Yıl: 2022 Cilt: 30 Sayı: 1 Sayfa Aralığı: 55 - 63 Metin Dili: İngilizce DOI: 10.5152/fnjn.2022.21002 İndeks Tarihi: 10-06-2022

Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19

Öz:
AIM: This study aimed to examine health problems and related reasons for stress including physiological, psychological, and patient-care-related stressors among intensive care unit (ICU) nurses during COVID-19 in Turkey. METHOD: This study was designed as a cross-sectional study. Data were collected between June and July 2020 and from 1140 ICU nurses who were actively working in the pandemic process from 65 provinces in Turkey. An online questionnaire was used consisting of questions regarding nurses’ health problems, reasons for psychological, physiological, and patient care-related stress during the pandemic. Descriptive data were presented in mean, median, or number and percentage. RESULTS: Only 15.6% of ICU nurses experienced health problems. Nurses had psychological symptoms such as anxiety, insomnia, and physiological symptoms such as respiratory, musculoskeletal symptoms. The majority of nurses experienced the following psychological stressors: fear of being a COVID-19 carrier and infecting loved ones, and getting sick with COVID-19. Reasons for physiological stress were mostly due to working with personal protective equipment (PPE), skipping toilet breaks, and inadequate hydration. Reasons for patient care-related stress included excessive sweating in PPE, fogging of goggles, and inability to select a venipuncture site with double gloves. CONCLUSION: The findings of this study indicate that almost one-fifth of ICU nurses experience various health problems although most of them experience intense psychological, physiological, and patient care-related stress.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Adams, J. G., & Walls, R. M. (2020). Supporting the healthcare work force during the COVID-19 global epidemic. JAMA, 323(15), 1439–1440. [CrossRef]
  • Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of corona virus disease 2019 (COVID 19) in Hubei, China. Medical Science Monitor, 26, e924171. [CrossRef]
  • Centers for Disease Control and Prevention (CDC). (2020). COVID- 19 response team. Characteristics of healthcare personel with COVID- 19-United States, February 12–April 9, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(15), 477–481. [CrossRef]
  • Chang, D., Xu, H., Rebaza, A., Sharma, L., & DelaCruz, C. S. (2020). Protecting health-care workers from subclinical corona virüs infection. Lancet Respiratory Medicine, 8(3), e13. [CrossRef]
  • Chen, S. C., Lai, Y. H., & Tsay, S. L. (2020). Nursing perspectives on the impacts of COVID-19. Journal of Nursing Research, 28(3), e85. [CrossRef]
  • Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Khan, F. A., Shanmugam, G. N., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B. P. L.,
  • Sunny, S., Chandra, B., … Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88(2020), 5599–5565. [CrossRef]
  • Cook, T. M., El-Boghdadly, K., McGuire, B., McNarry, A. F., Patel, A., & Higgs, A. (2020). Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive CareMedicine and the Royal College of Anaesthetists. Anaesthesia, 75(6), 785–799. [CrossRef]
  • Deutsche Welle. (2020). Koca: We’re lucky in the ICU bed case. Retrieved from https ://ww w.dw. com/t r/koc a-yo% C4%9F un-ba k%C4 % B1m-y atak- durum unda- %C5%9 Fansl %C4%B 1y%C4 %B1z/ a-528 38104 .
  • Du, J., Dong, L., Wang, T., Yuan, C., Fu, R., Zhang, L., Liu, B., Zhang, M., Yin, Y., Qin, J., Bouey, J., Zhao, M., & Li, X. (2020). Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General Hospital Psychiatry, 67, 144–145. [CrossRef]
  • Eysenbach, G. (2004). Improving the quality of web surveys: The checklist for reporting results of ınternet e-surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34.
  • Ghelichkhani, P., & Esmaeili, M. (2020). Prone position in management of COVID-19 patients a commentary. Archives of Academic Emergency Medicine, 8(1), e48.
  • International Council of Nurses. (2020). ICN confirms 1,500 nurses have died from COVID-19 in 44 countries and estimates that healthcare worker COVID-19 fatalities worldwide could be more than 20,000. Retrieved from https ://ww w.icn .ch/n ews/i cn-co nfirm s-150 0-nur ses-h ave-d ied-c ovid- 19-44 -coun tries -and- estim ates- healt hcare -work er-co vid
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among healthcare workers exposed to corona virus disease 2019. JAMA Network Open, 3(3), e203976. [CrossRef]
  • Lapolla, P., Mingoli, A., & Lee, R. (2020). Deaths from COVID-19 in healthcare workers in Italy: What can we learn? Infection Control and Hospital Epidemiology, 2020, 1–2. [CrossRef]
  • Liu, Q., Luo, D., Haase, J., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Lİu, Z., Yang, J., & Yang, B. X. (2020). The experiences of health care providers during the COVID-19 crisis in China: A qualitive study. Lancet Global Health, 8(6), 790–798. [CrossRef]
  • Ma, Y., Rosenheck, R., & He, H. (2020). Psychological stress among health care professionals during the 2019 novel coronavirus disease outbreak: Cases from online consulting customers. Intensive and Critical Care Nursing, 61, 102905. [CrossRef]
  • Moore, Z., Patton, D., Avsar, P., McEvoy, N. L., Curley, G., Budri, A., Nugent, L., Walsh, S., & O’Connor, T. (2020). Prevention of pressure ulcers among individuals cared for in the prone position: Lessons for the COVID-19 emergency. Journal of Wound Care, 29(6), 312–320. [CrossRef]
  • Murthy, S., Gomersall, C. D., & Fowler, R. A. (2020). Care for critically ill patients with COVID-19. JAMA, 323(15), 1499–1500. [CrossRef]
  • Ong, J. J. Y., Bharatendu, C., Goh, Y., Tang, J. Z. Y., Sooi, K. W. X., Tan, Y. L., Tan, B. Y. Q., Teoh, H. L., Ong, S. T., Allen, D. M., & Sharma, V. K. (2020). Headaches associated with personal protective equipment: A cross-sectional study among frontline healthcare workers during COVID‐19. Headache, 60(5), 864–877. [CrossRef]
  • Organization for Economic Co-operation and Development (OECD). (2020a). Doctors (indicator). [CrossRef] Retrieved from [CrossRef].
  • Organization for Economic Co-operation and Development (OECD). (2020b). Nurses (indicator). [CrossRef] Retrieved from [CrossRef].
  • Organization for Economic Co-operation and Development (OECD). (2020c). Hospital beds (indicator). [CrossRef] Retrieved from [CrossRef].
  • Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. [CrossRef]
  • Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and adressing sources of anxiety among healthcare professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134. [CrossRef]
  • Shen, X., Zou, X., Zhong, X., Yan, J., & Li, L. (2020. ). Psychological stress of ICU nurses in the time of COVID-19. Critical Care, 24(1), 200. [CrossRef].
  • Sözcü. (2020). Minister Koca: The number of healthcare workers caught in corona exceeded 40 thousand. Retrieved from https ://ww w.soz cu.co m.tr/ 2020/ sagli k/bak an-ko ca-te sti-p oziti f-ola n-sag lik-c alisa ni-sa yisi- 40-bi ni-ge cti-6 08133 6/.
  • Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic: A review. Asian Journal of Psychiatry, 51, 102119. [CrossRef]
  • Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 48(6), 592–598. [CrossRef]
  • Thapa, B., Gita, S., Chatterjee, K., & Devrani, A. (2020). Impact of COVID-19 on the mental health of the society & HCW (healthcare workers): A systematic review. International Journal of Science and Healthcare Research, 5(2), 234–240.
  • Turkish Medical Association. (2020). COVID-19 pandemic bi-monthly evaluation report. Retrieved from https ://ww w.ttb .org. tr/ku tupha ne/co vid19 -rapo r.pdf .
  • Turkish Nurses Association. (2020). COVID-19 current situation analysis report-2. Retrieved from https ://ww w.thd er.or g.tr/ covid -19-m evcut -duru m-ana lizi- rapor u-2.
  • Turkish Psychiatric Association. (2020). Recommendations to health institution managers for the protection of mental health of healthcare professionals. Retrieved from https ://ww w.psi kiyat ri.or g.tr/ uploa dFile s/303 20201 15022 -Sagl ikKur umlar iCOVI D.pdf .
  • Turkish Republic, Ministry of Health. (2020). 81 provincial psychosocial support line information. Retrieved from https ://co vid19 bilgi .sagl ik.go v.tr/ tr/de stek- hat-b ilgil eri.h tml.
  • Turkish Republic, Ministry of Interior. (2020a). 18,000 contracted health personnel recruitment announcement for employment in the Ministry of Health Provincial Organization Service Units. Retrieved from https ://yh gm.sa glik. gov.t r/TR, 64689 /sagl ik-ba kanli gi--t asra- teski melisagli k-per sonel i-ali m-ila ni.ht ml.
  • Turkish Republic, Ministry of Interior. (2020b). Curfew circular for people 65 and above and chronic diseases. Retrieved from https ://ww w.ici sleri .gov. tr/65 -yas- ve-us tu-il e-kro nik-r ahats izlig i-ola nlara -soka ga-ci kma-y asagi -gene lgesi .
  • Von-Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative. (2014). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. International Journal of Surgery, 12(12), 1495–1499. [CrossRef]
  • World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. [CrossRef]
  • Xiong, Y., & Peng, L. (2020). Focusing on health-care providers’ experiences in the COVID-19 crisis. Lancet Global Health, 8(6), e740–e741. [CrossRef]
  • Yao, H., Chen, J. H., & Xu, Y. F. (2020). Rethinking online mental health services in China during the COVID-19 epidemic. Asian Journal of Psychiatry, 50, 102015. [CrossRef]
APA ALTUN UGRAS G, Yüksel S, KETTAŞ DÖLEK E, erden s, Şirin K (2022). Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. , 55 - 63. 10.5152/fnjn.2022.21002
Chicago ALTUN UGRAS GÜLAY,Yüksel Serpil,KETTAŞ DÖLEK ELİFE,erden sevilay,Şirin Keziban Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. (2022): 55 - 63. 10.5152/fnjn.2022.21002
MLA ALTUN UGRAS GÜLAY,Yüksel Serpil,KETTAŞ DÖLEK ELİFE,erden sevilay,Şirin Keziban Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. , 2022, ss.55 - 63. 10.5152/fnjn.2022.21002
AMA ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. . 2022; 55 - 63. 10.5152/fnjn.2022.21002
Vancouver ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. . 2022; 55 - 63. 10.5152/fnjn.2022.21002
IEEE ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K "Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19." , ss.55 - 63, 2022. 10.5152/fnjn.2022.21002
ISNAD ALTUN UGRAS, GÜLAY vd. "Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19". (2022), 55-63. https://doi.org/10.5152/fnjn.2022.21002
APA ALTUN UGRAS G, Yüksel S, KETTAŞ DÖLEK E, erden s, Şirin K (2022). Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. Florence Nightingale journal of nursing (Online), 30(1), 55 - 63. 10.5152/fnjn.2022.21002
Chicago ALTUN UGRAS GÜLAY,Yüksel Serpil,KETTAŞ DÖLEK ELİFE,erden sevilay,Şirin Keziban Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. Florence Nightingale journal of nursing (Online) 30, no.1 (2022): 55 - 63. 10.5152/fnjn.2022.21002
MLA ALTUN UGRAS GÜLAY,Yüksel Serpil,KETTAŞ DÖLEK ELİFE,erden sevilay,Şirin Keziban Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. Florence Nightingale journal of nursing (Online), vol.30, no.1, 2022, ss.55 - 63. 10.5152/fnjn.2022.21002
AMA ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. Florence Nightingale journal of nursing (Online). 2022; 30(1): 55 - 63. 10.5152/fnjn.2022.21002
Vancouver ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19. Florence Nightingale journal of nursing (Online). 2022; 30(1): 55 - 63. 10.5152/fnjn.2022.21002
IEEE ALTUN UGRAS G,Yüksel S,KETTAŞ DÖLEK E,erden s,Şirin K "Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19." Florence Nightingale journal of nursing (Online), 30, ss.55 - 63, 2022. 10.5152/fnjn.2022.21002
ISNAD ALTUN UGRAS, GÜLAY vd. "Health Problems and Reasons for Stress of Intensive Care Nurses During COVID-19". Florence Nightingale journal of nursing (Online) 30/1 (2022), 55-63. https://doi.org/10.5152/fnjn.2022.21002