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1.
Rev. medica electron ; 43(5): 1383-1394, 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1352118

ABSTRACT

RESUMEN Introducción: la covid-2019 es una de las grandes pandemias que ha azotado la humanidad, ocasionando millones de infectados y la muerte de miles de personas. Ecuador está entre los ocho primeros países de América Latina y el Caribe más afectados por la enfermedad, que ha generado un colapso en el sistema de salud y otras consecuencias dañinas, como la afectación de la salud mental de los profesionales que atienden a los pacientes infectados. Objetivo: identificar la presencia de conductas ansiógenas y depresivas en el personal de salud de Ecuador ante la emergencia sanitaria por covid-2019. Materiales y métodos: se realizó un estudio descriptivo, transversal de 400 profesionales de diversas áreas de la salud en Ecuador. Se utilizó una ficha sociodemográfica y la Escala Hospitalaria de Ansiedad y Depresión. Se estudiaron las variables edad, sexo, especialidad y sintomatología de ansiedad y depresión. Resultados: del total de profesionales estudiados, el 46,40 % presentó ansiedad, y en el 34,50 % se identificó sintomatología depresiva. Las puntuaciones más altas de ansiedad y depresión se reportaron en el personal de enfermería. Conclusiones: el estudio descriptivo mostró la presencia de conductas ansiógenas y depresivas en los trabajadores sanitarios, en especial en el personal de enfermería, seguido de médicos y psicólogos. Se demostró que los trabajadores de salud se encuentran en el grupo vulnerable a presentar afectaciones psicológicas derivadas del enfrentamiento a la pandemia covid-19 (AU).


ABSTRACT Introduction: COVID-2019 is one of the great pandemics that have struck humanity, causing millions of infected people and the deaths of thousands. Ecuador is among the top eight countries in Latin America and the Caribbean most affected by the disease, which has led to a collapse in the health system and other harmful consequences, such as affecting the mental health of professionals who care for infected patients. Objective: to identify the presence of anxiogenic and depressive behaviors in the health personnel of Ecuador in the face of the health emergency by COVID-2019. Materials and methods: a descriptive, cross-sectional study of 400 professionals from various health areas in Ecuador was carried out. A socio-demographic chart and the Hospital Scale of Anxiety and Depression were used. The variables age, sex, specialty and symptoms of anxiety and depression were studied. Results: of the total number of professionals studied, 46.40 % had anxiety, and in 34.50 % depressive symptoms were identified. The highest anxiety and depression scores were reported in the nursing staff. Conclusions: the descriptive study showed the presence of anxiogenic and depressive behaviors in health workers, especially in the nursing staff, followed by doctors and psychologists. It was shown that health workers are in the group vulnerable to having psychological effects arising from the confrontation with the COVID-19 pandemic (AU).


Subject(s)
Humans , Male , Female , Anxiety/diagnosis , Depression/diagnosis , Stress, Psychological , Health Personnel/psychology , Coronavirus Infections/psychology , Nursing Staff/psychology
2.
Rev. medica electron ; 43(2): 3159-3166, mar.-abr. 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1251933

ABSTRACT

RESUMEN Los adultos mayores representan un grupo de importante vulnerabilidad ante la enfermedad, asociada muchas veces a pronósticos desfavorables. El presente trabajo tiene como objetivo fundamentar las posiciones teóricas que sustentan la importancia del acompañamiento emocional en adultos mayores ante la covid-19. Durante el proceso de investigación se buscaron los antecedentes históricos e investigativos sobre el tema, y se abordaron los principales preceptos relacionados con el mismo, así como estudios que demuestran su importancia. Se proponen herramientas teóricas para el apoyo social, que ofrecen la posibilidad de que los adultos mayores minimicen la presencia de estados emocionales negativos que se vivencian ante el virus SARS-CoV-2 en Cuba (AU).


ABSTRACT Elder people represent a group of significant vulnerability to the disease, often associated to unfavorable prognoses. The aim of the current work is substantiating the theoretical positions underpinning the importance of the emotional support in elder people toward COVID-19. The historical and research antecedents of the theme were looked for during the research and the main related precepts were approached, and also studies showing its importance. Theoretical tools for the social support are proposed; they offer the possibility for elder people to minimize the presence of negative emotional conditions that are experienced in Cuba with COVID-19 (AU).


Subject(s)
Humans , Male , Female , Aged , Aged/psychology , Coronavirus Infections/psychology , Social Support , Coronavirus Infections/rehabilitation , Psychological Distress
3.
Ciênc. Saúde Colet ; 26(3): 1013-1022, mar. 2021.
Article in English, Portuguese | LILACS | ID: biblio-1153827

ABSTRACT

Resumo Este texto tem como finalidade discutir o cuidado de trabalhadoras da área da saúde em face da Covid-19, sob a análise sociológica de autoras que o vêm discutindo enquanto um trabalho que é desempenhado, na sua maioria, pelas mulheres das classes populares, é desvalorizado e sofre baixa remuneração. É uma atividade que envolve as construções sociais das emoções e tem utilizado o corpo como um instrumento de trabalho no cuidado com o outro. Além disso, a precarização do trabalho em saúde na sociedade brasileira acirrada nas últimas décadas, como o aumento de contratos temporários, perdas de direitos trabalhistas, a sobrecarga das atividades, condições de trabalho precárias, dentre outros, soma-se com o aumento dos atendimentos médico-hospitalares diante da pandemia da Covid-19. Neste contexto, as trabalhadoras em saúde vivenciam as ausências de equipamentos de proteção individual, medo de contaminação pelo vírus, preocupações com filhos e familiares, vivências diante da morte e do adoecimento de si e de colegas de profissão. Este texto aponta para a necessidade de atenção governamental, bem como para a gestão do trabalho em saúde e dos órgãos de classe profissional, analisando as condições de trabalho que as trabalhadoras em saúde estão vivendo no enfrentamento da pandemia.


Abstract The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.


Subject(s)
Humans , Female , Health Personnel/economics , Health Personnel/psychology , Coronavirus Infections/epidemiology , Delivery of Health Care/economics , Delivery of Health Care/standards , Delivery of Health Care/trends , Pandemics , Salaries and Fringe Benefits/trends , Brazil/epidemiology , Attitude to Death , Family , Sex Factors , Workplace/standards , Workplace/psychology , Coronavirus Infections/psychology , Coronavirus Infections/transmission , Fear , Sociological Factors , Personal Protective Equipment/supply & distribution , National Health Programs
5.
Rev. eletrônica enferm ; 23: 1-9, 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1146933

ABSTRACT

Objetivou avaliar o efeito antes e depois de uma sessão de auriculoterapia nos níveis de ansiedade, depressão e estresse nos profissionais de enfermagem escalados para atuar na assistência durante a pandemia do coronavírus. Estudo de caso, com casos múltiplos e uma unidade de análise. Estabeleceu-se uma amostra por conveniência de 41 profissionais. Aplicou-se o instrumento de caracterização sociodemográfica e a escala de Depression, Anxiety, and Stress Scale, antes e após uma sessão de auriculoterapia com protocolo de 10 acupontos. Teste de Wilcoxon e T emparelhado foram empregados para análise. Níveis de ansiedade, depressão e estresse apresentaram resultados significativos, cujas medianas reduziram de seis para quatro (p<0,001), nas variáveis depressão e ansiedade, e a média de estresse reduziu de 19,37 para 11,95 (p<0,001). A auriculoterapia foi efetiva na redução de distúrbios emocionais nos profissionais de enfermagem.


This study aimed to evaluate the levels of anxiety, depression and stress before and after an auriculotherapy session, in nursing professionals working during the coronavirus pandemic. Case study, with multiple cases and one unit of analysis. A convenience sample of 41 professionals was established. The sociodemographic characterization instrument and the Depression, Anxiety, and Stress Scale were applied before and after an auriculotherapy session with a 10-acupoint protocol. The Wilcoxon and t tests were paired for analysis. Anxiety, depression and stress levels showed significant results, the medians decreased from six to four (p<0.001), in the variables depression and anxiety, and the average stress decreased from 19.37 to 11.95 (p<0.001). Auriculotherapy was effective in reducing emotional disorders in nursing professionals.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Anxiety/therapy , Stress, Psychological/therapy , Acupuncture, Ear/psychology , Depression/therapy , Nurse Practitioners/psychology , Socioeconomic Factors , Treatment Outcome , Coronavirus Infections/psychology , Pandemics , Betacoronavirus
6.
Rev. cuba. med. mil ; 49(4): e846, tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1156509

ABSTRACT

Introducción: Ante la presencia del SARS-CoV-2, nuevo coronavirus y agente causal de la COVID-19, se ha desencadenado a nivel mundial una pandemia traducida en millones de enfermos y altas tasas de letalidad. Esta crisis presenta desafíos a todos los niveles, de ahí que la Psicología como ciencia del comportamiento, tenga la función no solo de predecir cómo va a afectar a las personas, sino cómo ayudar a reducir su impacto emocional. Objetivo: Proponer Boletines de autoayuda como herramientas de apoyo psicológico para el fomento de estrategias de afrontamiento ante la crisis generada por la COVID-19. Métodos: Se realizó un estudio cualitativo mediante un diseño de investigación - acción, este se estructuró como un proceso de difusión de innovaciones y siguió tres etapas de trabajo: conocimiento de la innovación, persuasión para la adopción de la innovación y decisión de adopción de la innovación Resultados: Hasta el cierre de este informe, se alcanzó un promedio de 23 930 visitas para la totalidad de los 10 boletines publicados. Se manifestó el predominio de visualizaciones en las féminas, sin embargo, coinciden hombres y mujeres en las edades comprendidas entre 25 - 34 años. Se valoraron de forma favorable los temas relacionados con el cuidado y el autocuidado; la familia; alteraciones en el comportamiento y adultos mayores. Conclusiones: Los comentarios realizados por los beneficiarios de las acciones de autoayuda propuestas, muestran la pertinencia para la situación de crisis actual. Se identificó una dinámica de cambio favorecedora a nivel reflexivo - vivencial y conductualAU)


Introduction: In the presence of SARS-CoV-2, the new coronavirus and causative agent of COVID-19, a pandemic has been triggered worldwide, resulting in millions of patients and high fatality rates. This crisis presents challenges at all levels, hence Psychology as a behavioral science, has the function not only of predicting how it will affect people, but also how to help reduce their emotional impact. Objective: Propose self-help bulletins as psychological support tools to promote coping strategies in the face of the crisis generated by COVID-19. Methods: A qualitative study was conducted through an action-research design, this was structured as a process of diffusion of innovations and followed three stages of work: knowledge of innovation, persuasion for adoption of innovation and decision to adopt innovation Results: Until the closing of this report, an average of 23930 visits were reached for the totality of the 10 published bulletins. The predominance of visualizations in females was manifested, however, men and women between the ages of 25-34 years coincide. Issues related to care and self-care; family; behavioral alterations and older adults were favorably evaluated. Conclusions: The comments made by the beneficiaries of the proposed self-help actions show the relevance for the current crisis situation. A favorable dynamic of change was identified at the reflective-experiential and behavioral levelAU).


Subject(s)
Humans , Male , Female , Self Care/psychology , Coronavirus Infections/psychology , Evaluation Studies as Topic
7.
Rev. Hosp. Ital. B. Aires (2004) ; 40(4): 185-190, dic. 2020.
Article in Spanish | LILACS | ID: biblio-1145464

ABSTRACT

Esta revisión narrativa describe el daño colateral de la pandemia de COVID-19, tanto en aspectos de la salud, como también sociales, educativos o económicos. Comunicamos el impacto mundial y local. Consideramos que varias de estas consecuencias eran inevitables, especialmente las sucedidas durante los primeros meses de una pandemia que se difundió a gran velocidad y con graves consecuencias directas en la morbimortalidad de la población. Sin embargo, luego de seis meses de su llegada a la Argentina, es oportuno revaluar la situación y replantearse si no se debería cambiar el enfoque para balancear la minimización del impacto directo de COVID-19 junto con la del daño colateral que las medidas para paliarlo produjeron. Es un desafío que no debe limitarse al sistema de salud. Debe encararse con un abordaje intersectorial amplio y con participación activa de la sociedad. Así como aplanamos la curva de COVID-19, cuanto más nos demoremos en aplanar las otras curvas de problemas sanitarios y sociales que se están generando, mayor será su impacto, tanto en el corto como en el largo plazo. (AU)


This narrative review shows the collateral damage of the COVID-19 pandemic, whether in health, social, educational or economic aspects. We report on the impact at the global and local levels. Many of these consequences were inevitable, especially in the first months of a pandemic that spread at great speed and with serious direct consequences on the morbidity and mortality of the population. However, six months after the arrival in our country, it is an opportunity to reassess the situation and rethink whether the approach should not be changed to balance the minimization of the direct impact of COVID-19 with that of the collateral damage that mitigation measures produced. This is a challenge that should not be limited to the health system. It must be addressed with a broad intersectoral approach and active participation of society. Just as we flatten the COVID-19 curve, the longer we delay in flattening the other curves of health and social problems that are being generated, the greater the impact, both in the short and long term. (AU)


Subject(s)
Humans , Pneumonia, Viral/economics , Coronavirus Infections/economics , Social Determinants of Health/statistics & numerical data , Argentina , Pneumonia, Viral/mortality , Pneumonia, Viral/psychology , Quality of Life , Social Isolation , Social Problems/prevention & control , Social Problems/statistics & numerical data , National Health Strategies , Health Systems/trends , Indicators of Morbidity and Mortality , Mortality , Coronavirus Infections/mortality , Coronavirus Infections/psychology , Impacts on Health/statistics & numerical data , Equity in Access to Health Services , Consequence Analysis , Health Communication/methods , Pandemics/statistics & numerical data
8.
Washington; Organización Panamericana de la Salud; dic. 09, 2020. 18 p. tab..
Non-conventional in English, Spanish | LILACS | ID: biblio-1150960

ABSTRACT

Los eventos que causan un grado de estrés importante, como la pandemia de COVID-19, constituyen un factor de riesgo para la aparición, agudización o recaída de toda una gama de trastornos mentales, neurológicos y por consumo de sustancias psicoactivas, en especial en los grupos de población más vulnerables. En los estudios de ámbito nacional en la Región de las Américas se describe un aumento del desasosiego, la depresión, la ansiedad y el insomnio, entre otros, como resultado de la pandemia de COVID-19. Además, los casos de COVID-19 dan lugar a varias complicaciones neurológicas y mentales.Los eventos que causan un grado de estrés importante, como la pandemia de COVID-19, constituyen un factor de riesgo para la aparición, agudización o recaída de toda una gama de trastornos mentales, neurológicos y por consumo de sustancias psicoactivas, en especial en los grupos de población más vulnerables. En los estudios de ámbito nacional en la Región de las Américas se describe un aumento del desasosiego, la depresión, la ansiedad y el insomnio, entre otros, como resultado de la pandemia de COVID-19. Además, los casos de COVID-19 dan lugar a varias complicaciones neurológicas y mentales. Para comprender la repercusión de la pandemia en los servicios para los trastornos mentales, neurológicos y por consumo de sustancias psicoactivas, la OMS elaboró una encuesta, que fue realizada por la OMS y la OPS y se envió a los puntos focales de salud mental designados para ello en los ministerios de salud de todos los Estados Miembros de la OMS. Este informe utiliza los datos presentados por los Estados Miembros de la OPS en respuesta a la encuesta para presentar un panorama general de la repercusión de la COVID-19 en tales servicios en la Región de las Américas. Esta información será útil para fundamentar la planificación y las respuestas destinadas a atenuar los efectos de la pandemia por los países de la Región.


Major stressors such as the COVID-19 pandemic represent risk factors for the development, exacerbation and relapse of a range of mental, neurological and substance use (MNS) disorders, particularly in the most vulnerable groups. National studies from the Region of the Americas, demonstrate increases in distress, depression, anxiety, and insomnia, among other conditions, as a result of the COVID-19 pandemic. Furthermore, COVID-19 itself is associated with neurological and mental complications. This report is based on the results of a survey, developed by the World Health Organization (WHO) and implemented by the WHO and the Pan American Health Organization (PAHO), which was sent to designated mental health focal points in ministries of health of all WHO Member States. It uses data submitted by PAHO Member States in response to the survey to provide an overview of the impact of COVID-19 on MNS services in the Region of the Americas. This information will help to inform planning and response to mitigate the effects by countries in the Region.


Subject(s)
Humans , Pneumonia, Viral/psychology , Social Isolation/psychology , Mental Health , Immunization Programs/organization & administration , Coronavirus Infections/psychology , Substance-Related Disorders/complications , Pandemics/prevention & control , Mental Disorders/epidemiology , Americas/epidemiology
10.
Rev. habanera cienc. méd ; 19(5): e3411, sept.-oct. 2020.
Article in Spanish | LILACS, CUMED | ID: biblio-1144695

ABSTRACT

RESUMEN Introducción: La COVID 19 es una pandemia que afecta actualmente a 183 países. Hasta el momento ha causado amenazas para la salud física y la vida de las personas. Ha desencadenado variedad de problemas psicológicos y es campo de asistencia e investigación para los profesionales de la Psicología Objetivo: Caracterizar actitudes de una muestra de la población del área de salud del Policlínico "Mario Escalona Reguera" ante la pandemia COVID 19 en tiempo real. Material y Métodos: Investigación cualitativa, desarrollada en el área de salud del Policlínico Docente "Mario Escalona Reguera", en Alamar, Municipio Habana del Este, durante el mes de abril de 2020. Se utiliza la entrevista, (telefónica) como instrumento de recogida de información, haciendo análisis de contenido de las respuestas. Resultados: Se reconoce como enfermedad letal en primer lugar y se considera muy buena información televisiva, básicamente a partir de conferencia de prensa del MINSAP. Tristeza e irritabilidad son reacciones emocionales frecuentes. Los comportamientos en la familia contribuyen a disfrute familiar y retomar juegos tradicionales con los menores. Es interesante su valoración como aprendizaje en la vida. Conclusiones: Las actitudes hacia la pandemia están caracterizadas por conocimiento sobre esta, reacciones emocionales esperadas ante lo desconocido y acciones favorables hacia el interior de la familia. La confianza en orientaciones de Salud y políticas gubernamentales, pudieran explicar la indisciplina social aún presente en algunos individuos(AU)


ABSTRACT Introduction: COVID-19 is a pandemic that is currently affecting 183 countries worldwide. Until now, it has threatened physical health and people´s lives and it has also led to several psychological problems. It is a field of assistance and research for professionals in Psychology. Objective: To characterize attitudes towards the COVID-19 pandemic in a sample that includes people living in the health area of "Dr. Mario Escalona Reguera" Teaching Polyclinic. Material and methods: A qualitative research was conducted in the health area of "Dr. Mario Escalona Reguera" Teaching Polyclinic in Alamar, Habana del Este Municipality on April, 2020. Data collection was carried out by telephone interview, making emphasis on the content of the responses. Results: COVID-19 is known as a lethal disease. In Cuba, a press conference of MINSAP as well as other communication media give detailed information to the people every day. Sadness and irritability are frequent emotional reactions. Family behaviors contribute to family enjoyment. Traditional games have gained importance in many families during confinement. The assessment of different topics related to the pandemic is also very important for learning to live with this situation. Conclusions: Attitudes towards the pandemic are characterized by the knowledge about the disease, expected emotional reactions towards unknown situations, and favorable actions to improve family functioning. The confidence in some health and political guidance could explain the social indiscipline that still exists in some individuals(AU)


Subject(s)
Humans , Male , Female , Attitude , Coronavirus Infections/psychology , Information , Cuba
11.
Rev. habanera cienc. méd ; 19(5): e3631, sept.-oct. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1144694

ABSTRACT

RESUMEN. Introducción: la emergencia sanitaria por el COVID-19 ha generado una conmoción mundial que conlleva una serie de problemáticas relacionadas con la salud, los factores psicosociales y la situación económica. Objetivo: evaluar el efecto del confinamiento en el ánimo depresivo en población residente en España mayor de 18 años durante el estado de alarma provocada por la pandemia de la COVID-19, analizando, además, la posible incidencia de las variables sexo, edad, tamaño de la vivienda e ingresos económicos. Material y Métodos: diseño transversal, descriptivo y correlacional con metodología de carácter cuantitativo. El acceso a la muestra fue no probabilístico a través de la técnica bola de nieve. Para evaluar la condición de ánimo depresivo se utilizó la escala CES-D. Para recopilar los datos relacionados con el sexo, la edad, el tamaño de vivienda y la situación económica, se crearon preguntas ad hoc en la propia encuesta. Resultados: las mujeres presentan valores de ánimo depresivo superiores a los hombres. Además, los valores de ánimo depresivo son mayores cuanto menor es la edad. Las personas que residen en viviendas con un tamaño menor, presentan valores de ánimo depresivo superiores respecto a las personas que viven en residencias con superficies mayores. A su vez, las personas con peores condiciones económicas perciben mayores niveles de ánimo depresivo. Conclusiones: los resultados indican que los síntomas de ánimo depresivo y las consecuencias psicosociales en la población española durante el confinamiento, se encuentran condicionadas por el sexo, la edad, el tamaño de la vivienda y la situación económica(AU)


ABSTRACT Introduction: Health emergency due to the COVID-19 pandemic has generated a global commotion, leading to a series of problems related to health, psychosocial factors and economic situation. Objective: To evaluate the effect of confinement on depressive mood in Spanish residents who are over 18 years old during the state of emergency which was declared due to the COVID-19 pandemic. Additionally, this paper aims to analyze the possible impact of some variables such as sex, age, size of dwelling and income. Materials and Methods: Cross-sectional, descriptive and correlational design with quantitative methodology. Access to the sample was based on a non-probabilistic sampling through snowball technique. CES-D scale was used to evaluate the state of depressive mood. In order to collect data related to sex, age, size of dwelling and economic situation, ad hoc questions were included in the survey. Results: Women presented higher values of depressive mood than men. Furthermore, depressive mood values are higher in younger individuals. People who live in smaller dwellings showed higher values of depressive mood compared to those who live in larger dwellings. Similarly, individuals with less favorable economic conditions perceive higher levels of depressive mood. Conclusions: The results show that depressive mood symptoms and their psychosocial consequences in the Spanish population during confinement are conditioned by sex, age, dwelling size and economic situation(AU)


Subject(s)
Humans , Quarantine , Adjustment Disorders/etiology , Coronavirus Infections/psychology , Spain , Epidemiology, Descriptive , Cross-Sectional Studies
13.
Rev. chil. obstet. ginecol. (En línea) ; 85(supl.1): S35-S49, set. 2020. graf
Article in Spanish | LILACS | ID: biblio-1138647

ABSTRACT

INTRODUCCIÓN: Ante el escenario de pacientes obstétricas diagnosticadas por la nueva enfermedad por coronavirus (COVID-19), se hace imprescindible la necesidad de realizar un seguimiento adecuado tanto desde el punto de vista de obstétrico como del cuadro viral, durante el período de aislamiento domiciliario. Con este objetivo, se desarrolló un programa de seguimiento remoto por la Unidad de Medicina Materno Fetal (MMF) de nuestro centro, desde el diagnóstico de la infección hasta el alta médica según los criterios vigentes del Ministerio de Salud (MINSAL). OBJETIVO: Evaluar la satisfacción del paciente en el seguimiento remoto de embarazadas y puérperas con diagnóstico de infección por SARS-CoV-2. Material y Métodos: Estudio descriptivo mediante la aplicación de una encuesta anónima y voluntaria de satisfacción usuaria, a través de una plataforma online. El instrumento fue una adaptación de la versión en español del "Telehealth Usability Questionnaire" (TUQ) previamente validado. RESULTADOS: Se obtuvo un 94,5% de respuestas a la encuesta. El 86% de las pacientes evaluó como "Muy Bueno" o "Bueno" el control virtual. El 91% no experimentó problemas técnicos. El 14% de las pacientes prefiere un control virtual, el 26% presencial y el 60% un control mixto. El 80% cumplió todas sus necesidades con el control virtual. CONCLUSIONES: En el contexto de pandemia e infección por SARS-CoV-2, el seguimiento remoto ha sido evaluado globalmente en forma positiva con niveles aceptables de satisfacción de las pacientes.


INTRODUCTION: Given the scenario of obstetric patients diagnosed with the new coronavirus disease (COVID-19), the need for proper follow-up both obstetric and of the infection, during the period of home isolation, is essential. A remote monitoring program was developed by the Maternal Fetal Medicine Unit (MFM) of our center from the diagnosis of the infection until medical discharge according to the current criteria of the Ministry of Health (MINSAL). OBJECTIVE: To assess patient satisfaction of remote monitoring of pregnant and postpartum patients diagnosed with SARS-CoV-2 infection. METHODS: This is a descriptive-survey research. We performed a patient satisfaction survey through an online platform to pregnant and postpartum patients with remote monitoring for SARS-CoV-2 infection in our center. The survey was anonymous and voluntary. The instrument for this purpose was the Spanish adapted version of "Telehealth Usability Questionnaire" (TUQ) that has been previously validated. RESULTS: The survey was answered by 94,5% of the patients. The results show that 86% of the patients rated the virtual control as "Very Good" or "Good"; 91% did not experienced technical problems. 14% of the patients prefer virtual control, 26% prefer face-to-face control and 60% both virtual and face-to-face control. 80% fulfilled all their needs with virtual control. CONCLUSIONS: In the context of pandemic and SARS-CoV-2 infection, remote monitoring has been positively evaluated with acceptable levels of patient's satisfaction.


Subject(s)
Humans , Female , Pregnancy , Pneumonia, Viral/psychology , Pneumonia, Viral/therapy , Pregnancy Complications, Infectious/psychology , Pregnancy Complications, Infectious/therapy , Coronavirus Infections/psychology , Coronavirus Infections/therapy , Postpartum Period , Epidemiology, Descriptive , Surveys and Questionnaires , Follow-Up Studies , Patient Satisfaction , Telemedicine/methods , Pandemics , Betacoronavirus , Virtual Reality
14.
Arq. neuropsiquiatr ; 78(9): 570-575, Sept. 2020. tab
Article in English | LILACS | ID: biblio-1131759

ABSTRACT

ABSTRACT Background: This study reported on a variety of psychological reactions related to anxiety, sleep quality, depression, fatigue, and quality of life in individuals with multiple sclerosis (MS), related to the Covid-19 quarantine experience. Objective: The aim of this study was to investigate the neuropsychiatric effects of the COVID-19 pandemic in MS patients and to analyze the risk factors contributing to psychological stress. Methods: The study was designed as a prospective, cross-sectional survey study. Multiple assessment tools that are used in neurological practice, including Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Fatigue Impact Scale (FIS), Pittsburgh Sleep Quality Index (PSQI), and Multiple Sclerosis Quality of Life-54 (MSQOL-54) were administered prospectively both during the early and the peak stages of COVID-19 outbreak (ESO and PSO, respectively). The survey forms were designed using SurveyMonkey and the participants were participating in the survey via a web link and QR code. Results: Fifty patients were included in the study. BDI scores, PSQI and FSI measurements, cognitive and social subscale scores and total FIS score, MSQOL-54 measurements, physical and mental subscale scores, and total MSQOL-54 score at PSO were significantly different than those at ESO. The body mass index values of the patients increased significantly at PSO compared to those measured at ESO. Conclusions: The results provide a basis for the development of psychological interventions that could minimize the prevalence of sleep disorders and depression and could improve patients' quality of life during the outbreak.


RESUMO Introdução: Este estudo relatou uma variedade de reações psicológicas relacionadas a ansiedade, qualidade do sono, depressão, fadiga e qualidade de vida em indivíduos com esclerose múltipla (EM), relacionadas à experiência de quarentena de COVID-19. Objetivo: O objetivo deste estudo foi investigar os efeitos neuropsiquiátricos da pandemia de Covid-19 em pacientes com EM e analisar os fatores de risco que contribuem para o estresse psicológico. Métodos: O estudo foi desenhado como um estudo prospectivo e transversal. Várias ferramentas de avaliação usadas na prática neurológica, incluindo Inventário de Depressão de Beck (Beck Depression Inventory - BDI), Inventário de Ansiedade de Beck (Beck Anxiety Inventory - BAI), Escala de Impacto de Fadiga (Fatigue Impact Scale - FIS), Índice de Qualidade de Sono de Pittsburgh (Pittsburgh Sleep Quality Index - PSQI) e Qualidade de Vida da Esclerose Múltipla-54 (Multiple Sclerosis Quality of Life-54 - MSQOL-54) foram administrados prospectivamente durante o estágio inicial do surto de COVID-19 (EIS) e o estágio de pico do surto de COVID-19 (EPS). Os formulários da pesquisa foram projetados usando o SurveyMonkey e os participantes participaram da pesquisa por meio de um link da web e código QR. Resultados: Foram incluídos 50 pacientes no estudo. Os escores BDI, PSQI, FSI, subescala cognitiva e social e escore total do FIS, MSQOL-54, subescala física e mental e MSQOL-54 total no PSO foram significativamente diferentes dos do EIS. Os valores do índice de massa corporal dos pacientes aumentaram significativamente na EPS em comparação com os medidos na EIS. Conclusões: Nossos resultados são uma base para o desenvolvimento de intervenções psicológicas que podem minimizar a prevalência de distúrbios do sono e depressão e melhorar a qualidade de vida dos pacientes durante o surto.


Subject(s)
Humans , Pneumonia, Viral/psychology , Quality of Life/psychology , Social Isolation/psychology , Stress, Psychological , Coronavirus Infections/psychology , Depression/psychology , Multiple Sclerosis/psychology , Pneumonia, Viral/epidemiology , Cross-Sectional Studies , Prospective Studies , Coronavirus Infections , Coronavirus Infections/epidemiology , Depression/etiology , Pandemics , Betacoronavirus , Multiple Sclerosis/physiopathology
15.
J. Health NPEPS ; 5(2)set. 2020.
Article in Portuguese | ColecionaSUS, LILACS, BDENF, ColecionaSUS | ID: biblio-1121205

ABSTRACT

Objetivo: investigar na literatura o impacto da pandemia causada pelo novo coronavírus na saúde mental das crianças. Método: revisão integrativa de artigos publicados no ano de 2020 através de buscas na Medline, Lilacs, BDENF, IBECS e BINACIS, a partir da pergunta norteadora: quais as considerações da literatura sobre o impacto da pandemia causada pelo novo coronavírus na saúde mental das crianças? Resultados: nos artigos analisados, observou-se que a pandemia e fatores a ela relacionados podem causar impacto negativo na saúde mental das crianças. Quarentena, infecção pelo vírus, contágio ou morte dos pais devido à doença, crise econômica e uso prolongado da internet são alguns dos motivos que podem afetar a saúde mental infantil. Conclusão: medidas preventivas e informações corretas sobre a doença são fundamentais para proteger a saúde mental das crianças durante a pandemia causada pelo novo coronavírus.(AU)


Objective: to investigate in the literature the impact of the pandemic caused by the new coronavirus on children's mental health. Method: integrative review of articles published in 2020 through searches in the Medline, Lilacs, BDENF, IBECS e BINACIS, based on the guiding question: what are the literature considerations about the impact of the pandemic caused by the new coronavirus on children's mental health? Results: in the articles analyzed it was observed that the pandemic and related factors can have a negative impact on mental health and behaviour of children. Quarantine, self infection, contagion or death of parents due to the illness, economic crisis and prolonged use of the internet are some reasons that can affect children's mental health. Conclusion: preventive measures and correct information about the disease are essential to protect the children's mental health during the pandemic caused by the new coronavirus.(AU)


Objetivo: investigar en la literatura el impacto de la pandemia provocada por el nuevo coronavirus en la salud mental infantil. Método: revisión integrativa de artículos publicados en 2020 mediante búsquedas en la Medline, Lilacs, BDENF, IBECS e BINACIS, a partir de la pregunta orientadora: ¿cuáles son las consideraciones de la literatura sobre el impacto de la pandemia provocada por el nuevo coronavirus sobre la salud mental de los niños? Resultados: en los artículos analizados se observó que la pandemia y factores relacionados pueden tener un impacto negativo en la salud mental y en el comportamiento de los niños. La cuarentena, el contagio proprio, la infección o la muerte de los padres por la enfermedad, la crisis económica y el uso prolongado de internet son algunas de las razones que pueden afectar la salud mental de los niños. Conclusión: las medidas preventivas y la información correcta sobre la enfermedad son fundamentales para proteger la salud mental de los niños durante la pandemia provocada por el nuevo coronavirus.(AU)


Subject(s)
Humans , Child , Mental Health/trends , Coronavirus Infections/psychology , Coronavirus Infections/epidemiology , Child Behavior , Child Health
16.
Rev. psicanal ; 27(2): 405-426, Agosto 2020.
Article in Portuguese | LILACS | ID: biblio-1252523

ABSTRACT

A autora reflete sobre o tema do ritmo como um elemento fundamental para a continuidade psíquica e estruturante para o registro, na psique, de um relacionamento mãe/bebê harmônico. O acontecimento inusitado e traumático da COVID-19 faz um recorte e vem subjetivar de modo particular a escrita, provocando a criação de novos vértices, entre os quais o tema do colapso. O conceito de Winnicott sobre o medo do colapso é atualizado dentro de tal contexto, em que surgem o vazio, a morte e a não-vida. A filosofia também se faz presente como uma interlocução importante, com passagens de ensaios atuais de filósofos a respeito do impacto da pandemia, refletindo e ilustrando os temas do colapso e do ritmo. Percorre-se o pensamento de René Roussillon e Victor Guerra, através de suas contribuições a respeito do ritmo na vida psíquica e a condição de previsibilidade implícita nessa aquisição. A ressonância desses temas na clínica, a partir do atendimento on-line, é abordada como último aspecto, tendo como referência as contribuições de Alessandra Lemma sobre o setting encarnado (AU)


The author reflects upon the theme of rhythm as a fundamental element for psychic continuity and as a structuring element so that a harmonic mother/baby relationship can be recorded in the psyche. The unexpected and traumatic event of COVID-19 imposes a disruption and subjectivizes writing, in particular, leading to the creation of new vortices, among which the theme of collapse is embedded. Winnicott's concept on the fear of collapse is updated within such context, in which emptiness, death, and non-life emerge. Philosophy is also present as an important form of interlocution, with excerpts from current essays by philosophers regarding the impact of the pandemic, reflecting and illustrating the themes of collapse and rhythm. René Roussillon and Victor Guerra's thoughts are approached, through their contributions on the rhythm of psychic life and the condition of predictability that is implicit in this acquisition. The resonance of these themes in the clinical setting, based on care provided on-line, is addressed as the final aspect, having as reference Alessandra Lemma's contributions about the embodied setting (AU)


La autora reflexiona sobre el tema del ritmo como elemento fundamental para la continuidad psíquica y como factor estructurante para el registro, en la psique, de una relación armoniosa madre/bebé. El evento inusitado y traumático da COVID-19 hace un recorte y viene subjetivar la escritura de una manera particular, ocasionando la creación de nuevos vértices, entre los cuales se inserta el tema del colapso. El concepto de Winnicott del miedo al colapso se actualiza en este contexto, en el que surgen el vacío, la muerte y la no vida. La filosofía también está presente como una interlocución importante, con pasajes de ensayos actuales de filósofos sobre el impacto de la pandemia, reflejando e ilustrando los temas del colapso y el ritmo. Se recorre aún el pensamiento de René Roussillon y Victor Guerra, a través de sus contribuciones con respecto al ritmo en la vida psíquica y la condición de previsibilidad implícita en esta adquisición. La resonancia de estos temas en la clínica, desde el atendimiento en línea, es abordada como último aspecto, teniendo como referencia las contribuciones de Alessandra Lemma sobre el setting encarnado (AU)


Subject(s)
Coronavirus Infections/psychology , Fear/psychology , Emotional Regulation
17.
Gac. méd. Méx ; 156(4): 294-301, Jul.-Aug. 2020. tab, graf
Article in English | LILACS | ID: biblio-1249914

ABSTRACT

Abstract Introduction: The COVID-19 pandemic can have important psychosocial consequences in the population. Objective: To determine the levels anxiety and depression symptoms and self-care behaviors during the COVID-19 pandemic in the general population. Method: Online survey distributed over three weeks using a non-probability sampling. The PHQ-9 Patient Health Questionnaire, the GAD-7 Generalized Anxiety Disorder Scale and a self-care behaviors visual analogue scale were used. Between-group (anxiety and depression) descriptive and comparison analyses were carried out. Results: Out of 1508 included participants, 20.8 % had symptoms of severe anxiety, while 27.5 % showed symptoms of severe depression. Being a woman, being single, having no children, having medical comorbidities and a history of mental health care were associated with the presence of higher levels of anxiety and depression symptoms; 66 to 80 % of the population complied with self-care recommendations. A need for receiving mental health care was identified in our study population. Conclusion: A larger number of individuals with moderate to severe anxiety and depression symptoms were observed than in other pandemics. COVID-19 pandemic psychological effects are considered an emerging public mental health problem, and implementation of programs for their care is therefore recommended.


Resumen Introducción: La pandemia por COVID-19 puede tener consecuencias psicosociales importantes en la población. Objetivo: Determinar los niveles de síntomas de ansiedad, depresión y conductas de autocuidado durante la pandemia de COVID-19 en población general. Método: Encuesta en línea distribuida durante tres semanas mediante muestreo no probabilístico. Se empleó el Cuestionario sobre la Salud del Paciente PHQ-9, la Escala del Trastorno de Ansiedad Generalizada GAD-7 y la Escala análoga visual de conductas de autocuidado. Se realizaron análisis descriptivos y de comparación entre los grupos con ansiedad y depresión. Resultados: Se incluyeron 1508 participantes, 20.8 % presentó síntomas de ansiedad grave y 27.5 %, síntomas de depresión grave. Ser mujer, soltero(a) no tener hijos, presentar comorbilidad médica y antecedentes de atención a la salud mental estuvieron relacionados con la presencia de mayores niveles de síntomas de ansiedad y depresión; 66 a 80 % de la población cumplía con las recomendaciones de autocuidado. Se identificó la necesidad de recibir atención de salud mental. Conclusión: Se observó mayor número de individuos con síntomas de ansiedad y depresión moderadas a graves que en otras pandemias. Los efectos psicológicos de la pandemia de COVID-19 se consideran un problema de salud mental pública emergente, por lo que se recomienda la implementación de programas para su atención.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Anxiety/epidemiology , Pneumonia, Viral/epidemiology , Self Care/statistics & numerical data , Coronavirus Infections/epidemiology , Depression/epidemiology , Pneumonia, Viral/psychology , Sex Factors , Surveys and Questionnaires , Risk Factors , Coronavirus Infections/psychology , Pandemics , COVID-19
18.
Washington; Organización Panamericana de la Salud; ago 18, 2020. 4 p.
Non-conventional in Spanish | LILACS | ID: biblio-1117487

ABSTRACT

Los casos de coronavirus en nuestra Región han llegado a casi 11,5 millones y más de 400.000 personas en el continente americano han muerto a causa de la pandemia.


Subject(s)
Pneumonia, Viral/psychology , Pneumonia, Viral/epidemiology , Social Isolation/psychology , Quarantine/psychology , Mental Health , Coronavirus Infections/psychology , Coronavirus Infections/epidemiology , Pandemics/prevention & control , Betacoronavirus , Americas/epidemiology
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