Covid-19 Research

Research Article

OCLC Number/Unique Identifier: 9575087249

What has changed in the Opinions and Behaviors of Patients Admitted to the Pulmonology Outpatient Clinic during the Pandemic Period in one year? A Case Study in Turkey

Medicine Group    Start Submission

Duygu Zorlu*

Dates: Received: 2022-04-23 | Accepted: 2022-05-28 | Published: 2022-06-10
Pages: 678-687


Introduction and Purpose: Although the information on many aspects of COVID-19 was limited and the long-term consequences were not clear, our knowledge and experience regarding transmission, disease course, virus pathogenicity, treatments, complications, and vaccines increased. In the process, our social life, opinions, and behavior changed.

In this study, we evaluated the pandemic period from the point of view of the patients. For this, the opinion and behavior of patients who were admitted to the chest diseases outpatient clinic were analyzed. Although the time of the end of the process could not be predicted, some predictions were reported. The study might be useful to plan for the pandemic, considering that the effects and course of the COVID-19 disease are not known.

Materials and Methods: Between April 2020 and March 2021, 362 patients admitted to the chest diseases outpatient clinic at the Education Research Hospital were included in the study. The opinion and behavior of 176 patients were recorded in April 2020, and those of 186 patients were recorded in March 2021. The opinions, behaviors, and differences were evaluated in both periods; these characteristics were analyzed for variables such as age, sex, and occupation.

Results: The mean age of the patients who participated in the study at the beginning of the pandemic was 46.1 ± 16.1 years and, in the 12th month of the pandemic, was 45.1 ± 15.1 years. There was no significant difference between the groups regarding the education level and sex. The most common symptoms of patients admitted to the clinic in the second period were chest pain and weakness. The smoking cessation rate was higher in the first period of the pandemic. Compliance with social isolation rules decreased in the 12th month. The rate of patient recovery was 36%, and the drug use rate was 82.1%. Patients found the management of the pandemic to be insufficient in our country in the 12th month, while Turkish physicians evaluated it as successful in both periods. The number of people considering vaccination decreased after 12 months.

Discussion and Conclusion: Social living rules, isolation, and the use of masks decreased over time. Informal social gatherings increased by the end of the first year compared to the first period of the pandemic. Young people paid less attention to the rules of social life and did not stop smoking. In the group of patients with a low education level, compliance with the drugs used in the treatment of COVID-19 and the smoking cessation rate decreased.
Thus, strict restrictions should be imposed on individuals below 65 years. Current data on vaccines, along with the information on their effects and side effects, should be shared. This study showed that managing and controlling a crisis is easier when the level of education in the community is high.

FullText HTML FullText PDF DOI: 10.37871/jbres1497

Certificate of Publication


© 2022 Zorlu D. Distributed under Creative Commons CC-BY 4.0

How to cite this article

Zorlu D. What has changed in the Opinions and Behaviors of Patients Admitted to the Pulmonology Outpatient Clinic during the Pandemic Period in one year? A Case Study in Turkey. J Biomed Res Environ Sci. 2022 June 10; 3(6): 678-687. doi: 10.37871/jbres1497, Article ID: JBRES1497, Available at:

Subject area(s)


  1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24. PMID: 31978945; PMCID: PMC7092803.
  2. COVID-19 Coronavirus Pandemic.
  3. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS; China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032. Epub 2020 Feb 28. PMID: 32109013; PMCID: PMC7092819.
  4. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24. Erratum in: Lancet. 2020 Jan 30;: PMID: 31986264; PMCID: PMC7159299.
  5. Patanavanich R, Glantz SA. Smoking Is Associated With COVID-19 Progression: A Meta-analysis. Nicotine Tob Res. 2020 Aug 24;22(9):1653-1656. doi: 10.1093/ntr/ntaa082. PMID: 32399563; PMCID: PMC7239135.
  6. Vardavas CI, Nikitara K. COVID-19 and smoking: A systematic review of the evidence. Tob Induc Dis. 2020 Mar 20;18:20. doi: 10.18332/tid/119324. PMID: 32206052; PMCID: PMC7083240.
  7. Uğur Chousein EG, Çörtük M, Cınarka H, Tanrıverdi E, Turan D, Yıldırım BZ, Sezen CB, Özgül MA. Is there any effect of smoking status on severity and mortality of hospitalized patients with COVID-19 pneumonia? Tuberk Toraks. 2020 Dec;68(4):371-378. English. doi: 10.5578/tt.70352. PMID: 33448734.
  8. Kumar S, Jha S, Rai SK. Significance of super spreader events in COVID-19. Indian J Public Health. 2020 Jun;64(Supplement):S139-S141. doi: 10.4103/ijph.IJPH_495_20. PMID: 32496245.
  9. Alhusseini LB, Yassen LT, Kouhsari E, Al Marjani MF. Persistence of SARS-CoV-2: a new paradigm of COVID-19 management. Ann Ig. 2021 Sep-Oct;33(5):426-432. doi: 10.7416/ai.2021.2414. Epub 2021 Feb 11. PMID: 33443283.
  10. Li Y, Ren B, Peng X, Hu T, Li J, Gong T, Tang B, Xu X, Zhou X. Saliva is a non-negligible factor in the spread of COVID-19. Mol Oral Microbiol. 2020 Aug;35(4):141-145. doi: 10.1111/omi.12289. Epub 2020 May 31. PMID: 32367576; PMCID: PMC7267240.
  11. Turkish Ministry of Health COVID-19 Information Platform. What is COVID-19? July 20, 2020.
  12. Turkish Ministry of Health. Turkey COVID-19 Patient Table.
  13. Pandemic Influenza National Preparedness Plan.
  14. T.C Ministry of Health COVID-19 Information page. General Coronaovirus Table.
  15. Detoc M, Bruel S, Frappe P, Tardy B, Botelho-Nevers E, Gagneux-Brunon A. Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine. 2020 Oct 21;38(45):7002-7006. doi: 10.1016/j.vaccine.2020.09.041. Epub 2020 Sep 17. PMID: 32988688; PMCID: PMC7498238.
  16. Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine. 2020 Sep 29;38(42):6500-6507. doi: 10.1016/j.vaccine.2020.08.043. Epub 2020 Aug 20. PMID: 32863069; PMCID: PMC7440153.


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