Uticaj poverenja javnosti i medija na nivoe anksioznosti i depresije među stručnim radnicima tokom COVID-19 epidemije u Srbiji

Ključne reči: anksioznost;, mediji, komunikacijski;, covid-19;, depresija;, medicina, preventivna;, mentalno zdravlje;, ankete i upitnici

Sažetak


Uvod/Cilj. Pored velikog uticaja bolesti izazvane koronavirusom krajem 2019. godine (COVID-19) na fizičko zdravlje, socijalno funkcionisanje i ekonomiju, ovaj javnozdravstveni problem ima značajan uticaj i na mentalno zdravlje ljudi. Cilj rada bio je da se proceni uticaj informacija povezanih sa epidemiološkom situacijom i poverenja u zdravstveni sistem i preventivne mere tokom COVID-19 epidemije u Srbiji u 2020. godini na nivoe anksioznosti i depresije kod radnika obrazovne, vojne i zdravstvene struke. Metode. U studiji je korišćen anonimni upitnik koji je prosleđen stručnim radnicima iz obrazovnog, vojnog i sistema zdravstvene zaštite. U upitniku su korišćeni Bekova skala anksioznosti, Cungova skala samoprocene depresivnosti, kao i deo koji su kreirali autori i koji je ispitivao doživljaj uznemirenosti ispitanika informacijama koje se odnose na stanje epidemije i poverenje ispitanika u zdravstveni sistem i mere prevencije propisane od strane kriznog štaba. Rezultati. Od ukupno 110 ispitanika, uključenih u ovu studiju, prosečne starosti 35,25 ± 9,23 godina, 59,1% su činile žene. Kod zdravstvenih radnika su učestalost doživljavanja informacija u vezi sa stanjem epidemije, dostupnih putem medija, okarakterisanih kao uznemirujuće, kao i prosečan nivo anksioznosti, bili viši u odnosu na zaposlene u vojsci (p < 0,05). Žene su takođe doživljavale kao uznemirujuće javno dostupne informacije u vezi sa stanjem epidemije u višem procentu u poređenju sa muškarcima (p < 0,01), a imale su i prosečno više nivoe anksioznosti (p = 0,01) i depresije (p < 0,05). Nedostatak poverenja javnosti je bio povezan sa višim nivoima depresije, a doživljavanje informacija u vezi sa stanjem epidemije kao uznemirujućih, sa nivoima i anksioznosti i depresije. Zaključak. Izraženo doživljavanje informacija u vezi sa stanjem epidemije kao uznemirujućih među zdravstvenim radnicima, kao i značajno odsustvo poverenja u zdravstveni sistem i u preventivne mere predložene od strane kriznog štaba, predstavljaju značajne činioce sa uticajem na mentalno stanje. Ovakav nalaz ima zadatak da dodatno usmeri odgovorne institucije ka naporima da povećaju poverenje javnosti, kao jednu od važnijih preventivnih mera, u cilju očuvanja i unapređenja mentalnog blagostanja stanovništva u uslovima epidemije.

Biografije autora

Ivan Marković, Klinički Centar Srbije, Klinika za psihijatriju

Psihijatar na Klinici za Psihijatriju Kliničkog Centra Srbije

Srđan Nikolovski, Univerzitet u Beogradu, Medicinski Fakultet

Istraživač Saradnik na Medicinskom Fakultetu Univerziteta u Beogradu

Stefan Milojević, Alfa BK Univerzitet, Fakultet za finansije, bankarstvo i reviziju

Assitent na Fakultetu za finansije, bankarstvo i reviziju Alfa BK Univerziteta

Dragan Živković, Akademija Dositej, Tehnička Škola, Beograd, Srbija

Profesor u Tehničkoj školi Akademije Dositej, Beograd, Srbija

Snežana Knežević, Univerzitet u Beogradu, Fakultet Organizacionih Nauka

Profesor na Katedri za Finansijski Menadžment, Računovodstvo i Reviziju, Fakultet Organizacionih Nauka Univerziteta u Beogradu

Aleksandra Mitrović, Univerzitet u Kragujevcu, Fakultet za Hotelijerstvo i Turizam u Vrnjačkoj Banji

Docent na Fakultetu za Hotelijerstvo i Turizam u Vrnjačkoj Banji Univerziteta u Kragujevcu

Zlatko Fišer, Resuscitacioni Savet Srbije, Novi Sad, Srbija

Specijalista Urgentne Medicine u Zavodu za Hitnu Medicinsku Pomoć Novi Sad

Dragan Đurđević, Akademija za Nacionalnu Bezbednost, Beograd, Srbija

Profesor na Akademiji za Nacionalnu Bezbednost, Beograd, Srbija

Reference

Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents 2020; 55(3): 105924.

Wang C, Horby PW, Hayden FG, Gao GF. A novel corona-virus outbreak of global health concern. Lancet 2020; 395(10223): 470‒3.

Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ 2020; 368: m408.

Eurosurveillance Editorial Team. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international con-cern. Euro Surveill 2020; 25(5): 200131e.

World Organisation. WHO Director-General’s Opening Re-marks at the Media Briefing on COVID-19–11 March 2020. Geneva, Switzerland: WHO; 2020. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 [Accessed on July 25, 2020].

The Government of the Republic of Serbia. COVID-19 crisis re-sponse team formed. 2020 Mar 13. Available from: https://www.srbija.gov.rs/vest/en/151314/covid-19-crisis-response-team-formed.php [Accessed on July 25, 2020].

The Government of the Republic of Serbia. Belgrade Nikola Tesla Airport closes for all commercial international flights. 2020 Mar 19. Available from: https://www.srbija.gov.rs/vest/en/151803/belgrade-nikola-tesla-airport-closes-for-all-commercial-international-flights.php [Accessed on July 25, 2020]

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223): 497‒506.

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemi-ological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507‒13.

Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel corona-virus: Implications for virus origins and receptor binding. Lancet 2020; 395(10224): 565‒74.

Rubin GJ, Wessely S. The psychological effects of quarantin-ing a city. BMJ 2020; 368: m313.

Xiang YT. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7(3): 228–9.

Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: Lessons hospitals and physicians can apply to fu-ture viral epidemics. Gen Hosp Psychiatry 2008; 30(5): 446–52.

Van Bortel T, Basnayake A, Wurie F, Jambai M, Koroma AS, Muana AT, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ 2016; 94(3): 210‒4.

Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: Ad-dress mental health care to empower society. Lancet 2020; 395(10224): e37‒8.

Xu Z, Li S, Tian S, Li H, Kong LQ. Full spectrum of COVID-19 severity still being depicted. Lancet 2020; 395(10228): 947‒8.

Jack A. Why the panic? South Korea’s MERS response questioned. BMJ 2015; 350: h3403.

Abdel-Moneim AS. Middle-East respiratory syndrome coro-navirus: Is it worth a world panic? World J Virol 2015; 4(3): 185–7.

Shimizu K. 2019-nCoV, fake news, and racism. Lancet 2020; 395(10225): 685‒6.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020; 395(10227): 912‒20.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health 2020; 17(5): 1729.

Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TTP, Pham KM, et al. People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy. J Clin Med 2020; 9(4): 965.

Llewellyn S. Covid-19: how to be careful with trust and ex-pertise on social media. BMJ 2020; 368: m1160.

Nutbeam D. COVID-19: lessons in risk communication and public trust. Public Health Res Pract 2020; 30(2): 3022006.

Whembolua GL, Tshiswaka DI. Public trust in the time of the Coronavirus Disease 2019 (COVID-19): the case of the DR Congo. Pan Afr Med J 2020; 35(Suppl 2): 2.

Gan Y, Chen Y, Wang C, Latkin C, Hall BJ. The fight against COVID-19 and the restoration of trust in Chinese medical professionals. Asian J Psychiatr 2020; 51: 102072.

Goodman LA. Snowball Sampling. Ann Math Statist 1961; 32 (1): 148‒70.

Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Con-sult Clin Psychol 1988; 56(6): 893‒7.

Zung WW. A self-rating depression scale. Arch Gen Psychia-try 1965; 12: 63‒70.

Young A, Blondin A. What coronavirus? College students flood Myrtle Beach to party as COVID-19 spreads. The Charlotte Observer. 2020 Mar 19. Available from: https://www.charlotteobserver.com/news/coronavirus/article241350261.html [Accessed 2020 July 25].

Schulman M. Convincing Boomer parents to take the coro-navirus seriously. The New Yorker. 2020 Mar 16. Availa-ble from: https://www.newyorker.com/culture/culture-desk/convincing-boomer-parents-to-take-the-coronavirus-seriously [Accessed 2020 July 25].

Likert R. A technique for the measurement of attitudes. Arch Psychol 1932; 140: 55.

Blavatnik School of Government, Oxford University. Relationship between number of COVID-19 cases and government re-sponse.Oxford: Blavatnik School of Government, Oxford University; 2020. Available from: https://covidtracker.bsg.ox.ac.uk/stringency-mapa [ac-cessed 2020 April 30].

Islam N, Sharp SJ, Chowell G, Shabnam S, Kawachi I, Lacey B, et al. Physical distancing interventions and incidence of coro-navirus disease 2019: natural experiment in 149 coun-tries. BMJ 2020; 370: m2743.

The Government of the Republic of Serbia. Serbia effective in fighting pandemic. 2020 April 28. Available from: https://www.srbija.gov.rs/vest/en/155265/serbia-effective-in-fighting-pandemic.php [accessed on 2020 July 25]

Cvetkovic VM, Nikolic N, Radovanovic Nenadic U, Öcal A, Noji EK, Zečević M. Preparedness and Preventive Behaviors for a Pandemic Disaster Caused by COVID-19 in Serbia. Int J Environ Res Public Health 2020; 17(11): 4124.

Valicon. Istraživanje javnog mnjenja u Srbiji, mart - jul 2020. godine. (Serbian)

Sibley CG, Greaves LM, Satherley N, Wilson MS, Overall NC, Lee CHJ, et al. Effects of the COVID-19 pandemic and na-tionwide lockdown on trust, attitudes toward government, and well-being. Am Psychol 2020; 75(5): 618‒30.

Leung GM, Lam TH, Ho LM, Ho SY, Chan BH, Wong IO, et al.. The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health 2003; 57(11): 857–63.

Lim GY, Tam WW, Lu Y, Ho CS, Zhang MW, Ho RC.. Preva-lence of Depression in the Community from 30 Countries between 1994 and 2014. Sci Rep 2018; 8: 2861.

Scquizzato T, Olasveengen TM, Ristagno G, Semeraro F. The oth-er side of novel coronavirus outbreak: Fear of performing cardiopulmonary resuscitation. Resuscitation 2020; 150: 92-93.

Chung F. Bystanders ‘feared coronavirus’ after man collapsed outside Chinatown restaurant. News Austl 2020 Jan 30. Available from: https://www.news.com.au/lifestyle/health/health-problems/bystanders-fearedcoronavirus-after-man-collapsed-outside-chinatown-restau-rant/newsstory/4b1c6810fd911ec3f4f2b568b3695e10). [accessed on 2020 July 25].

Perkins GD, Handley AJ, Koster RW, Castren M, Smyth MA, Olasveengen TM, et al. Adult basic life support and automated external defibrillation section Collaborators. European Re-suscitation Council Guidelines for Resuscitation 2015: sec-tion 2. Adult basic life support and automated external de-fibrillation. Resuscitation 2015; 95: 81‒99.

Soar J, Maconochie I, Wyckoff MH, Olasveengen TM, Singletary EM, Greif R, et al. 2019 International Consensus on Cardi-opulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations: summary from the basic life support; advanced life support; pediatric life support; neonatal life support; education, implementa-tion, and teams; and first aid task forces. Circulation 2019; 140(24): e826‒80.

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2020/12/08
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