Resilience, stress and anxiety of formal caregivers during the COVID-19 pandemic

Background: Caregiver stress is a common problem observed in nursing homes. Aim: To determine the association between the level of resilience and stress, anxiety and depression in formal caregivers of older people institutionalized in long-stay establishments during the COVID-19 pandemic. Material and Methods: One hundred ninety eight formal caregivers working at 11 long term residences for older people in southern Chile were invited to answer the SV-RES resilience and the DASS-21 anxiety and depression scales and 102 agreed to participate. Results: We observed a significant association between the resilience scale score and variables such as weekly working hours (p < 0.01), current hours of sleep (p < 0.01), self-perception of sleep (p < 0.01), anxiety level (p < 0.01) and stress level (p < 0.01). Conclusions: A higher score on the Resilience Scale was associated with the absence of anxiety and stress, working between 22 and 43 hours per week, sleeping between 7 and 8 hours of sleep and a satisfactory self-perception of sleep. Studying the factors associated with resilience in formal caregivers of the elderly allows healthcare personnel to focus preventive actions, intervening promptly in risk areas associated with the work context, and strengthening the personal resources of caregivers.

Mortality in critical patients with acute respiratory distress syndrome by Covid-19 in the intensive care unit of a public hospital in northern Peru

Introduction: The COVID-19 disease is complicated by severe acute respiratory syndrome (ARDS), which is considered the main cause of mortality within intensive care units, despite providing early and optimal ventilatory support. However, it is necessary to identify the factors associated with mortality in these patients.

The monitoring model for covid-19 patients in the context of territorial medicine: The experience of the covid special unit (usco) of potenza

The purpose of this work is to describe the organization and the experience gained by the COVID Special Unit of Potenza (Basilicata Region, Italy) in the months of activity in the Covid-19 emergency. It also describes how the use of IT tools has considerably simplified the territorial management of suspected and confirmed Covid19 cases. “Home hospitalization” has become the new model of assistance for the Potenza Unit, with a significant and modern use of telemedicine, self-monitoring and home medical-nursing assistance. Creating new perspectives within a reform of the National Health System for the future territorial management of non-critical Covid-9 patients is, therefore, the key message of our work.