flexibility levels of nursing students and nurses to cope with the Covid-19 pandemic.

Anahtar Kelimeler

COVID-19 pandemic, cognitive control, flexibility, anxiety, nursing students

Kaynakça

• Açıksöz, S., Uzun, Ş., & Arslan, F. (2016). Hemşirelik öğrencilerinde öz yeterlilik algısı ile klinik uygulamaya ilişkin kaygı ve stres durumu arasındaki ilişkinin incelenmesi. Gülhane Tıp Dergisi, 58(2), 129-135. doi: 10.5455/gulhane. 169643
• Akkaya, G., Gümüş, A. B., & Akkuş, Y. (2018). Hemşirelik Öğrencilerinin Eğitim Stresini Etkileyen Faktörlerin Belirlenmesi. Hemşirelikte Eğitim Ve Araştırma Dergisi, 15(4), 202-208.
• Akman, Ö., Yıldırım, D., & Sarıkaya, A. (2020). The Effect of COVID-19 Pandemic on Nursing Students’ Anxiety Levels. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (12), 379-397. doi: https://doi.org/10.38079/igusabder.757110
• Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in clinical neuroscience, 19(2), 93. doi: 10.31887/DCNS.2017.19.2/bbandelow
• Arabacı, L. B., Korhan, E. A., Tokem, Y., & Torun, R. (2015). Hemşirelik birinci sınıf öğrencilerinin ilk klinik deneyim öncesi-sırası ve sonrası anksiyete ve stres düzeyleri ve etkileyen faktörler. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2(1), 1-16.
• Bertiz, Y., & Karoglu, A. K. (2020). Distance education students’ cognitive flexibility levels and distance education motivations. International Journal of Research in Education and Science, 6(4), 638-648. doi: https://doi.org/10.46328/ijres.v6i4.1022
• Braem, S., & Egner, T. (2018). Getting a grip on cognitive flexibility. Current directions in psychological science, 27(6), 470-476. doi: 10.1177/0963721418787475
• Burtscher, J., Burtscher, M., & Millet, G. P. (2020). (Indoor) isolation, stress, and physical inactivity: Vicious circles accelerated by COVID‐19?. Scandinavian journal of medicine & science in sports, 30(8), 1544-1545. https://doi.org/10.1111/sms.13706
• Chen, X., He, J., & Fan, X. (2019). Relationships between openness to experience, cognitive flexibility, self-esteem, and creativity among bilingual college students in the US. International Journal of Bilingual Education and Bilingualism, 1-13. doi: 10.1080/13670050.2019.1688247
• Demirtaş, A. S. (2019). Stresli durumlarda bilişsel kontrol ve bilişsel esneklik: Bir ölçek uyarlama çalışması. Psikoloji Çalışmaları, 39(2), 345-368. doi: 10.26650/SP2019-0028
• Gabrys, R. L., Tabri, N., Anisman, H., & Matheson, K. (2018). Cognitive control and flexibility in the context of stress and depressive symptoms: The cognitive control and flexibility questionnaire. Frontiers in Psychology, 9, 2219. https://doi.org/10.3389/fpsyg.2018.02219
• Halpin, S. J., McIvor, C., Whyatt, G., Adams, A., Harvey, O., McLean, L., Walshaw, C., Kemp, S., Corrado, J., Singh, R., Collins, R., O'Connor, R. J., & Sivan, M. (2021). Postdischarge symptoms and rehabilitation needs in survivors of COVID‐19 infection: A cross‐sectional evaluation. Journal of medical virology, 93(2), 1013-1022. doi: 10.1002/jmv.26368
• Han, D. H., Park, H. W., Kee, B. S., Na, C., Na, D. H. E., & Zaichkowsky, L. (2011). Performance enhancement with low stress and anxiety modulated by cognitive flexibility. Psychiatry investigation, 8(3), 221.
• Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H., & Zhu, J. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, 100424. doi: 10.1016/j.eclinm.2020.100424
• Islam, M. S., Ferdous, M. Z., & Potenza, M. N. (2020). Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. Journal of affective disorders, 276, 30-37. doi: 10.1016/j.jad.2020.06.049
• Kalkan Uğurlu, Y., Mataracı Değirmenci, D., Durgun, H., & Gök Uğur, H. (2021). The examination of the relationship between nursing students' depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID‐19 social isolation process. Perspectives in Psychiatric Care, 57(2), 507-516. https://doi.org/10.1111/ppc.12703
• Kang, Y. J. (2020). Lessons learned from cases of COVID-19 infection in South Korea. Disaster medicine and public health preparedness, 1-8. doi: https://doi.org/10.1017/dmp.2020.141
• Knowles, K. A., & Olatunji, B. O. (2021). Anxiety and safety behavior usage during the COVID-19 pandemic: The prospective role of contamination fear. Journal of anxiety disorders, 77, 102323. doi: 10.1016/j.janxdis.2020.102323
• Konkan, R., ŞENORMANCI, Ö., Güçlü, O., Aydin, E., & Sungur, M. Z. (2013). Yaygın Anksiyete Bozukluğu-7 (YAB-7) Testi Türkçe Uyarlaması, Geçerlik ve Güvenirliği. Archives of Neuropsychiatry/Noropsikiatri Arsivi, 50(1). doi: 10.4274/npa.y6308
• Landi, G., Pakenham, K. I., Boccolini, G., Grandi, S., & Tossani, E. (2020). Health anxiety and mental health outcome during COVID-19 lockdown in Italy: the mediating and moderating roles of psychological flexibility. Frontiers in psychology, 11, 2195. doi: 10.3389/fpsyg.2020.02195
• Lange, F., Seer, C., & Kopp, B. (2017). Cognitive flexibility in neurological disorders: Cognitive components and event-related potentials. Neuroscience & Biobehavioral Reviews, 83, 496-507. https://doi.org/10.1016/j.neubiorev.2017.09.011
• Lorente, L., Vera, M., & Peiró, T. (2021). Nurses´ stressors and psychological distress during the COVID‐19 pandemic: The mediating role of coping and resilience. Journal of Advanced Nursing, 77(3), 1335-1344. doi: 10.1111/jan.14695
• McCracken, L. M., Badinlou, F., Buhrman, M., & Brocki, K. C. (2021). The role of psychological flexibility in the context of COVID-19: Associations with depression, anxiety, and insomnia. Journal of Contextual Behavioral Science, 19, 28-35. doi: 10.1016/j.jcbs.2020.11.003
• Medina Fernández, I. A., Carreño Moreno, S., Chaparro Díaz, L., Gallegos-Torres, R. M., Medina Fernández, J. A., & Hernández Martínez, E. K. (2021). Fear, Stress, and Knowledge regarding COVID-19 in Nursing Students and Recent Graduates in Mexico. Investigación y Educación en Enfermería, 39(1). doi: 10.17533/udea.iee.v39n1e05
• Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504-511. doi: 10.1177/0020764020927051
• Polizzi, C., Lynn, S. J., & Perry, A. (2020). Stress and coping in the time of covid-19: pathways to resilience and recovery. Clinical Neuropsychiatry, 17(2). doi: doi.org/10.36131/CN20200204
• Pruessner, L., Barnow, S., Holt, D. V., Joormann, J., & Schulze, K. (2020). A cognitive control framework for understanding emotion regulation flexibility. Emotion, 20(1), 21. https://doi.org/10.1037/emo0000658
• Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V. (2020). Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian journal of psychiatry, 51, 102083. doi: 10.1016/j.ajp.2020.102083
• Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., Rasoulpoor, S., & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and health, 16(1), 1-11. doi: 10.1186/s12992-020-00589-w
• Sampaio, F., Sequeira, C., & Teixeira, L. (2021). Impact of COVID-19 outbreak on nurses’ mental health: A prospective cohort study. Environmental research, 194, 110620. doi: 10.1016/j.envres.2020.110620
• Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46, 102809. doi: 10.1016/j.nepr.2020.102809
• Sher, L. (2020). The impact of the COVID-19 pandemic on suicide rates. QJM: An International Journal of Medicine, 113(10), 707-712. doi: 10.1093/qjmed/hcaa202
• Silva, W. A. D., de Sampaio Brito, T. R., & Pereira, C. R. (2021). Anxiety associated with COVID-19 and concerns about death: Impacts on psychological well-being. Personality and Individual Differences, 176, 110772. doi: 10.1016/j.paid.2021.110772
• Spitzer, R. L., Kroenke, K. I., Williams, J. B., & Lowe, B. (2006). Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Copyright: American Medical Association. doi: 10.1001/archinte.166.10.1092
• Şenormancı, G., Konkan, R., & Şenormancı, Ö. (2017). Yaygın Anksiyete Bozukluğunda Obsesif İnançlar. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi, 6(3), 115-122. doi: 10.5455/JCBPR.260044
• Turan, N., Durgun, H., Kaya, H., Ertaş, G., & Kuvan, D. (2019). Hemşirelik öğrencilerinin stres durumları ile bilişsel esneklik düzeyleri arasındaki ilişki. Jaren, 5(1), 59-66. doi: 10.5222/jaren.2019.43265
• van Oosterhout, C., Hall, N., Ly, H., & Tyler, K. M. (2021). COVID-19 evolution during the pandemic–Implications of new SARS-CoV-2 variants on disease control and public health policies. DOI: 10.1080/21505594.2021.1877066
• Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... & Peng, Z. (2020). Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama, 323(11), 1061-1069. doi:10.1001/jama.2020.1585
• Yelpaze, İ., & Yakar, L. (2019). Üniversite öğrencilerinin yaşam doyumu ve bilişsel esnekliklerinin incelenmesi. Türk Psikolojik Danışma ve Rehberlik Dergisi, 9(54), 913-935.
• Yu, Y., Yu, Y., & Lin, Y. (2020). Anxiety and depression aggravate impulsiveness: the mediating and moderating role of cognitive flexibility. Psychology, health & medicine, 25(1), 25-36. doi: 10.1080/13548506.2019.1601748
• Zhang, C. Q., Zhang, R., Lu, Y., Liu, H., Kong, S., Baker, J. S., & Zhang, H. (2021). Occupational stressors, mental health, and sleep difficulty among nurses during the COVID-19 pandemic: The mediating roles of cognitive fusion and cognitive reappraisal. Journal of contextual behavioral science, 19, 64-71. doi: 10.1016/j.jcbs.2020.12.004
• Zhao, K., Zhang, G., Feng, R., Wang, W., Xu, D., Liu, Y., & Chen, L. (2020). Anxiety, depression and insomnia: A cross-sectional study of frontline staff fighting against COVID-19 in Wenzhou, China. Psychiatry Research, 292, 113304. doi: 10.1016/j.psychres.2020.113304
• Zheng, R., Zhou, Y., Fu, Y., Xiang, Q., Cheng, F., Chen, H., Xu, H., Fu, L., Wu, X., Feng, M., Ye, L., Tian, Y., Deng, R., Liu, S., Jiang, Y., Yu, C., & Li, J. (2021). Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: A cross-sectional study. International Journal of Nursing Studies, 114, 103809. doi: 10.1016/j.ijnurstu.2020.103809