This study was aimed to determine the fear of COVID-19 and related factors in patients. This study was conducted with 639 patients who were admitted to the emergency department. Data were collected using the sociodemographic characteristics form, Fear of COVID-19 scale (FCV-19S). The data were evaluated with Student’s t-test to compare two groups and one-way ANOVA and post hoc Tukey’s honestly significant difference (HSD) more than two groups. Multiple linear regression analysis was used to determine the relationship between dependent and independent variables. The mean age of patients was 46.12 ± 17.02, 53.4% were male, 70.7% were married, 42.4% had a chronic disease, 18.3% stated that they had symptoms of COVID-19, and 38.0% stated that they experienced economic difficulties due to COVID-19. The COVID-19 fear scores were significantly higher in 57 ages and over, female, had lung disease, had COVID-19 symptoms, and had children. Having a lung disease, female gender, and fear of COVID-19 were statistically significantly correlated with FCV-19S scores. As a result, it was determined that patients admitted to the emergency department had fear of COVID-19. Further research is recommended to support our study findings. As an emergency nurse, strategies must be developed to cope with these fears.
Öz Stres, günlük hayatın içinde her bireyin engellenemez bir biçimde deneyimlediği bir olgudur. İlk aşamada stres psikolojik belirtiler verirken zamanı uzarsa ve strese uyum sağlanmazsa fiziksek belirtiler de ortaya çıkmaktadır. Günlük yaşamda strese sık maruz kalınması ve stresin etkin yönetilememesi bir takım sağlık problemlerini de beraberinde getirmektedir. Varlığı engellenemeyen stres iyi yönetilmezse ve uyum saplanmazsa mide ülseri, hipertansiyon, ateroskleroz ve myokard enfarktüsü, enfeksiyonlar ve kanser gibi birçok hastalığa yatkınlığı arttırmaktadır. Özellikle literatür de stres hormonlarından olan epinefrin ve norepinefrinin kanser hücrelerinin çoğalmasını arttırdığı ve kanser tanısı almış hastalarda metastaz gelişimini hızlandırdığı belirtilmektedir. Bu nedenle bireyler stresin olumsuz etkilerinden korunmak için stresi yönetebilmesi ve stres ile baş etmeyi öğrenmesi gerekmektedir. Stres yönetimi, strese uyum veya stresle başa çıkabilme becerisinin geliştirilmesi ile sağlanmaktadır. Stresi azaltmada, spor, solunum egzersizi, meditasyon, biyo feedback (biyolojik dönüt), gevşeme (relaxation), beslenme ve diyet, yakınlardan sosyal destek alma, sosyal, kültürel ve sportif etkinliklere katılma, masaj, dua ve ibadet, zaman yönetimi gibi teknikler etkili olmaktadır. Özellikle müzik kasları gevşettiği, bireylerin dikkatini dağıttığı ve psikolojik rahatlama sağladığı, masajın kas gerilimini azaltıp, rahatlama sağladığı belirtilmiştir. Sosyal destek sistemlerinin kuvvetlendirilmesi bireyin yardım almasını ve yalnız hissetmesini önlemesi açısından önemlidir. Buna ek olarak solunum egzersizlerinin de kan akışını ve oksijenlenmenin arttırılmasına katkı sağladığı ve strese bağlı gelişebilecek anksiyete ve depresyon düzeyini düşürdüğü bildirilmiştir. Bu nedenle bu makalede stresin yol açtığı hastalıklar ve bu hastalıklardan korunmada stres yönetimi ele alınmıştır.
Aim This study was conducted to examine the opinions of nurses working in surgical wards on recycling and medical waste management. Background Surgical services and operating rooms are the most waste‐generating parts of health institutions. The primary purpose of waste management is to ensure waste minimization and increase recycling. Method In this qualitative study, in‐depth interviews were conducted with 15 nurses. The data were analysed by the content analysis method. The COREQ checklist was used in the study. Results As a result of the study, four main themes were determined: Barriers in medical waste and recycling management, solution suggestions in medical waste and recycling management, waste of medical and consumable materials and the effect of the pandemic process on medical waste and recycling management. Conclusion Medical waste and recycling management was interrupted due to lack of education, emergencies, hiring of untrained personnel and workload. During the pandemic, medical waste increased, and it could not be recycled. The solution suggestions are training at frequent intervals, monitoring by the responsible nurses and imposing sanctions on those who do not comply. Implications for Nursing Management Knowing nurses' obstacles in managing medical waste and recycling and putting forward solutions in this regard affects sustainability. Knowing the obstacles to the management of medical waste and recycling by nurses could help in solutions.
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