Impacto de la COVID-19 en la consulta de enfermería reumatológica / Impact of the COVID-19 Pandemic on Rheumatology Nursing Consultation

RESUMEN

Objetivo: Comparar el cambio en la actividad asistencial realizada en una consulta de enfermería reumatológica antes y durante la pandemia. Material y métodos: Estudio descriptivo y observacional de 254 pacientes consecutivos antes y 251 durante. Resultados: El tipo de visita programada presencial disminuyó durante la COVID-19 (46,5% vs. 1,6%), aumentando la visita programada telefónica (2,8% vs. 52,2%) y las consultas espontáneas a través del teléfono o email (28,3% vs. 45%). Las funciones realizadas en las programadas fueron el control del paciente estable (20% vs. 37%) y la gestión (12% vs. 38%). El motivo de consulta espontánea incrementó durante la COVID-19, sobre todo dudas respecto a medidas de prevención y optimización de tratamiento (13,8% vs. 31,1%). Conclusiones: La primera ola de la COVID-19 generó en la consulta de enfermería un incremento global de todas las actividades en el número de visitas/día, en el número de controles de pacientes estables, en gestión y en la resolución de dudas.(AU)

ABSTRACT

Objective: The COVID-19 pandemic has brought major changes to the model of patient care in Rheumatology. Our aim was to compare the change in the care delivered in a rheumatology nursing consultation before and during the pandemic. Material and methods: Descriptive and observational study in 254 patients before and in 251 during the pandemic outbreak. Results: The type of scheduled face-to-face visit decreased during COVID-19 (46.5% vs. 1.6%), with the number of scheduled telephone visits increasing (2.8% vs. 52.2%) and spontaneous consultations over the phone or email (28.3% vs. 45%). The functions performed in the programmed ones were the stable patient control (20% vs. 37%) and management (12% vs. 38%). The reason for spontaneous consultation increased during COVID-19, especially doubts regarding prevention measures and treatment optimization (13.8% vs. 31.1%). Conclusions: The first wave of COVID-19 brought to rheumatology nursing consultation a global increase in all activities in the number of visits per day, in the number of stable patient controls, in monitoring and answering patient concerns.(AU)