The aim of this study is to determine the prevalence of post-traumatic stress disorder (PTSD), depression, anxiety, and stress among earthquake survivors following the 2023 Kahramanmaraş earthquakes. This cross-sectional study included 461 earthquake survivors. The findings revealed prevalence rates of 17.4% for PTSD, 61.2% for depression, 79.4% for anxiety, and 58.4% for stress. A moderately significant positive correlation was found between PTSD and depression ( r = 0.434), anxiety ( r = 0.543), and stress ( r = 0.534). Female participants had a higher risk for PTSD (OR = 2.144, p = 0.028) and anxiety (OR = 2.014, p = 0.005). Being unmarried was associated with increased risks for depression (OR = 1.597, p = 0.030) and anxiety (OR = 1.523, p = 0.045). Participants aged 33–67 had a significantly lower risk of developing PTSD (OR = 0.079, p = 0.022). Increased psychological support is essential for earthquake survivors’ mental health recovery.
16 December 2021 in Prehospital and Disaster Medicine
Introduction: Motorcycles can be considered a new form of smart vehicle when taking into account their small and modern structure and due to the fact that nowadays, they are used in the new role of ambulance to rapidly reach emergency patients in large cities with traffic congestion. However, there is no study regarding the measuring of access time for motorcycle ambulances (motorlances) in large cities of Thailand.Study Objective: This study aims to compare access times to patients between motorlances and conventional ambulances, including analysis of the use of automated external defibrillators (AEDs) installed on motorlances to contribute to the sustainable development of public health policies.Methods: A cross-sectional study was conducted on all motorlance operations in Emergency Medical Services (EMS) at Srinagarind Hospital, Thailand from January 2019 through December 2020. Data were recorded using a national standard operation record form for Thailand.Results: Two hundred seventy-one motorlance operations were examined over a two-year period. A total of 52.4% (N = 142) of the patients were male. The average times from dispatch to vehicle (motorlance and traditional ambulance) being en route (activation time) for motorlance and ambulance in afternoon shift were 0.59 minutes and 1.45 minutes, respectively (P = .004). The average motorlance response time in the afternoon shift was 6.12 minutes, and ambulance response time was 9.10 minutes at the same shift. Almost all of the motorlance operations (97.8%) were found to have no access to AED equipment installed in public areas. The average time from dispatch to AED arrival on scene (AED access time) was 5.02 minutes.Conclusion: The response time of motorlances was shorter than a conventional ambulance, and the use of AEDs on a motorlance can increase the chances of survival for patients with cardiac arrest outside the hospital in public places where AEDs are not available.
2 April 2024 in Disaster Medicine and Public Health Preparedness
Objective: This research was conducted in order to assess the 1-week aid needs determined by the health professional who voluntarily served in the WhatsApp communication network during the earthquakes in Kahramanmaraş, Turkey. Methods: This descriptive retrospective epidemiological study focuses on the 1-week messaging activities of the WhatsApp group created by volunteers after the earthquake in Turkey. During the 7-day period included in the research, a total of 5813 messages were sent. 3472 of these messages were not included in the research for various reasons, and a total of 2341 messages were used for the research. Results: In all 7 days, it was seen that most of the messages were sent via text message and that voice messages were very few. When the distribution of the needs demanded by the earthquake victims for 7 days was examined, it was seen that there was a significant increase in the needs on the fourth day after the earthquake, and that the highest increase was the need for tents. Conclusion: While the demands for rescue services increased in the first 2 days, it was determined that the demands for water especially, dry food, and tents increased from the third day onwards. It is suggested that a professional online infrastructure system should be created to enable the transfer of instant scene and need information that can be activated in such disasters.
1 January 2023 in Turkiye Klinikleri Journal of Health Sciences
Objective: This study aims to conduct a validity and reliability study of the Occupational Anxiety Scale for health care students. Material and Methods: 973 people participated in this descriptive study. During the descriptive research phase, data was gathered using a questionnaire form and a Google form. The 5-stage scale development method presented by Cohen and Swerdlik was used to develop the occupational anxiety scale for health worker candidates who have undergraduate and associate degree education. First of all, the conceptual structure of the scale, the scale type, and the scaling technique were decided. The implementation phase of the scale, factor analysis in the item analysis part, and internal consistency and validity studies were carried out. Results: A structure consisting of a total of 32 questions with 5 factors was formed for undergraduate students; a structure consisting of a total of 30 questions with 4 factors was formed for associate degree students. It is seen that the standard factor loading values for the items in the professional knowledge factor vary between λ=0.41 and λ=0.80, and the error variances vary between ε=0.36 and ε=0.83. It is seen that the standard factor loading values for the items in the working life factor vary between λ=0.49 and λ=0.72, and the error variances vary between ε=0.48 and ε=0.76. Cronbach's alpha coefficient was 0.84 for the undergraduate scale and 0.81 for associate degree students. Conclusion: A valid and reliable measurement tool was created to measure occupational anxiety in health care students.
8 March 2023 in Disaster Medicine and Public Health Preparedness
This research aims to explore the factors affecting the intervention of health-care professionals regarding a radiological event and to determine what actions they cause. In line with the keywords determined, a search was conducted on Cochrane, Scopus, Web of Science, and PubMed until March 2022. Eighteen peer-reviewed articles that met the inclusion criteria were reviewed. This systematic review was conducted using the PICOS and PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses)guidelines. Of the 18 studies included in the study, 8 were cross-sectional studies, 7 were descriptive studies, 2 were interventional studies, and 1 was a systematic review. As a result of the qualitative analysis, 7 factors affecting the intervention of health-care professionals in a radiological event were identified as follows: rarity of the event; inadequacy of health-care professionals against the radiological event; sensory responses; dilemma and ethical concern; communication, workload; and other factors. The most important factor affecting the intervention of health-care professionals in a radiological event is inadequate education about a radiological event, which influences the formation of other factors. These and other factors cause actions such as delayed treatment, death, and disruption of health services. Further studies are needed on the factors affecting the intervention of health-care professionals.
1 January 2025 in WORK: A Journal of Prevention, Assessment & Rehabilitation
BACKGROUND: The concept of “quiet quitting”, which might be considered new in the literature, is used to describe a passive and silent giving up. OBJECTIVE: The aim of this study is to develop a scale to evaluate both the causes and consequences of “quiet quitting” which is believed to be increasing for various reasons in our country as well as in the world. METHOD: Five-stage scale development method which was presented by Cohen and Swerdik was used in the process of developing the Quiet Quitting Reason and Behavior Scale (QQRBS). First, the conceptual structure of the scale was determined. In the second stage, the scale was structured. Structuring the scale is deciding on the scale type and scaling technique. The third stage is the first application of the scale. After the scale was applied, factor analysis, internal consistency assessment and validity studies were carried out in the item analysis section, which is the fourth stage. The fifth stage is the second application stage of the scale and at this stage, the scale was reviewed by test-retest and an application guideline was prepared. RESULTS: Cronbach’s alpha value of draft items is 0.87, quiet quitting behavior sub-dimension Cronbach’s Alpha value is 0.76 and reasons for quiet quitting Cronbach’s Alpha value is 0.820. It was decided to keep the remaining 35 items after EFA analysis because the corrected correlation numbers of the items were >0.30. This study explains the design and development process of the QQRBS in Turkish society. CONCLUSION: According to this developed scale, as the scale mean score of the total and sub-dimensions increases, the tendency to quiet quitting increases.