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Koronavirüs Hastalığı 2019 (COVID-19) Nedenli Evde İzole Olan Bir Sağlık Kuruluşu Çalışanlarının Günlük Semptom Takibi

Year 2022, Volume: 4 Issue: 2, 56 - 63, 29.06.2022
https://doi.org/10.52827/hititmedj.1013188

Abstract

Amaç:
Bu çalışmada COVID-19 sebebiyle ev izolasyonundaki kişilerin semptomlarını takip etmek ve dolayısıyla hastalık dönemini hastane dışında geçiren kişilerin klinik seyri hakkında bilgi sahibi olmak amaçlandı.
Gereç ve Yöntemler:
Bir sağlık kuruluşu personelinden 27 Mart 2020- 27 Şubat 2021 tarihleri arasında ev izolasyonunda olan, COVID-19 hastası toplam 501 kişi ile bir araştırmacının her gün telefonla görüştüğü çalışma, longitudinal olarak planlandı. Kişilere Sağlık Bakanlığının COVID-19 Rehberi ve literatür doğrultusunda hazırlanan anket soruları yöneltildi. Bezmialem Vakıf Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan izin alındı. Verilerin değerlendirilmesinde Ki-kare, Mann-Whitney U, Spearman’s korelasyon testleri kullanılmış, anlamlılık sınırı olarak 0,05 kabul edilmiştir.
Bulgular:
Çalışmadaki kişilerin (501) %65,7’si kadın, yaş ortalamaları 34,9 ± 9,1 yıldır. 501 kişiden 201’i (%40,1) temas yerini bildiğini söylemiştir. 107 kişi (%53,2) kurum içi, 94 kişi (%46,8) kurum dışı olarak bildirmiştir. İzolasyon sürecinde hastaneye yatışın sigara kullanımı veya kronik hastalık varlığı ile farklılık göstermediği (sırasıyla p=0,101 ve 0,361), ileri yaş ve erkek cinsiyet ile istatistiksel olarak arttığı bulunmuştur (sırasıyla p<0,001 ve <0,001). Semptom görülen kişilerin (n=497) ilk semptomu genelde kas-iskelet sistemi ağrısı (%37,2), takip boyunca en sık görülen semptom ise öksürük (%59,4) olmuştur.
Sonuç:
Çalışma, yüz yüze iletişimin azaltılmasının gerektiği salgın veya yüz yüze iletişimin kurulamayabileceği afet durumlarında, telefon gibi bir teknolojiden yararlanarak sağlık hizmetlerinin devamlılığının sağlanabileceğini gösteren bir tele-sağlık uygulaması olarak kabul edilebilir. Bu uygulamaların geliştirilmesine yönelik çalışmalar ile COVID-19 pandemisinin dezavantajları avantaja dönüştürülebilir.

Thanks

Çalışmamızın her aşamasında bize sunduğu destek ve sağladığı imkanlar için Bezmialem Vakıf Üniversitesi Rektörü Sayın. Prof. Dr. Rümeyza Kazancıoğlu'na teşekkür ederiz.

References

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  • 17. Wong LY, Tan AL, Leo YS, Lee VJM, Toh M. Healthcare workers in Singapore infected with COVID-19: 23 January-17 April 2020. Influenza Other Respir Viruses. 2021;2:218-26.
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  • 21. Griffith DM. Men and COVID-19: A biopsychosocial approach to understanding sex differences in mortality and recommendations for practice and policy interventions. Prev Chronic Dis. 2020;17.
  • 22. Mallapaty S. The coronavirus is most deadly if you are older and male-new data reveal the risks. Nature.585(7823):16-7.
  • 23. (CDC) CfDCaP. Update: Characteristics of Health Care Personnel with COVID-19 — United States, February 12–July 16, 2020 [Available from: https://www.cdc.gov/mmwr/volumes/69/wr/mm6938a3.htm#suggestedcitation.
  • 24. Öztürk R. COVID-19'un erişkinde klinik özellikleri. Türkiye Klinikleri COVID-19. 2020;9:12-9.
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  • 29. Lai X, Wang M, Qin C, Tan L, Ran L, Chen D, et al. Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China. JAMA Network Open. 2020;5:e209666-e.
  • 30. Canova V, Lederer Schläpfer H, Piso RJ, Droll A, Fenner L, Hoffmann T, et al. Transmission risk of SARS-CoV-2 to healthcare workers–observational results of a primary care hospital contact tracing. Swiss med wkly. 2020;150(1718).
  • 31. DeLucia P, Ott T, Palmieri P. Chapter 1 Performance in Nursing. 52009. p. 1-40.
  • 32. World Health Organization. Regional Office for the Western P. Addressing noncommunicable diseases in the COVID-19 response. Manila : WHO Regional Office for the Western Pacific; 2020.
  • 33. Centers for Disease Control and Prevention (CDC). COVID-19 associated hospitalization related to underlying medical conditions 2020 [Available from: https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-underlying-medical-conditions.html.
  • 34. World Health Organization. Regional Office for the Eastern M. Q&A on tobacco, waterpipe and e-cigarette use in the context of COVID-19. Cairo: World Health Organization. Regional Office for the Eastern Mediterranean; 2020 2020-12.
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  • 37. Özhasenekler A, Tanriverdİ F. COVID-19 enfeksiyonlarında klinik değerlendirme. Türkiye Klinikleri COVID-19. 2020;3:24-7.
  • 38. Tsang TK, Wu P, Lin Y, Lau EHY, Leung GM, Cowling BJ. Effect of changing case definitions for COVID-19 on the epidemic curve and transmission parameters in mainland China: a modelling study. Lancet Public Health. 2020;5:e289-e96.
  • 39. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;18:1708-1720.
  • 40. Yang W, Cao Q, Qin L, Wang X, Cheng Z, Pan A, et al. Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19):A multi-center study in Wenzhou city, Zhejiang, China. J Infect. 2020;4:388-393.
  • 41. Kim H, Hong H, Yoon SH. Diagnostic Performance of CT and Reverse Transcriptase Polymerase Chain Reaction for Coronavirus Disease 2019: A Meta-Analysis. Radiology. 2020;3:E145-E155.
  • 42. Gietema HA, Zelis N, Nobel JM, Lambriks LJG, van Alphen LB, Oude Lashof AML, et al. CT in relation to RT-PCR in diagnosing COVID-19 in The Netherlands: A prospective study. PLoS One. 2020;7:e0235844-e.
  • 43. Tanyeri A. RT-PCR Results and Chest CT Imaging Features in Patients Hospitalized to Yozgat City Hospital with COVID-19 Suspicion. Ankara Med J. 2021;1:99-114.
  • 44. Bal A, Brengel-Pesce K, Gaymard A, Quéromès G, Guibert N, Frobert E, et al. Clinical and laboratory characteristics of symptomatic healthcare workers with suspected COVID-19: a prospective cohort study. Scientific Reports. 2021;1:14977.
Year 2022, Volume: 4 Issue: 2, 56 - 63, 29.06.2022
https://doi.org/10.52827/hititmedj.1013188

Abstract

References

  • KAYNAKLAR 1. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of autoimmunity. 2020;109:102433.
  • 2. Caetano R, Silva A, Guedes A, Paiva CCN, Ribeiro GDR, Santos DL, et al. Challenges and opportunities for telehealth during the COVID-19 pandemic: ideas on spaces and initiatives in the Brazilian context. Cadernos de saude publica. 2020;5:e00088920.
  • 3. T.C. Sağlık Bakanlığı. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü COVID-19 (SARSCoV2 enfeksiyonu) genel bilgiler, epidemiyoloji ve tanı 2020 [cited 2020 September, 26]. Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/covid-19-rehberi/COVID-19_REHBERI_GENEL_BILGILER_EPIDEMIYOLOJI_VE_TANI.pdf.
  • 4. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard 2020 [Available from: https://covid19.who.int/.
  • 5. T.C. Sağlık Bakanlığı. Türkiye'deki Güncel Durum 2020 [Available from: https://covid19.saglik.gov.tr/.
  • 6. Chirico F, Nucera G, Magnavita N. COVID-19: Protecting healthcare workers is a priority. Infect Control Hosp Epidemiol. 2020:1-.
  • 7. Ohannessian R, Duong TA, Odone A. Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: a call to action. JMIR Public Health Surveill. 2020;2:e18810.
  • 8. Nittas V, von Wyl V. COVID-19 and telehealth: a window of opportunity and its challenges. Swiss Med Wkly. 2020;150(1920).
  • 9. Chauhan V, Galwankar S, Arquilla B, Garg M, Di Somma S, El-Menyar A, et al. Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission. J Emerg Trauma Shock. 2020;1:20.
  • 10. Khalid I, Khalid TJ, Qabajah M, Barnard A, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016;1:7-14.
  • 11. Tuncay FE, Koyuncu E, Özel Ş. Pandemilerde sağlık çalışanlarının psikososyal sağlığını etkileyen koruyucu ve risk faktörlerine ilişkin bir derleme. Ankara Med J. 2020;2:488-501.
  • 12. Uçar A, Arslan Ş, Manap H, Gürkan T, Çalışkan M, Dayıoğlu A. An interactive web-based dashboard for COVID-19 pandemic real-time monitorization in Turkey: TURCO¬ VID19. Anatolian Clinic Journal of Medical Sciences. 2020;25(Suppl 1):154-155.
  • 13. Worldometers. Daily New Cases in Turkey [Available from: https://www.worldometers.info/coronavirus/country/turkey/.
  • 14. HASUDER. HASUDER Yeni Koronavirüs (COVID-19) haber postası (06.07.2020) 2020 [Available from: https://korona.hasuder.org.tr/hasuder-yeni-koronavirus-covid-19-haber-postasi-06-07-2020/.
  • 15. Durmaz S, Ata A, Özbay N, Aktuna A, Durusoy R. Bir üniversite hastanesinde sağlık çalışanlarının COVID-19 tanılılar ile yüksek riskli temasları: Kesitsel bir değerlendirme2020.
  • 16. Al Maskari Z, Al Blushi A, Khamis F, Al Tai A, Al Salmi I, Al Harthi H, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. International Journal of Infectious Diseases. 2021;102:32-6.
  • 17. Wong LY, Tan AL, Leo YS, Lee VJM, Toh M. Healthcare workers in Singapore infected with COVID-19: 23 January-17 April 2020. Influenza Other Respir Viruses. 2021;2:218-26.
  • 18. Rozenberg S, Vandromme J, Martin C. Are we equal in adversity? Does Covid-19 affect women and men differently? Maturitas. 2020;138:62-8.
  • 19. World Health Organization (WHO). Gender and COVID-19 2020 [Available from: https://www.who.int/publications/i/item/gender-and-covid-19.
  • 20. Kluytmans-van den Bergh MFQ, Buiting AGM, Pas SD, Bentvelsen RG, van den Bijllaardt W, van Oudheusden AJG, et al. Prevalence and Clinical Presentation of Health Care Workers With Symptoms of Coronavirus Disease 2019 in 2 Dutch Hospitals During an Early Phase of the Pandemic. JAMA Netw Open. 2020;5:e209673-e.
  • 21. Griffith DM. Men and COVID-19: A biopsychosocial approach to understanding sex differences in mortality and recommendations for practice and policy interventions. Prev Chronic Dis. 2020;17.
  • 22. Mallapaty S. The coronavirus is most deadly if you are older and male-new data reveal the risks. Nature.585(7823):16-7.
  • 23. (CDC) CfDCaP. Update: Characteristics of Health Care Personnel with COVID-19 — United States, February 12–July 16, 2020 [Available from: https://www.cdc.gov/mmwr/volumes/69/wr/mm6938a3.htm#suggestedcitation.
  • 24. Öztürk R. COVID-19'un erişkinde klinik özellikleri. Türkiye Klinikleri COVID-19. 2020;9:12-9.
  • 25. Central Intelligence Agency (CIA). Country Comparison Ranking 2020 [Available from: https://www.cia.gov/library/publications/the-world-factbook/fields/343.html.
  • 26. Centers for Disease Control and Prevention (CDC). Older adults and COVID-19 2020 [updated June 25, 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html.
  • 27. Kang SK. COVID-19 and Middle East Respiratory Syndrome Infections in health-care workers in Korea. Safety and health at work. 2020.
  • 28. Rivera-Izquierdo M, Valero-Ubierna MC, Martínez-Diz S, Fernández-García MÁ, Martín-Romero DT, Maldonado-Rodríguez F, et al. Clinical factors, preventive behaviours and temporal outcomes associated with COVID-19 infection in health professionals at a Spanish hospital. International journal of environmental research and public health. 2020;12:4305.
  • 29. Lai X, Wang M, Qin C, Tan L, Ran L, Chen D, et al. Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China. JAMA Network Open. 2020;5:e209666-e.
  • 30. Canova V, Lederer Schläpfer H, Piso RJ, Droll A, Fenner L, Hoffmann T, et al. Transmission risk of SARS-CoV-2 to healthcare workers–observational results of a primary care hospital contact tracing. Swiss med wkly. 2020;150(1718).
  • 31. DeLucia P, Ott T, Palmieri P. Chapter 1 Performance in Nursing. 52009. p. 1-40.
  • 32. World Health Organization. Regional Office for the Western P. Addressing noncommunicable diseases in the COVID-19 response. Manila : WHO Regional Office for the Western Pacific; 2020.
  • 33. Centers for Disease Control and Prevention (CDC). COVID-19 associated hospitalization related to underlying medical conditions 2020 [Available from: https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-underlying-medical-conditions.html.
  • 34. World Health Organization. Regional Office for the Eastern M. Q&A on tobacco, waterpipe and e-cigarette use in the context of COVID-19. Cairo: World Health Organization. Regional Office for the Eastern Mediterranean; 2020 2020-12.
  • 35. (CDC) CfDCaP. Ending Isolation and Precautions for People with COVID-19: Interim Guidance 2021 [Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html.
  • 36. European Centre for Disease Prevention and Control (ECDC). Clinical characteristics of COVID-19 2020 [updated 17 Aug 2020; cited 2020 October, 7]. Available from: https://www.ecdc.europa.eu/en/covid-19/latest-evidence/clinical#:~:text=The%20latest%20International%20Severe%20Acute,25%20849)%20%5B3%5D.
  • 37. Özhasenekler A, Tanriverdİ F. COVID-19 enfeksiyonlarında klinik değerlendirme. Türkiye Klinikleri COVID-19. 2020;3:24-7.
  • 38. Tsang TK, Wu P, Lin Y, Lau EHY, Leung GM, Cowling BJ. Effect of changing case definitions for COVID-19 on the epidemic curve and transmission parameters in mainland China: a modelling study. Lancet Public Health. 2020;5:e289-e96.
  • 39. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;18:1708-1720.
  • 40. Yang W, Cao Q, Qin L, Wang X, Cheng Z, Pan A, et al. Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19):A multi-center study in Wenzhou city, Zhejiang, China. J Infect. 2020;4:388-393.
  • 41. Kim H, Hong H, Yoon SH. Diagnostic Performance of CT and Reverse Transcriptase Polymerase Chain Reaction for Coronavirus Disease 2019: A Meta-Analysis. Radiology. 2020;3:E145-E155.
  • 42. Gietema HA, Zelis N, Nobel JM, Lambriks LJG, van Alphen LB, Oude Lashof AML, et al. CT in relation to RT-PCR in diagnosing COVID-19 in The Netherlands: A prospective study. PLoS One. 2020;7:e0235844-e.
  • 43. Tanyeri A. RT-PCR Results and Chest CT Imaging Features in Patients Hospitalized to Yozgat City Hospital with COVID-19 Suspicion. Ankara Med J. 2021;1:99-114.
  • 44. Bal A, Brengel-Pesce K, Gaymard A, Quéromès G, Guibert N, Frobert E, et al. Clinical and laboratory characteristics of symptomatic healthcare workers with suspected COVID-19: a prospective cohort study. Scientific Reports. 2021;1:14977.
There are 44 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Bedia Özyıldırım 0000-0001-9136-3891

Ayşe Nur Balcı Yapalak 0000-0003-1323-4511

Sezanur Nazlı Türkoğlu 0000-0003-4638-2596

Publication Date June 29, 2022
Submission Date October 21, 2021
Acceptance Date June 3, 2022
Published in Issue Year 2022 Volume: 4 Issue: 2

Cite

AMA Özyıldırım B, Balcı Yapalak AN, Türkoğlu SN. Koronavirüs Hastalığı 2019 (COVID-19) Nedenli Evde İzole Olan Bir Sağlık Kuruluşu Çalışanlarının Günlük Semptom Takibi. Hitit Medical Journal. June 2022;4(2):56-63. doi:10.52827/hititmedj.1013188