Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
The Effect of COVID-19 Pandemic to the Practices of Cardiology Clinics and on the Anxiety Levels of Cardiologists
COVID-19 Pandemisinin Kardiyoloji Kliniklerinin İşleyişine ve Kardiyologların Anksiyete Düzeylerine Etkisi
Ahmet KAYAa, Sedat BOSTANb, Seçkin DERELİa, Osman BEKTAŞa, Mehmet FİLİZa, Oğuzhan KILINÇELc, Mustafa YENERÇAĞa
aDepartment of Cardiology, Ordu University Faculty of Medicine, Ordu, TURKEY
bDepartment of Health Management, Ordu University Faculty of Health Sciences, Ordu, TURKEY
cClinic of Psychiatry, Sakarya Yenikent State Hospital, Sakarya, TURKEY
Turkiye Klinikleri J Cardiovasc Sci. 2021;33(1):22-30
doi: 10.5336/cardiosci.2020-79768
Article Language: EN
Full Text
ABSTRACT
 Objective: The study aimed to determine coronavirus disease-2019 (COVID-19) pandemic on the attitudes of cardiologists, the anxiety conditions and effect on clinical functioning. Material and Methods: The clinical activities scale developed by researchers and the Beck Anxiety Scale were used as data collection tools in the study. Descriptive statistical methods, materiality tests, correlation, and regression analysis were used in the analysis of the data. Results: In cardiology clinics, patient admission continued; elective interventional diagnosis and treatment work decreased. Cardiologists declared that there was a serious decline in acute coronary syndrome application (87.2% of cardiologists) and that the most common cause of patients not wanting to come to the hospital was the fear of being infected. The severity of pandemic and the improved treatment protocols for COVID19 were found to be effective in cardiac interventional treatment decisions. It was found that disruptions in clinical functioning increased anxiety (β=0.128), whereas the fight and prevention against COVID-19 (β=-0.304) decreased anxiety. Conclusion: The COVID19 pandemic caused severe disruptions in the routine functioning of cardiology clinics and interventional procedures and an increase in anxiety among physicians. In a pandemic, preventions should be taken to minimize the treatment of non-infected patients and the anxiety of doctors besides the treatment of infected patients.

Keywords: COVID-19; cardiology clinic; anxiety
ÖZET
 Amaç: Çalışmanın amacı, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisinin kardiyologların tutumları, anksiyete durumları ve klinik işleyiş üzerindeki etkisinin belirlenmesi. Gereç ve Yöntemler: Araştırmada, veri toplama aracı olarak araştırmacılar tarafından geliştirilen klinik etkinlikler ölçeği ve Beck Anksiyete Ölçeği kullanılmıştır. Verilerin analizinde tanımlayıcı istatistiksel yöntemler, önemlilik testleri, korelasyon ve regresyon analizi kullanılmıştır. Bulgular: Kardiyoloji kliniklerinde hasta kabulü devam etmekte olup, elektif girişimsel tanı ve tedavi çalışmalarını ertelemektedirler. Kardiyolog, akut koroner sendrom aplikasyonunda ciddi bir düşüş olduğunu (kardiyologların %87,2'si) ve hastaneye gelmek istemeyen hastaların en sık nedeninin enfekte olma korkusu olduğunu belirtmiştir. Pandeminin ciddiyeti ve COVID-19 için geliştirilmiş tedavi protokolleri, kardiyak girişimsel tedavi kararlarında etkili olmaktadır. Klinik işlevsellikteki bozulmaların anksiyeteyi artırdığı (β=0,128), COVID-19 ile mücadele ve önlenmenin (β=-0,304) anksiyeteyi azalttığı bulunmuştur. Sonuç: COVID19 salgını, kardiyoloji kliniklerinin rutin işleyişinde ciddi aksamalara, girişimsel prosedürlere ve hekimler arasında anksiyetede artışa neden oldu. Bir pandemide, enfekte hastaların tedavisinin yanı sıra enfekte olmayan hastaların tedavisini ve doktorların endişelerini en aza indirmek için önlemler alınmalıdır.

Anahtar Kelimeler: COVID-19; kardiyoloji kliniği; anksiyete
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