Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey.
Department of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Int J Clin Pract. 2021 Aug;75(8):e14201. doi: 10.1111/ijcp.14201. Epub 2021 Apr 17.
We aimed to determine the effect COVID-19 pandemic on the daily urology practice of the level 3 centre located in one of the most affected regions in Turkey. We also aimed to assess anxiety and depression levels of patients whose procedures and surgeries had to be postponed due to COVID-19-related restrictions.
The number of patients admitted to the outpatient clinic, outpatient procedures, emergency consultation requests, hospitalised patients and the total number of surgeries between March 10, 2020 and June 15, 2020 were evaluated. These numbers were compared with the same period of 2019. Subsequently, patients who could not be operated or whose elective surgeries were postponed between March 10, 2020 and June 15, 2020 were determined(n:96). These patients were asked to fill out Beck Depression Inventory(BDI) and State-Trait Anxiety Inventory(STAI). The presence of difference between the baseline anxiety levels and the anxiety levels during the COVID-19 pandemic was investigated. Afterwards, these patients were divided into two groups based on planned procedures as oncological group (group1) and non-oncological group (group2). The presence of a difference between the anxiety and depression levels between the groups was investigated.
There was a drastic decline in number of patients in all assessed parameters. The least amount of change was seen in the number of emergency consultations. The evaluation of anxiety and depression scores of the patients showed a significant difference between their STAI-S and STAI-T scores (51.8 ± 9.3, 38.2 ± 7.5, respectively)(P < .001). STAI-S scores of the patients were found to be compatible with severe anxiety. The patients' mean BDI score was found to be 15 ± 8.9, which indicated mild depression. However, the age and STAI-S values were significantly higher in group1.
We noted that anxiety and depression levels increased in patients whose operations were delayed because of pandemic-related restrictions, especially in oncological patients. We believe that an important contribution can be made to the protection of public health by planning advance psychosocial interventions for high-risk groups during pandemics.
本研究旨在确定位于土耳其受疫情影响最严重地区之一的三级中心的日常泌尿科实践在 COVID-19 大流行期间所受到的影响。我们还旨在评估因 COVID-19 相关限制而不得不推迟手术的患者的焦虑和抑郁水平。
评估 2020 年 3 月 10 日至 2020 年 6 月 15 日期间门诊就诊、门诊手术、急诊咨询请求、住院患者和总手术次数。将这些数字与 2019 年同期进行比较。随后，确定了 2020 年 3 月 10 日至 2020 年 6 月 15 日期间无法进行手术或择期手术被推迟的患者（n=96）。要求这些患者填写贝克抑郁量表（BDI）和状态特质焦虑量表（STAI）。调查 COVID-19 大流行期间基线焦虑水平与焦虑水平之间的差异。此后，根据计划程序将这些患者分为两组：肿瘤组（group1）和非肿瘤组（group2）。调查两组之间焦虑和抑郁水平是否存在差异。
所有评估参数的患者数量均大幅下降。急诊咨询数量的变化最小。患者的焦虑和抑郁评分评估显示，他们的 STAI-S 和 STAI-T 评分之间存在显著差异（分别为 51.8±9.3、38.2±7.5）（P<.001）。患者的 STAI-S 评分表明存在严重焦虑。患者的平均 BDI 评分为 15±8.9，表明存在轻度抑郁。然而，group1 患者的年龄和 STAI-S 值显著更高。
我们注意到，由于与疫情相关的限制而导致手术推迟的患者的焦虑和抑郁水平升高，尤其是肿瘤患者。我们认为，在大流行期间为高危人群规划提前的社会心理干预，可以为保护公众健康做出重要贡献。
