RESUMO
BACKGROUND: COVID-19 pandemic disturbed mental health of healthcare personnel. Residents of the specialization programs could be at risk, since they were reassigned in their functions. Aim: To describe the impact of COVID-19 pandemic on symptoms of depression, stress, anxiety and resilient coping in residents of Anesthesiology, Internal Medicine and Emergency Medicine MATERIAL AND METHODS: Residents were invited to answer an online survey containing the DASS-21 scale for anxiety, stress and depression symptoms and the Brief Resilient Coping Scale (BRCS) for resilience skills. RESULTS: Fifty four out of 90 residents answered the survey. Eighteen to 24% of respondents had symptoms of depression, anxiety and stress at severe and extremely severe levels. Those with severe and extremely severe symptoms had also the lowest score on the BRCS resilience scale. We did not find an association between severity of symptoms and gender. Discussion: A proportion of respondent residents had severe psychological symptoms and lower resilience scores during the COVID-19 pandemic.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Pandemias , COVID-19/psicologia , COVID-19/epidemiologia , Internato e Residência , Transtornos Mentais/psicologia , Transtornos Mentais/epidemiologia , Ansiedade/psicologia , Ansiedade/epidemiologia , Escalas de Graduação Psiquiátrica , Estresse Psicológico/psicologia , Estresse Psicológico/epidemiologia , Índice de Gravidade de Doença , Inquéritos e Questionários , Depressão/psicologia , Depressão/epidemiologia , Resiliência PsicológicaRESUMO
BACKGROUND: COVID-19 pandemic disturbed mental health of healthcare personnel. Residents of the specialization programs could be at risk, since they were reassigned in their functions. AIM: To describe the impact of COVID-19 pandemic on symptoms of depression, stress, anxiety and resilient coping in residents of Anesthesiology, Internal Medicine and Emergency Medicine Material and Methods: Residents were invited to answer an online survey containing the DASS-21 scale for anxiety, stress and depression symptoms and the Brief Resilient Coping Scale (BRCS) for resilience skills. RESULTS: Fifty four out of 90 residents answered the survey. Eighteen to 24% of respondents had symptoms of depression, anxiety and stress at severe and extremely severe levels. Those with severe and extremely severe symptoms had also the lowest score on the BRCS resilience scale. We did not find an association between severity of symptoms and gender. DISCUSSION: A proportion of respondent residents had severe psychological symptoms and lower resilience scores during the COVID-19 pandemic.
Assuntos
COVID-19 , Pessoal de Saúde , Internato e Residência , Transtornos Mentais , Pandemias , Adulto , Feminino , Humanos , Masculino , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/epidemiologia , COVID-19/psicologia , Depressão/epidemiologia , Depressão/psicologia , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Escalas de Graduação Psiquiátrica , Resiliência Psicológica , Índice de Gravidade de Doença , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e QuestionáriosRESUMO
The great global and regional changes, both political, social and health, have created a situation of uncertainty for all people. In particular, health personnel have been very stressed in this coronavirus pandemic. We present this review with the aim of collaborating in the understanding and containment of our colleagues in health personnel.
Los grandes cambios mundiales y regionales, tanto políticos, sociales y sanitarios, han generado una situación de incertidumbre en todas las personas. Particularmente el personal de salud se ha visto muy estresado, en esta pandemia del coronavirus. Presentamos esta revisión con el objetivo de colaborar en la comprensión y contención de nuestros colegas del personal de salud.
Assuntos
Humanos , Autocuidado , Pessoal de Saúde , COVID-19/prevenção & controle , Esgotamento Profissional , Intervenção em Crise , Pandemias , SARS-CoV-2RESUMO
Antecedentes: El tratamiento quirúrgico de la endocarditis infecciosa es un desafío cuya utilidad ha sido demostrada. Esta grave enfermedad, ha motivado numerosos estudios para identificar factores relacionados a morbimortalidad y estrategias para optimizar resultados. Objetivo: Se presenta la experiencia de un servicio nacional de cirugía cardiovascular en el tratamiento quirúrgico de endocarditis, para analizar sus resultados y compararlos con otras experiencias. Pacientes y Método: Se estudian casos operados con diagnóstico de endocarditis, describiendo antecedentes clínicos, tipo de cirugía, complicaciones y mortalidad. Se incluyen 177 eventos en 175 pacientes ingresados entre enero 1988 y diciembre 2003 en el Servicio de Cirugía Cardiovascular del Hospital Dr. Gustavo Fricke. Resultados: Sesenta y nueve por ciento fueron hombres con una edad promedio de 45 ± 13,95 años, y antecedentes cardíacos previos en 42,3 por ciento. La indicación quirúrgica más frecuente correspondió a insuficiencia cardíaca (81,4 por ciento) y sepsis (30,5 por ciento). Veintinueve fallecen (16,3 por ciento), 7 de ellos por endocarditis de prótesis vulvar siendo los factores más significativos asociados con mortalidad la presencia de shock, insuficiencia cardíaca congestiva, sepsis y fracaso de tratamiento médico preoperatorio. Setenta y cuatro pacientes tuvieron complicaciones mayores en postoperatorio y el promedio días estada fue de 24,6. Conclusiones: La cirugía es una terapia eficaz en endocarditis y debe ser precoz, especialmente cuando existe deterioro hemodinámico o sepsis. Nuestros resultados son similares a otras experiencias.
