Evaluación de un call center de orientación clínica durante los primeros meses de pandemia COVID-19: capacidad de resolución de los llamados / Evaluation of a clinical orientation Call Center during the first months of the COVID-19 pandemic

BACKGROUND: During sanitary emergencies such as the recent pandemic, health services can collapse. In these cases, remote orientation services such as call centers may help to debottleneck these services. AIM: To assess the demand and problem resolution of a clinical guidance telephone service during the COVID-19 pandemic. Material and Methods: The call registry between May and August 2020 of an orientation call center for COVID-19 was analyzed. The number of calls, sociodemographic features of callers, type of enquiry and given indications were described. RESULTS: We analyzed 1,278 telephone calls, corresponding to 655 people. Sixty nine percent of queries were resolved during the call and in 31% of calls, users were referred to face-to-face evaluation. Two percent of these referrals were to an emergency service. Conclusions: The call center had a high level of resolution, favoring remote consultation and reducing face-to-face care, improving users'accessibility.

Histerectomía: la experiencia de no tener útero para un grupo de mujeres chilenas / Meaning that hysterectomy has by a group of hysterectomized Chilean women

Antecedentes: El útero ha sido descrito como un símbolo de femineidad, sexualidad y reproducción por lo que su extracción conlleva una serie de significados para la mujer. Objetivo: Describir el significado de la histerectomía para un grupo de mujeres sometidas a esta cirugía. Método: Estudio cualitativo realizado en 52 mujeres histerectomizadas. Para la recolección de los datos se utilizaron entrevistas en profundidad y grupos focales. Resultados: Se identificaron 6 dimensiones: síntomas previos, alivio de no tener útero, mitos y creencias, significado del útero y de la cirugía, miedo y sexualidad. Considerar a la histerectomía solamente como tratamiento de una enfermedad sería una visión sesgada de la realidad que vive la mujer, y por lo tanto, alejada de las necesidades que ellas y sus parejas tienen. Conclusión: Los profesionales que intervienen a la mujer deben comprender el proceso complejo que significa para ella asumirse como mujer histerectomizada...

Background: The uterus has been described as a feminine symbol, sexuality and reproduction, therefore the hysterectomy has a multiple meaning by the woman. Aims: To describe the meaning that hysterectomy has by a group of hysterectomized women. Method: Qualitative study with 52 hysterectomized women. By the data collection interviews and focus group was used. Results: It were identified 6 dimensions: previous symptoms, sense of wellness of not having uterus, beliefs and myths, the meaning of uterus and surgery, fear and sexuality. Hysterectomy only like a disease solution would be and slanted vision about the reality that the woman live, and therefore moved away of the needs that they and their partners have. Conclusion: The health care professionals must understand the complex process that means her to assume herself like hysterectomized woman...

Sexualidad en mujeres histerectomizadas / Sexuality in hysterectomized women

La Histerectomía es la segunda cirugía ginecológica más frecuente en el mundo. Su principal indicación es por patología benigna. Este procedimiento quirúrgico produce impacto en la sexualidad de la mujer, que necesitan ser evaluadas. Se propone realizar revisión sistemática de evidencia con el objetivo de conocer la sexualidad de las mujeres histerectomizadas por patología benigna Se consultan bases de datos científicas, seleccionándose investigaciones cuantitativas y cualitativas publicadas en los últimos años. Los resultados muestran que tanto el tipo como e/ abordaje de la histerectomía, parecen no repercutir de forma directa en la sexualidad. Las mujeres que se someten al procedimiento refieren experimentar mayoritariamente cambios positivos. Sin embargo, la ooferectomía, independiente del tipo o abordaje utilizados, resulta perjudicial posterior a la cirugía. La pareja juega un rol determinante en el proceso de toma de decisión, así como en la sexualidad posterior al procedimiento. Es necesario elaborar estudios chilenos respecto a/ tema, de modo de acercar los resultados a la realidad del país. Por otro lado, es fundamental capacitar al personal de salud respecto a la relevancia de la histerectomía y sus repercusiones, así como estimular al profesional de enfermería a desarrollar programas psicoeducativos para estas mujeres y sus parejas.

Hysterectomy is the second most common gynecological surgery in the world. Its main use is for benign disease. The impact associated with this surgical procedure in the sexuality of women, determined to be necessary to assess the impact in this area. OBJECTIVE: to determine the sexuality of women undergoing hysterectomy for benign disease, identify the various factors that influence in decision making and the role attributed to the couple. METHODOLOGY: was consulted scientific databases, selecting studies published in the last years. RESULTS: both type and the approach to hysterectomy appear to have a direct effect on sexuality. Women who undergo the procedure referred mostly positive experience. However, oophorectomy, regardless of the type or approach used, is detrimental after surgery. The pair plays a decisive role in the decision making process as well as in sexuality after the procedure. CONCLUSIONS: it is necessary to promote the development of Chilean studies on the subject, so as to bring the results to the reality of the country. On the other hand, it is essential to train health personnel regarding the relevance of hysterectomy and its impact and to encourage nursing professionals to develop psychoeducational programs for these women and their partners.