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Physiol Rev ; 101(1): 303-318, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32969772


There are many unknowns for pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. Clinical experience of pregnancies complicated with infection by other coronaviruses e.g., Severe Acute Respiratory Syndrome (SARS) and Middle Eastern Respiratory Syndrome, has led to pregnant woman being considered potentially vulnerable to severe SARS-CoV-2 infection. Physiological changes during pregnancy have a significant impact on the immune system, respiratory system, cardiovascular function, and coagulation. These may have positive or negative effects on COVID-19 disease progression. The impact of SARS-CoV-2 in pregnancy remains to be determined, and a concerted, global effort is required to determine the effects on implantation, fetal growth and development, labor, and neonatal health. Asymptomatic infection presents a further challenge regarding service provision, prevention, and management. Besides the direct impacts of the disease, a plethora of indirect consequences of the pandemic adversely affect maternal health, including reduced access to reproductive health services, increased mental health strain, and increased socioeconomic deprivation. In this review, we explore the current knowledge of COVID-19 in pregnancy and highlight areas for further research to minimize its impact for women and their children.

Appetite ; 156: 104977, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32991945


COVID-19 may have substantial impact on the mental health at a population level, but also has the potential to significantly affect those with pre-existing mental health difficulties such as eating disorders. This qualitative study explores the impact of COVID-19 and associated public health measures on adults with eating disorders within the UK. We conducted 10 in depth interviews with adults (24-38 years) with a self-reported eating disorder during lockdown. Data were analysed using an inductive thematic analysis approach. We identified core themes related to social restrictions (social isolation, changes in accountability to others, and increased responsibility for self and others), functional restrictions (lack of routine and structure, a need to intentionally plan activity, a desire for secrecy particularly around food shopping) and restrictions in access to mental health services. Overall, the impact of the lockdown was experienced as a catalyst for either increased disordered eating behaviours or for a drive for recovery, depending on individual circumstances going into these restrictions. This study is the first in depth interview approach with adults with mixed eating disorder presentations in the UK during COVID-19. Findings have important implications for post lockdown intervention care and practice.

Appetite ; 156: 104985, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33038477


BACKGROUND: The COVID-19 New Mum Study is recording maternal experiences and infant feeding during the UK lockdown. This report from week 1 of the survey describes and compares the delivery and post-natal experiences of women who delivered before (BL) versus during (DL) the lockdown. METHODS: Women living in the UK aged ≥18 years with an infant ≤12 months of age completed an anonymous online survey ( Information/links are shared via websites, social media and existing contacts. RESULTS: From 27.5.20-3.6.20, 1365 women provided data (94% white, 95% married/with partner, 66% degree/higher qualification, 86% living in house; 1049 (77%) delivered BL and 316 (23%) DL. Delivery mode, skin-to-skin contact and breastfeeding initiation did not differ between groups. DL women had shorter hospital stays (p < 0.001). 39% reported changes to their birth plan. Reflecting younger infant age, 59% of DL infants were exclusively breast-fed/mixed fed versus 39% of BL (p < 0.05). 13% reported a change in feeding; often related to lack of breastfeeding support, especially with practical problems. Important sources of feeding support were the partner (60%), health professional (50%) and online groups (47%). 45% of DL women reported insufficient feeding support. Among BL women, 57% and 69% reported decreased feeding support and childcare, respectively. 40% BL/45% DL women reported insufficient support with their own health, 8%/9% contacted a mental health professional; 11% reported their mental health was affected. 9% highlighted lack of contact/support from family and distress that they had missed seeing the baby. CONCLUSION: Lockdown has impacted maternal experiences, resulting in distress for many women. Our findings suggest the need for better infant feeding support, especially 'face-to-face' support for practical issues; and recognising and supporting mothers who are struggling with mental health challenges or other aspects of their health. The effectiveness of online versus face-to-face contact is currently uncertain, and requires further evaluation.

Appetite ; 156: 104981, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33038478


During the U.K.'s lockdown in response to the COVID-19 pandemic, both food shortages and stockpiling were well-publicised events. The U.K's food system has struggled and lockdown shortages are part of an ongoing trend of anxiety around the food system. Analysis of 19 interviews with people responsible for food procurement within households reveals that while shortages were often experienced for a number of weeks, stockpiling did not take the form of buying large quantities. Instead, modest extra procurement is a more appropriate description of food procurement during lockdown. This article maps six resilience strategies utilised by households in the U.K. during lockdown, of which extra procurement was just one.

Appetite ; 156: 104853, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33038479


Eating, physical activity and other weight-related lifestyle behaviors may have been impacted by the COVID-19 crisis and people with obesity may be disproportionately affected. We examined weight-related behaviors and weight management barriers among UK adults during the COVID-19 social lockdown. During April-May of the 2020 COVID-19 social lockdown, UK adults (N = 2002) completed an online survey including measures relating to physical activity, diet quality, overeating and how mental/physical health had been affected by lockdown. Participants also reported on perceived changes in weight-related behaviors and whether they had experienced barriers to weight management, compared to before the lockdown. A large number of participants reported negative changes in eating and physical activity behavior (e.g. 56% reported snacking more frequently) and experiencing barriers to weight management (e.g. problems with motivation and control around food) compared to before lockdown. These trends were particularly pronounced among participants with higher BMI. During lockdown, higher BMI was associated with lower levels of physical activity and diet quality, and a greater reported frequency of overeating. Reporting a decline in mental health because of the COVID-19 crisis was not associated with higher BMI, but was predictive of greater overeating and lower physical activity in lockdown. The COVID-19 crisis may have had a disproportionately large and negative influence on weight-related behaviors among adults with higher BMI.

Pers Individ Dif ; 170: 110420, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33082614


The COVID-19 pandemic may be one of the greatest modern societal challenges that requires widespread collective action and cooperation. While a handful of actions can help reduce pathogen transmission, one critical behavior is to self-isolate. Public health messages often use persuasive language to change attitudes and behaviors, which can evoke a wide range of negative and positive emotional responses. In a U.S. representative sample (N = 955), we presented two messages that leveraged either threatening or prosocial persuasive language, and measured self-reported emotional reactions and willingness to self-isolate. Although emotional responses to the interventions were highly heterogeneous, personality traits known to be linked with distinct emotional experiences (extraversion and neuroticism) explained significant variance in the arousal response. While results show that both types of appeals increased willingness to self-isolate (Cohen's d = 0.41), compared to the threat message, the efficacy of the prosocial message was more dependent on the magnitude of the evoked emotional response on both arousal and valence dimensions. Together, these results imply that prosocial appeals have the potential to be associated with greater compliance if they evoke highly positive emotional responses.

Med Glas (Zenica) ; 18(1)2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33155463


Aim To describe experiences of patients with COVID-19 infection. Methods This qualitative research was conducted using a phenomenological approach, and participants were selected via purposive sampling. In total, 14 patients with COVID-19 were selected (nine women and five men) aged 20-60 years. Data were collected via in-depth interviews with open questions and through observation. Data analysis was performed using Colizzi's phenomenological approach. Results Three themes and nine categories were extracted; the main themes were mental strains, physical manifestations, and coping mechanisms. Mental strains entailed concerns, fears and isolation, on the other hand, physical manifestations comprised nervous, respiratory and gastrointestinal system, and systemic disorders. Coping mechanisms included religiosity and home remedies categories. Conclusion Mental strains were the most important issues in the patients with COVID-19, which were interwoven with concerning physical manifestations. Most of the participants used self-medication and spiritual resources to cope with the disease. Therefore, it is recommended to carry out proper planning by healthcare personnel to psychologically and spiritually support these patients, while alleviating physical manifestations of the disease.

Artigo em Inglês | MEDLINE | ID: mdl-32730915


In December 2019, the first case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) infection was reported. In only few weeks it has caused a global pandemic, with mortality reaching 3.4%, mostly due to a severe pneumonia. However, the impact of SARS-CoV-2 virus on the central nervous system (CNS) and mental health outcomes remains unclear. Previous studies have demonstrated the presence of other types of coronaviruses in the brain, especially in the brainstem. There is evidence that the novel coronavirus can penetrate CNS through the olfactory or circulatory route as well as it can have an indirect impact on the brain by causing cytokine storm. There are also first reports of neurological signs in patients infected by the SARS-Cov-2. They show that COVID-19 patients have neurologic manifestations like acute cerebrovascular disease, conscious disturbance, taste and olfactory disturbances. In addition, there are studies showing that certain psychopathological symptoms might appear in infected patients, including those related to mood and psychotic disorders as well as post-traumatic stress disorder. Accumulating evidence also indicates that the pandemic might have a great impact on mental health from the global perspective, with medical workers being particularly vulnerable. In this article, we provide a review of studies investigating the impact of the SARS-CoV-2 on the CNS and mental health outcomes. We describe neurobiology of the virus, highlighting the relevance to mental disorders. Furthermore, this article summarizes the impact of the SARS-CoV-2 from the public health perspective. Finally, we present a critical appraisal of evidence and indicate future directions for studies in this field.

Infecções por Coronavirus/psicologia , Transtornos Mentais/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Betacoronavirus , Encéfalo/virologia , Infecções por Coronavirus/complicações , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/etiologia , Doenças do Sistema Nervoso/etiologia , Pandemias , Pneumonia Viral/complicações , Resultado do Tratamento
Artigo em Inglês | MEDLINE | ID: mdl-32771337


BACKGROUND: Psychological suffering by health professionals may be associated with the uncertainty of a safe workplace. Front-line professionals exposed and involved in the diagnosis and treatment of COVID-19 patients are more susceptible. METHOD: This review was conducted based on papers that were published at MEDLINE, BMJ, PsycINFO, and LILACS, the according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). RESULTS: Health professionals had a higher level of anxiety (13.0 vs. 8.5%, p < 0.01, OR = 1.6152; 95%CI 1.3283 to 1.9641; p < 0.0001) and depression 12.2 vs. 9.5%; p = 0.04; OR = 1.3246; 95%CI 1.0930 to 1.6053; p = 0.0042), besides somatizations and insomnia compared to professionals from other areas. CONCLUSION: Health professionals, regardless of their age, showed significant levels of mental disorders. We observed a prevalence of anxiety and depression. Insomnia was a risk factor for both.

Infecções por Coronavirus , Pessoal de Saúde/psicologia , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Humanos , Transtornos Mentais/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Estresse Psicológico
Artigo em Inglês | MEDLINE | ID: mdl-32777327


BACKGROUND: Health professionals are key personnel to containing infectious diseases like COVID-19. In the face of long work shifts (that reach 16 h per day on average), the risk of getting infected by a high-infectious disease and the lack of enough biological protection measures, mental suffering among health professionals suddenly became evident. METHOD: We carried out an updated meta-analysis to investigate the psychiatric impacts on health professionals in the face of the physical and psychological conditions to which they are subjected due to the high demands of the COVID-19 pandemic. Papers were researched in four databases from December 2019 to April 2020. In total, eight papers were included in the study. RESULTS: Health professionals working to fight COVID-19 are being more severely affected by psychiatric disorders associated with depression, anxiety, distress and insomnia, stress, and indirect traumatization than other occupational groups. No significant differences were observed in the publication bias. CONCLUSION: There is a strong association between health professionals and COVID-19 in terms of psychiatric repercussions. Our meta-analysis showed that health professionals have a higher level of indirect traumatization, in which the level of damage exceeds psychological and emotional tolerance and indirectly results in psychological abnormalities. The incidence of obsessive-compulsive traces and somatizations was higher in situations involving front-line professionals.

Infecções por Coronavirus , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Pandemias , Pneumonia Viral , Ansiedade/etiologia , Ansiedade/psicologia , Depressão/etiologia , Depressão/psicologia , Pessoal de Saúde , Humanos , Angústia Psicológica , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Estresse Psicológico/epidemiologia
Pers Individ Dif ; 170: 110419, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33052156


A coronavirus pandemic hit the world and Poland was no exception. The present research sought to investigate different factors associated with coronavirus-related anxiety during the COVID-19 outbreak in Poland. More specifically, COVID-19-related risk perceptions, beliefs, precautionary actions, information sources, and anxiety level were studied on general population (N = 1069) in Poland between March 29th and April 17th 2020. Multiple regression was used to examine the significant predictions of anxiety. Data revealed that anxiety in response to the COVID-19 was common in the sample. Major predictors of higher anxiety related to the pandemic outbreak included demographic factors, like being female, being older, being married or cohabiting, and having children. Additionally, greater anxiety was reported among people who reported chronic illnesses and generally worse health condition. From COVID-19 related factors, higher frequency of recommended protective behaviors, greater perceived risk of infection, greater likelihood of contacting COVID-19 during the current outbreak, greater amounts of information about COVID-19 received from various sources, and very little or lack of belief that degree of catching COVID-19 depends on one's own behavior predicted greater anxiety among individuals.

Texto & contexto enferm ; 29: e20200213, Jan.-Dec. 2020. graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1127494


ABSTRACT Objective: to report the experience in the structuring and managing process of a specific unit for COVID-19, highlighting the role of nurses in decision-making. Method: an experience report on the creation and management of the Coronavirus Disease 2019 (COVID-19) unit, in March 2020, in 2020, in a philanthropic hospital of the state of Santa Catarina. Results: the unit was structured with 10 intensive care beds and 20 infirmary beds. Meetings were held to make decisions, as well as to create protocols and flows with active participation of the nurse. In questions related to direct assistance, adaptations were developed in the nursing process performed at the hospital and the organization of new flows and routines. The physical space was structured, considering the high risk of transmissibility for the disease. Professionals were hired with staffing readjustment according to the complexity of the service, making up a team of professionals with experience in critical care. There were trainings for developing knowledge and skills prior to the first cases, which were systematically maintained. In addition, it was observed that the nurses were concerned about the mental health of the professionals working in this unit and, therefore, support actions were programmed. Conclusion: the foundation in the scientific evidence and recommendations of the competent bodies at the world and national levels for the structuring of the COVID-19 unit is emphasized. The role of the nurse in all the interfaces stands out, assuming a fundamental role from the composition of the commissions, going through the planning and functioning of the physical structure, management of human resources, and construction of care protocols and flows, in addition to acting directly in the care provided.

RESUMEN Objetivo: reportar la experiencia en el proceso de estructuración y gestión de una unidad específica para COVID-19, destacando el protagonismo del enfermero en la toma de decisiones. Método: informe de experiencia sobre la creación y gestión de la unidad Coronavirus Disease 2019 (COVID-19), en marzo de 2020, en un hospital filantrópico del estado de Santa Catarina. Resultados: la unidad se estructuró con 10 camas de cuidados intensivos y 20 de enfermería. Se realizaron reuniones para tomar decisiones y crear protocolos y flujos con participación activa del enfermero. En las cuestiones relacionadas con la asistencia directa, se desarrollaron adaptaciones en el proceso de enfermería realizado en el hospital y se organizaron nuevos flujos y rutinas. Se estructuró el espacio físico, en vistas del elevado riesgo de transmisibilidad de la enfermedad. Se contrataron profesionales con readecuación de número según la complejidad del servicio, conformándose así un equipo de profesionales con experiencia en cuidados críticos. Se realizaron sesiones de capacitación para el desarrollo de conocimientos y habilidades antes de que surgieran los primeros casos, que se mantuvieron sistemáticamente. Además, se observó cierta preocupación entre el personal de Enfermería con relación a la salud mental de los profesionales actuantes en esa unidad y, por lo tanto, se programación acciones de apoyo. Conclusión: se forjan las bases sobre las evidencias científicas y las recomendaciones de los organismos competentes a nivel mundial y nacional para la estructuración de la unidad COVID-19. Se destaca el protagonismo de los enfermeros en todas las interfaces, quienes asumen un rol fundamental desde la composición de las comisiones, pasando por la planificación y el funcionamiento de la estructura física, la gestión de recursos humanos y, finalmente, la elaboración de protocolos y flujos de atención, además de su actuación directa en la asistencia provista.

RESUMO Objetivo: relatar a experiência no processo de estruturação e gestão de uma unidade específica para COVID-19, ressaltando o protagonismo do enfermeiro nas tomadas de decisão. Método: relato de experiência sobre a criação e a gestão da unidade Coronavirus Disease 2019 (COVID-19), em março de 2020, em um hospital filantrópico do Estado de Santa Catarina. Resultados: a unidade foi estruturada com 10 leitos de terapia intensiva e 20 de enfermaria. Realizaram-se reuniões para a tomada de decisões, criação de protocolos e fluxos com participação ativa do enfermeiro. Nas questões relacionadas à assistência direta, desenvolveram-se adaptações no processo de enfermagem realizado no hospital e ordenamento de novos fluxos e rotinas. O espaço físico foi estruturado, considerando-se o alto risco de transmissibilidade da doença. Realizou-se contratação de profissionais com readequação do dimensionamento conforme a complexidade do serviço, formando-se uma equipe de profissionais com experiência em cuidados críticos. Houve treinamentos para o desenvolvimento de conhecimentos e habilidades anteriormente aos primeiros casos, que foram mantidos sistematicamente. Ademais, observou-se preocupação dos enfermeiros com relação à saúde mental dos profissionais atuantes nesta unidade e, portanto, programaram-se ações de suporte. Conclusão: enfatiza-se o alicerce nas evidências científicas e recomendações dos órgãos competentes a níveis mundial e nacional para a estruturação da unidade COVID-19. Destaca-se o protagonismo do enfermeiro em todas as interfaces, o qual assume papel fundamental desde a composição das comissões, perpassando pelo planejamento e funcionamento da estrutura física, gestão de recursos humanos e construção de protocolos e fluxos de cuidado, além de atuar diretamente na assistência.

Humanos , Adulto , Gestão de Riscos , Administração dos Cuidados ao Paciente , Enfermagem , Liderança , Infecções por Coronavirus
Texto & contexto enferm ; 29: e20200215, Jan.-Dec. 2020. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1127493


ABSTRACT Objective: to map the literature on mental illness in the general population and in health professionals during the Covid-19 pandemic. Method: scoping review in the MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, Science Direct databases and in the medRxiv, bioRxiv and PsyArXiv preprint servers, using the descriptors "Covid-19", "coronavirus infection", "coronavirus", "2019-nCoV", "2019 new coronavirus disease", "SARS-CoV-2", "health personnel", "general public" and "mental health". Results: 1,168 articles were found, among which 27 were analyzed. 19 (70%) dealt with the prevalence of mental illness in the general population, six (22%) in doctors and nurses, one (4%) in other health professionals and one (4%) in the general population and nurses. 19 symptoms of mental illness were identified. Conclusion: the Covid-19 pandemic triggered anxiety, depression, stress and post-traumatic stress disorders in the general population and health professionals more often. Women, students and nurses are among the most affected.

RESUMEN Objetivo: mapear la literatura sobre enfermedades mentales en la población general y en profesionales de la salud durante la pandemia de Covid-19. Método: scoping review en las bases de datos MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, Science Direct y en servidores de preprints medRxiv, bioRxiv y PsyArXiv, usando los descriptores "Covid-19", "coronavirus infection", "coronavirus", "2019-nCoV", "2019 novel coronavirus disease", "SARS-CoV-2", "health personnel", "general public" e "mental health". Resultados: se encontraron 1.168 artículos, de los cuales 27 fueron analizados. 19 (70%) se ocuparon de la prevalencia de enfermedades mentales en la población general, seis (22%) en médicos y enfermeras, uno (4%) en otros profesionales de la salud y uno (4%) en la población general y los enfermeros. Se identificaron 19 síntomas de enfermedad mental. Conclusión: la pandemia de Covid-19 desencadenó ansiedad, depresión, estrés y trastornos de estrés postraumático con mayor frecuencia en la población general y los profesionales de la salud. Las mujeres, los estudiantes y las enfermeras se encuentran entre los más afectados.

RESUMO Objetivo: mapear a literatura sobre adoecimento mental na população geral e em profissionais de saúde durante a pandemia da Covid-19. Método: scoping review nas bases de dados MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, Science Direct e nos servidores de preprints medRxiv, bioRxiv e PsyArXiv, usando os descritores "Covid-19", "coronavirus infection", "coronavirus", "2019-nCoV", "2019 novel coronavirus disease", "SARS-CoV-2", "health personnel", "general public" e "mental health". Resultados: foram encontrados 1.168 artigos, dos quais 27 foram analisados. 19 (70%) versaram sobre a prevalência de adoecimento mental na população geral, seis (22%) em médicos e enfermeiros, um (4%) nos demais profissionais de saúde e um (4%) na população geral e enfermeiros. Identificaram-se 19 sintomas de adoecimento mental. Conclusão: a pandemia da Covid-19 desencadeou, com maior frequência, ansiedade, depressão, estresse e transtornos do estresse pós-traumático na população geral e em profissionais de saúde. Mulheres, estudantes e enfermeiros estão entre os mais acometidos.

Humanos , Adulto , Estresse Psicológico , Saúde Mental , Infecções por Coronavirus , Pandemias
Texto & contexto enferm ; 29: e20200119, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1115946


ABSTRACT Objective: to describe the actions performed by nurses from the mobile pre-hospital service before, during, and after consultations and transfers of suspected and/or confirmed patients of Covid-19, and the limitations found by these professionals on reducing exposure to the disease. Method: a descriptive-reflective study about the actions performed by nurses from the mobile pre-hospital service in a capital city in southern Brazil to increase safety during consultations or transfers of suspected and/or confirmed patients of Covid-19. Results: the study allowed us to reflect on the multidimensionality of actions necessary for the prevention and control of the pandemic. Attitudes were identified to ensure instrumental safety in mobile units, professional safety, and patient safety in mobile pre-hospital care. Conclusion: regarding the nurses, concern with the safety of the professionals and patients was identified, since they adopted conducts for the prevention and control of the pandemic through the use of equipment, materials, and preparation of the ambulance. Subjective aspects of the professionals involved must be considered, such as technical and psychological preparation, which is a fundamental aspect both for serving the population and for the safety of the patient and the professional in terms of exposure to the virus.

RESUMEN Objetivo: describir las acciones llevadas a cabo por enfermeros del servicio prehospitalario móvil antes, durante y después de consultas y transferencias de pacientes sospechosos y/o confirmados respecto del Covid-19 y las limitaciones encontradas por estos profesionales para reducir la exposición a la enfermedad. Método: estudio descriptivo-reflexivo sobre las acciones realizadas por enfermeros del servicio móvil prehospitalario en una ciudad capital del sur de Brasil para aumentar la seguridad durante las consultas o transferencias de pacientes sospechosos y / o confirmados de Covid-19. Resultados: el estudio nos permitió reflexionar sobre el carácter multidimensional de las acciones necesarias para la prevención y el control de la pandemia. Se identificaron conductas para garantizar la seguridad instrumental en las unidades móviles, la seguridad profesional y la seguridad del paciente en la atención prehospitalaria móvil. Conclusión: de parte de los enfermeros, se identificó una preocupación por la seguridad de los profesionales y pacientes, ya que adoptaron conductas para la prevención y el control de la pandemia mediante el uso de equipos, materiales y preparación de la ambulancia. Se deben considerar los aspectos subjetivos de los profesionales involucrados, como la preparación técnica y psicológica, que es un aspecto fundamental tanto para atender a la población como para la seguridad del paciente y del profesional en términos de exposición al virus.

RESUMO Objetivo: descrever as ações realizadas por enfermeiros do serviço pré-hospitalar móvel antes, durante e após atendimentos e transferências de pacientes suspeitos e/ou confirmados para Covid-19 e as limitações encontradas por esses profissionais para diminuir a exposição à doença. Método: estudo descritivo-reflexivo acerca das ações realizadas por enfermeiros do serviço pré-hospitalar móvel de uma capital no Sul do Brasil para aumentar a segurança durante os atendimentos ou transferências de pacientes suspeitos e/ou confirmados para Covid-19. Resultados: o estudo permitiu refletir sobre a multidimensionalidade de ações necessárias para prevenção e controle da pandemia. Foram identificadas condutas para garantir a segurança instrumental nas unidades móveis, a segurança profissional e a segurança do paciente em atendimento pré-hospitalar móvel. Conclusão: por parte dos enfermeiros, identificou-se preocupação com a segurança dos profissionais e pacientes, uma vez que adotaram condutas para a prevenção e controle da pandemia mediante a utilização de equipamentos, materiais e preparo da ambulância. Aspectos subjetivos dos profissionais envolvidos devem ser considerados, como o preparo técnico e psicológico, sendo este um aspecto fundamental tanto para o atendimento à população como para a segurança do paciente e do profissional na exposição ao vírus.

Humanos , Enfermagem em Emergência , Infecções por Coronavirus , Pandemias , Segurança do Paciente , Profissionais de Enfermagem , Cuidados de Enfermagem
Rev. enferm. UERJ ; 28: e51821, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1117686


Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática; Codificação e Descodificação; Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados: no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19; aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais: o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde.

Objective: to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method: qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation; Coding and Decoding; and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results: in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10; and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations: the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion.

Objetivo: comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método: investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática; Codificación y decodificación; y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados: en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10; y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales: la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud.

Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/psicologia , Adaptação Psicológica , Quarentena/psicologia , Infecções por Coronavirus/epidemiologia , Promoção da Saúde , Aprendizagem , Brasil , Processo Saúde-Doença , Telemedicina , Pesquisa Qualitativa , Emoções , Acontecimentos que Mudam a Vida
Rev. enferm. UERJ ; 28: 49923, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1097213


Objetivo: refletir sobre as intervenções/ações de cuidado em saúde mental voltados aos profissionais da saúde que prestam assistência ao paciente suspeito ou diagnosticado com COVID-19. Conteúdo: A pandemia de COVID-19 traz o desafio para profissionais da saúde em lidar com sua própria saúde mental e a dos pacientes. É fundamental conhecer e refletir sobre iniciativas que países apresentam para lidar com a manutenção da saúde mental de profissionais da saúde em tempos de pandemia e que contribuem para repensar o planejamento, execução e avaliação de estratégias a serem utilizadas no Brasil. Considerações finais: foi possível elencar ações em saúde mental que têm se mostrado assertivas no cuidado aos trabalhadores de saúde, atuantes na ponta do cuidado, sobretudo as baseadas no esclarecimento da doença, uso adequado de equipamentos de proteção individual, além do mapeamento daqueles profissionais fragilizados emocionalmente e/ou com sofrimento mental anterior à pandemia, além do suporte emocional oferecido por meio de plataformas digitais.

Objective: to reflect on mental health care interventions/actions aimed at health professionals who provide assistance to patients suspected or diagnosed with COVID-19. Content: The COVID-19 pandemic challenges health professionals to lead with their own and patients' mental health. It is essential to know and to reflect about countries' initiatives to deal with health professional's mental health maintenance in times of pandemic, and to help to re-think strategies planning, execution and evaluation to be used in Brazil. Final considerations: it was possible to list actions in mental health that have shown to be assertive in the care of health workers who are in the front line of caring, especially those based on clarifying the disease, appropriate use of individual protective equipment, in addition to mapping those emotionally weakened professionals and or with mental suffering prior to the pandemic, in addition to the emotional support offered through digital platforms.

Objetivo: reflexionar sobre las intervenciones/acciones de atención de salud mental dirigidas a profesionales de la salud que prestan asistencia a pacientes sospechosos o diagnosticados con COVID-19. Contenido: La pandemia COVID-19 desafía a los profesionales de la salud a hacer frente con la salud mental propia y de los pacientes. Es esencial conocer y reflexionar sobre las iniciativas de los países para enfrentar al mantenimiento de la salud mental de los profesionales de la salud en tiempos de pandemia, y para ayudar a repensar la planificación, ejecución y evaluación de estrategias que se utilizarán en Brasil. Consideraciones finales: fue posible enumerar acciones en salud mental que han demostrado ser asertivas en la atención de los trabajadores de salud que trabajan en la primera línea de atención de la salud, especialmente aquellos basados en la aclaración de la enfermedad, el uso apropiado de equipos de protección individual, además de mapear aquellos profesionales debilitados emocionalmente y / o con sufrimiento mental antes de la pandemia, además del apoyo emocional ofrecido a través de plataformas digitales.

Humanos , Masculino , Feminino , Saúde Mental/normas , Pessoal de Saúde/psicologia , Infecções por Coronavirus , Pandemias , Betacoronavirus , Brasil , Saúde do Trabalhador , Disseminação de Informação , Equipamento de Proteção Individual
Rehabilitación (Madr., Ed. impr.) ; 54(4): 269-274, oct.-dic. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192488


El sistema sanitario se encuentra ante una pandemia mundial en relación con la enfermedad por coronavirus 2019 (COVID-19). Los planes de preparación para emergencias a menudo no consideran cuestiones específicas de rehabilitación para pacientes hospitalizados ni para ambulatorios, aunque la Organización Mundial de la Salud aconseja incluir a profesionales de rehabilitación lo antes posible. Los planes de contingencia de los Servicios de Rehabilitación deben realizarse en coordinación con las otras áreas asistenciales. En esta revisión, se ha resumido y analizado la información disponible basada en una búsqueda cuidadosa de la literatura científica de COVID-19 y en la experiencia de un entorno concreto, para planificar la continuidad asistencial de rehabilitación para todos los pacientes y para ayudar a los equipos de rehabilitación en este periodo de confinamiento /desconfinamiento incierto

The health system is facing a global pandemic due to coronavirus disease 2019 (COVID-19). Emergency plans often fail to consider specific rehabilitation issues, whether inpatient or outpatient, although the World Health Organisation advises the inclusion of rehabilitation professionals as soon as possible. The contingency plans of rehabilitation services must be carried out in coordination with the other healthcare areas. This review was prepared with the current available evidence on COVID-19 and was based on the experience of a specific environment, to plan the continuity of rehabilitation care for all patients and to help rehabilitation teams in this period of lockdown and uncertain lifting of restrictions

Humanos , Quarentena/psicologia , Infecções por Coronavirus/reabilitação , Vírus da SARS/patogenicidade , Pandemias , Centros de Reabilitação/organização & administração , Terapia por Exercício/métodos , Continuidade da Assistência ao Paciente/organização & administração , Planos de Contingência