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INTRODUCTION: The COVID-19 pandemic resulted in an unpredictable healthcare crisis with a high psychological burden on healthcare workers. OBJETIVE: To evaluate burnout levels and their associated demographics and occupational factors among intensive care unit healthcare workers during the COVID-19 pandemic in a single hospital in the city of Temuco, Chile. METHODS: A cross-sectional design in which a sociodemographic questionnaire and the Maslach Burnout Inventory for Human Services were sent to health care workers in a single Chilean Intensive Care Unit during the pandemic COVID-19. Burnout levels, demographic, and occupational factors are reported using descriptive statistics; correlations between burnout levels and demographic-occupational factors were analyzed using Spearman's and rank-biserial correlation coefficients; and multiple linear stepwise regression was used to assess the contribution of demographic and occupational factors to participants' burnout levels. RESULTS: A total of 84 participants (46 women and 38 men) were included in the analysis. Depersonalization and low personal accomplishment were evidenced in 95.2% and 98.8% of the intensive care unit healthcare workers, respectively. Emotional exhaustion was positively correlated with having children ( = 0.72; < 0.01). Age ( = 0.79; < 0.05), sex ( = 0.30; < 0.05), and prior experience in intensive care unit facilities ( = 0.71; < 0.05) were correlated with depersonalization. Feeling of personal accomplishment was positively correlated with with sex ( = 0.70; < 0.05) and type of work shift ( = 0.29; < 0.01). CONCLUSIONS: The intensive care unit healthcare workers in this study reported high levels of depersonalization and low feelings of personal accomplishment during an advanced stage of the COVID-19 pandemic. Older age, being female, having children, having intensive care unit experience, and working at 4th shift were factors related to burnout dimensions.
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INTRODUCTION: Global advances in pain relief have improved the quality of life of cancer populations. Yet, variation in cancer pain outcomes has been found in populations with social disparities compared to mainstream groups. Populations with social disparities bear an inequitable distribution of resources such as ethnic minorities, low income individuals, and women in vulnerable circumstances. RESEARCH PURPOSE: A systematic review and meta-analysis of the effect of non-pharmacological cancer pain interventions in cancer populations with social disparities of income, ethnicity, or gender. METHODS: Randomized controlled trials, controlled trials, and before and after studies were targeted through comprehensive multidatabase searches. Two reviewers independently screened titles/abstracts for potentially relevant studies and reviewed the full text of relevant articles for inclusion. Data were extracted from included studies by one reviewer and verified by another reviewer. Four reviewers independently completed quality assessment. Studies were grouped by intervention. Effects were evaluated for heterogeneity and pooled. RESULTS: The search found 5219 potential records. Full text of 26 reports was evaluated. Three randomized controlled trials (RCTs) met inclusion criteria, targeting ethnic minorities and underserved populations and/or women. Interventions included education, coaching, and online support groups. Studies found no significant differences in pain reduction between intervention and control groups or between ethnic minorities and their counterparts. A high risk of bias was found in all studies. Meta-analysis found no statistically significant difference on pain intensity among underserved groups, ethnic minorities, or between ethnic minorities and white counterparts. CONCLUSION: Results show the need to examine supportive care interventions particularly in populations with social disparities.
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Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , Manejo da Dor/métodos , Dor/patologia , Adulto , Etnicidade , Feminino , Humanos , Masculino , Grupos Minoritários , Neoplasias/patologia , Qualidade de VidaRESUMO
Background: Hand grip strength could be influenced by gender, age and handedness. Aim: To describe differences in grip strength for age, gender and upper extremity handedness in non-disabled community-dwelling older adults. Material and Methods: We studied 47 males aged 72.3 ± 5.6 years and 69 females 72.4 ± 6.0 years who were divided in two age groups (65-70 and ≥ 71 years old). Grip strength was determined by a standardized protocol using a hand dynamometer. Results: There was an inverse correlation between grip strength and age in both hands only among men (p ≤ 0.05). When analyzing both genders, there was a significant inverse correlation between grip strength and age only in the dominant hand (p ≤ 0.05). Strength was higher in the dominant hand in both genders (p ≤ 0.05). It was also higher in men, compared to women in the two age groups studied (p ≤ 0.05). Conclusions: Grip strength is higher in men than women, it decreases with age and is higher in the dominant hand.