Health Care Utilization by Children with Disabilities and Evaluation of Factors Affecting Caregiver Satisfaction

Aim: Health care is lacking for some level of mental disability for various reasons. The aim of this study was to examine health care utilization by individuals with severe disabilities applied to the health committee of a university hospital and to examine the factors that determine caregiver satisfaction by assessing their burden of care, quality of life, and level of burnout. Methods: Of the 840 disabled individuals who applied to Recep Tayyip Erdoğan University Faculty of Medicine Training and Research Hospital, Rize, Turkey between January 2016 and 2019, 48 with severe disability caregivers were included in the study. Their sociodemographic information, level of health care, and caregiver satisfaction were analyzed using sociodemographic data forms. The Zarit Caregiver Burden Scale, Maslach Burnout Inventory, and Family Quality of Life Scale were used to assess the caregiver data. Results: More than half of the 48 children with severe disabilities were male (52.1%).Disabled females and female caregivers appeared to increase the level of emotional burnout of caregivers according to Maslach Burnout Inventory and Family Quality of Life Scale (p:0.01, p:0.05, p:0.02, p:0.03). Groups receiving home care was found with satisfaction. Disabled children and caregivers who were living within an urban area have significant differences with Maslach Burnout Inventory Personal Success (p:0.03). Conclusion: Disability is more of a risk for males. The sex of the disabled individual and caregiver were factors that affected caregiver burnout. Home care services increases caregiver satisfaction. Living within an urban area decreased the level of burnout on caregiver.Keywords: Caregiver burden, caregiver satisfaction, children disabilities, health care, family qualityDOI: 10.7176/JHMN/83-0

Evaluation of sleep-wakefulness disorders in healthcare professionals working at a university hospital during COVID-19

BACKGROUND: The COVID-19 pandemic has impaired the sleep-wakefulness cycle especially of healthcare professionals (HP). Sleep is affected by many factors and preventable risk factors protect HP from sleep disorders. To evaluate sleep quality and sleep disorders in HP working to gain insight risk factors and to raise awareness about working risk groups. MATERIAL AND METHODS: The study population consisted of a total of 1190 HP employed at a hospital during the COVID-19 pandemic. From this population, a sample of 110 HP was selected based on reported only complaints of sleep. A sociodemographic data form and subjective sleep-wakefulness scales were applied. Sleep disorder was evaluated according to the ICSD-3. RESULTS: Most of the participants were female. It was observed that 67.3%of the HP had disturbed sleep quality, and that nurses and medical secretaries had more complaints compared to doctors. Insomnia disorders was the most common disorder among the participants. Cases of insomnia disorders were found to be 15.477 times higher among those who had a history of mental disorders in their families, smoking was shown to have the most negative effect on biological rhythm, and married people experienced more sleepiness during the day. CONCLUSIONS During the COVID-19 pandemic, ancillary health staff is at greater risk of experiencing deterioration of sleep quality and insomnia disorders. Female, being married, cigarette smoking, and family history of psychiatric disorders were correlated with the development of sleep complaints

ASSESSMENT OF BURNOUT SYNDROME AND SMARTPHONE ADDICTION IN HEALTHCARE WORKERS ACTIVELY WORKING DURING THE COVID-19 PANDEMIC

Burnout is a syndrome that is more common in healthcare professionals. People who have burnout syndrome tend to spend inordinate and unhealthy amounts of time on smartphones. While smartphones offer many conveniences in life, they can turn into an addiction if overused. This study aimed to investigate burnout syndrome and smartphone addiction in healthcare workers, including doctors, nurses, medical secretaries, security guards, and cleaning staff, who have been actively working since the beginning of the COVID-19 pandemic. The target population included 1190 healthcare workers, from which a total of 183 agreed to participate in the study and met the inclusion criteria for participation. A sociodemographic data form, the Maslach Burnout Inventory, and the Smartphone Addiction Scale-Short Version were used as the data collection tools. Significant differences in burnout syndrome were found in doctors and nurses. A relationship was observed between emotional burnout (EB), desensitization, and smartphone addiction, as well as between higher education levels, doctors and nurses groups, and smartphone addiction. According to the linear regression analysis, it was determined that 17% of the change in the smartphone addiction score was related to age and 16% to education status. Doctors and nurses experience the highest rate of burnout syndrome and smartphone addiction. The healthcare workers who suffered EB and desensitization were more likely to have a smartphone addiction. A correlation may exist between healthcare professionals with higher education levels and the rate of EB, desensitization, and smartphone addiction. Age affects the addiction score

A serious dermatological side effect due to vortioxetine: a case report

Major depressive disorder is the second-largest healthcare problem worldwide in terms of illness-induced disability, and second-generation antidepressants are the most commonly used treatments in this disorder. Vortioxetine is a recently introduced antidepressant with a multimodal mechanism of action. Some side effects associated with the use of vortioxetine have been reported. Side effects that do not occur in clinical trials can be reported during phase IV studies. In this case report, we present a patient who developed dermatological adverse reactions following vortioxetine use

Plasma neutrophil gelatinase-associated lipocalin levels and the hemogram levels and their relationship to disease severity in OCD

Objective: The release of neutrophil gelatinase-associated lipocalin (NGAL), involved with immunity regulation, is a neuromediators. The number of studies related to disease-hemogram in Obsessive Compulsive Disorder (OCD) is low. The aim of our study was to measure the blood NGAL levels and hemogram results in first diagnosis of OCD and to evaluate the relationship between the findings and disease severity. Methods: A total of 28,050 patients, who were presented to psychiatry outpatient clinic between January 2018 and January 2020 were evaluated. Thirty-two patients, for who were diagnosed first-episode OCD and agreed to participate the study were examined with using the Yale Brown Obsession Compulsion Scale (Y-BOCS), to measure the peripheral blood NGAL levels and hemogram results, and related to immune regulation the total leukocyte counts and neutrophil granulocyte percent-age (NEU%); and the C reactive protein (CRP) levels were recorded. Results: In the comparison of the first-episode OCD patients, a significant difference was found between the NEU% and CRP values while was not found between the blood NGAL levels. Although there was no significant difference between the Y-BOCS scores and blood NGAL levels, the Y-BOCS scores increased as the blood hemoglobin and hematocrit values decreased. Conclusion: This is the first study on this topic in the literature, indicated that although there was an increase in some inflammatory mediators in first-episode OCD patients, there was no significant increase between plasma NGAL levels and OCD severity; and that increasing OCD severity did have an effect on blood hemoglobin and hematocrit levels

Relationship between disease and disease severity and semaphorin 5A and hemogram level in obsessive-compulsive disorder

Objectiv