ABSTRACT
Introduction: LenusCOPD patient and clinician apps include prompted daily patient-reported outcomes (PROs), self-management resources, structured clinical summary, wearable and home NIV data with asynchronous patientclinician messaging. To support patients with severe COPD during the COVID-19 pandemic we paused recruitment to the RECEIVER trial (NCT04240353) in March 2021 and provided LenusCOPD as routine care in the 'DYNAMICSCOT' service scale-up. Method(s): Data was censored on 31st August 2021 when 83 RECEIVER trial participants and 140 scale-up patients had completed minimum 1 year follow up. Outcomes including app usage, service workload, hospital admissions and mortality vs matched control cohort were determined from web analytic and de-identified EHR data. Result(s): Sustained patient app utilisation (avg 3.5 interactions/patient/week) was noted in both cohorts. Service management required 1 session of clinician time 5 days/week. There was a significant reduction in respiratory related admissions and occupied bed days comparing the 12 months pre- and post-onboarding and comparing RECEIVER & scale-up vs control patients. Figure 1 shows improved time to admission and death for the RECEIVER and scaleup cohorts of LenusCOPD users. PRO data showed stable quality of life scores across the cohorts. Conclusion(s): The DYNAMIC-SCOT project confirms the feasibility and benefits of scaling a digital service model for co-management of COPD.
ABSTRACT
Aim:To compare insomnia, fatigue, and activities of daily living of patients who were infected during the coronavirus disease-2019 (COVID-19) pandemic with those who did not have the infection, according to their vaccination status.Methods: A total of 176 volunteers (104 women and 72 men) participated in the study. The study group was divided into three groups: patients who had COVID-19, individuals who did not have COVID-19 and were vaccinated, and those who did not have COVID-19 and were not vaccinated. The data collection tools were a personal information form;insomnia, fatigue and activities of daily living short questionnaire;and anxiety and depression inventories, which evaluated psychological status.Results:There was no difference in terms of depression, insomnia, fatigue, and quality of life scale scores between the groups. Work and education status did not affect scores. The fatigue rate was higher in those who had COVID-19 (10.7%, p=0.007). Women's fatigue scores were higher (p<0.001), and their physical and psychological health scores in the quality of life scale were lower than men's (p=0.025 and p=0.007, respectively). The anxiety score of married participants was higher (p=0.021). The rate of insomnia was high in the entire study group (41.7%). Depression and anxiety were positively correlated with insomnia and fatigue. Depression was negatively correlated with all sub-parameters of quality of life, and anxiety was negatively correlated with physical, psychological health, and environment. There was no difference between insomnia, fatigue, depression, and quality of life scale scores between the groups, irrespective of COVID-19 infection.Conclusion:The high rates of insomnia and depression suggested that the progression of the pandemic also brought about chronic health problems. Therefore, it is important to conduct extensive preventive health programs for the population.
ABSTRACT
OBJECTIVE: The purpose of this study was to assess burnout, secondary traumatic stress, and compassion satisfaction scores in emergency nurses after working through the COVID-19 pandemic using the Professional Quality of Life Scale version 5 and compare those scores with similar studies conducted before the pandemic. METHODS: A cross-sectional analysis of a descriptive survey including the Professional Quality of Life Scale version 5 questionnaire was sent to nurses working in the emergency department before 2021 from urban, adult, and pediatric receiving hospitals in Southern California. Results were analyzed to provide insight into the effect of the COVID-19 pandemic on the levels of burnout, secondary traumatic stress, and compassion satisfaction compared with prepandemic studies found in the literature using the same Professional Quality of Life Scale version 5 instrument. RESULTS: Mean subcategory scores were in the moderate range for burnout (25.6), secondary traumatic stress (24.5), and compassion satisfaction (38.7). Burnout scores for midshift nurses were found to be significantly higher than day shift nurses (mean difference 5, P = .02) as were secondary traumatic stress scores (mean difference 4.6, P = .007). In addition, compassion satisfaction subcategory scores in nurses with 1 child living at home were significantly higher than those with 2 (mean difference 6.7, P = .02). DISCUSSION: The unnormalized mean findings were similar to prepandemic studies conducted using the same Professional Quality of Life Scale version 5 instrument indicating nurses are at risk of compassion fatigue. In addition, the scores from midshift nurses reflect increased burnout and secondary traumatic stress whereas nurses with 2 children had lower compassion satisfaction. This implies the need for leadership to proactively seek interventions to support nurses on each shift.