ABSTRACT
Objective: to assess the presence of stress and characterize the personal and work aspects of medical professionals who are members of the Graduate Program in Family Health during the COVID-19 pandemic. Method: quantitative, descriptive and exploratory study carried out with the application of the Stress Symptoms inventory in 395 postgraduate physicians in Family Health who work in the Family Health Strategy through the Mais Médicos Program, respecting the ethical principles of Resolutions 466/12 a 510/16. Results: 43.80% of medical professionals were under stress, most in the resistance phase (72.25%) with prevalence of psychological symptoms (43.35%). Conclusion: The change in the flows and routines of the work process in Primary Health Care related to the COVID-19 pandemic favored the development of stress and its psychological symptoms in the resistance phase. Objetivo: evaluar la presencia de estrés y caracterizar los aspectos personales y laborales de los profesionales médicos integrantes del Programa de Posgrado en Salud de la Familia durante la pandemia de COVID-19. Método: estudio cuantitativo, descriptivo y exploratorio realizado con la aplicación del inventario de Síntomas de Estrés en 395 médicos posgraduados en Salud de la Familia que laboran en la Estrategia Salud de la Familia a través del Programa Mais Médicos, respetando los principios éticos de las Resoluciones 466/12 a 510 / dieciséis. Resultados: el 43,80% de los profesionales médicos se encontraba bajo estrés, la mayoría en fase de resistencia (72,25%) con prevalencia de síntomas psicológicos (43,35%). Conclusión: El cambio en los flujos y rutinas del proceso de trabajo en Atención Primaria de Salud relacionado con la pandemia C0-VID-19 favoreció el desarrollo del estrés y sus síntomas psicológicos en la fase de resistencia. Objetivo: avaliar a presença de estresse e caracterizar os aspectos pessoais e do trabalho de profissionais médicos integrantes da Pós-Graduação em Saúde da Familia durante a pandemia do COVID-19. Método: estudo quantitativo, descritivo e exploratorio realizado com aplicação do inventário de Sintomas de Estresse em 395 médicos pós-graduandos em Saúde da Familia e que atuam na Estratégia Saúde da Família pelo Programa Mais Médicos, respeitando os princípios éticos das Resoluções 466/12 a 510/16. Resultados: 43,80% dos profissionais médicos estavam com estresse, a maior parte na fase de resistência (72,25%) com prevalência de sintomas psicológicos (43,35%). Conclusão: A mudança dos fluxos e rotinas do processo de trabalho na Atenção Primária em Saúde relacionados à pandemia do COVI D-19 favoreceu ao desenvolvimento do estresse e seus sintomas psicológicos da fase de resistência.
ABSTRACT
OBJECTIVE: The purpose of this case report was to describe the role of physical therapists in a neurosurgical center that was converted into a COVID-19 center for critically ill patients. METHODS (CASE DESCRIPTION): On March 16, 2020, the state government of Rio de Janeiro, Brazil, determined that a neurosurgical center with 44 ICU beds equipped with mechanical ventilators should immediately transfer all patients with neurological conditions to other institutions and prepare for patients who were critically ill with COVID-19. The staff, including physical therapists, were trained to handle patients with COVID-19, many of whom were developing acute respiratory distress syndrome (ARDS) with complex and multifactorial ventilatory support needs. Adjustments were made to the physical therapy routine and protocols. Following the stabilization of patients' respiratory condition, physical therapist interventions focused on restoring physical function. RESULTS: A total of 116 confirmed COVID-19 cases were treated from March 17 to May 17, 2020. Sixty percent were men (70) and 40% were women (46), with a median age of 59 years. Eighty-nine percent (103) underwent mechanical ventilation during hospitalization, of which 11% (11) were successfully extubated. Thirty percent (31) of patients underwent tracheostomy, and 26% of those (8) were successfully decannulated. Of the total patients, 57 patients died (mortality rate of 49%), 4 (3%) were transferred to another institution, 23 (20%) were discharged home, and 32 (28%) continued to be hospitalized. CONCLUSION: Physical therapists in the ICU can facilitate care for critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training. IMPACT: The coronavirus pandemic has highlighted the importance of physical therapists, specifically in the care of patients who are critically ill with COVID-19. The availability and expertise of physical therapists in the ICU are important for managing critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training.