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Introduction The COVID-19 pandemic resulted in an unpredictable healthcare crisis with a high psychological burden on healthcare workers. Objective To evaluate burnout levels and their associated demographics and occupational factors among intensive care unit healthcare workers during the COVID-19 pandemic in a single hospital in the city of Temuco, Chile. Methods A cross-sectional design in which a sociodemographic questionnaire and the Maslach Burnout Inventory for Human Services were sent to health care workers in a single Chilean Intensive Care Unit during the pandemic COVID-19. Burnout levels, demographic, and occupational factors are reported using descriptive statistics; correlations between burnout levels and demographic-occupational factors were analyzed using Spearman's and rank-biserial correlation coefficients; and multiple linear stepwise regression was used to assess the contribution of demographic and occupational factors to participants' burnout levels. Results A total of 84 participants (46 women and 38 men) were included in the analysis. Depersonalization and low personal accomplishment were evidenced in 95.2% and 98.8% of the intensive care unit healthcare workers, respectively. Emotional exhaustion was positively correlated with having children ( = 0.72; < 0.01). Age ( = 0.79; < 0.05), sex ( = 0.30; < 0.05), and prior experience in intensive care unit facilities ( = 0.71; < 0.05) were correlated with depersonalization. Feeling of personal accomplishment was positively correlated with with sex ( = 0.70; < 0.05) and type of work shift ( = 0.29; < 0.01). Conclusions The intensive care unit healthcare workers in this study reported high levels of depersonalization and low feelings of personal accomplishment during an advanced stage of the COVID-19 pandemic. Older age, being female, having children, having intensive care unit experience, and working at 4th shift were factors related to burnout dimensions.
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Introducción: El progresivo envejecimiento poblacional se estima a nivel mundial como un indicador de mejora de la salud. No obstante, al vivir más años se le asocian problemas sanitarios que se van posicionando en el tiempo, y uno de ellos es la sarcopenia, la que se considera una condición común en los adultos mayores y se asocia a la inactividad física, baja resistencia, baja velocidad de marcha y disminución de la movilidad. Estos factores contribuyen a un aumento del riesgo de caída y a una disminución de la funcionalidad y de la calidad de vida. Objetivo: Mostrar evidencia actualizada respecto a los resultados del entrenamiento de fuerza con restricción parcial del flujo sanguíneo en población adulto mayor con sarcopenia, como estrategia costo-efectiva para la dependencia asociada al envejecimiento. Métodos: Se realizó una búsqueda en bases de datos científicas EBSCOhost, ScienceDirect, Web of Science y en el buscador PubMed. Se utilizaron los siguientes términos de búsqueda: entrenamiento con restricción parcial del flujo sanguíneo, sarcopenia, adulto mayor. Los artículos analizados incluyeron revisiones y artículos de investigación, principalmente ensayos clínicos controlados y revisiones sistemáticas con metanálisis. Conclusiones: El entrenamiento con restricción parcial del flujo sanguíneo en el adulto mayor surge como una herramienta útil para intervenir en la sarcopenia asociada al envejecimiento, constituyendo una alternativa para inducir la ganancia de fuerza muscular, con la disminución de los riesgos del entrenamiento de alta intensidad. Además, es una técnica económica y fácil de implementar en centros de salud de asistencia masiva(AU)
Introduction: Progressive population aging is estimated globally as an indicator of health improvement. However, when living is extended, health issues appear; one of them is sarcopenia, which is consider a common condition in older adults and it is associated to physical inactivy, low resistance, low walk speed and a decrease in mobility. These factors contribute to an increase of falls risk and to a decrease of functionality and life quality. Objective: To show updated evidence on the results of the strength training with partial restriction of blood flow in older adults populations with sarcopenia, as a cost-effective strategy for dependence associated to aging. Methods: Search was done in scientific databases as EBSCOhost, ScienceDirect, Web of Science and PubMed searcher. Following terms were used: training with partial restriction of blood flow, sarcopenia, older adult. The analyzed articles included reviews and research articles, mainly controlled clinical trials and systematic reviews with meta-analysis. Conclusions: Training with partial restriction of the blood flow in older adults emerges as an useful tool to intervene in sarcopenia associated to aging, being an alternative to induce muscle force´s gain, and decreasing the risks of high intensity training. In addition, it is an economic and easy to implement technique in health centers with massive audiences(AU)