Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.820
Filtrar
Añadir filtros

Intervalo de año
1.
J Psychiatr Pract ; 26(4): 309-312, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-1172669

RESUMEN

This column anticipates challenges likely to be faced by psychotherapists and their patients after the coronavirus disease 2019 (COVID-19) pandemic subsides. It looks beyond the current impact of loneliness, isolation, thwarted belongingness, and loss toward the longer term impact of moral injury and blocked opportunities for mourning.


Asunto(s)
Infecciones por Coronavirus , Pesar , Pandemias , Neumonía Viral , Psicoterapia , Sobrevivientes , Betacoronavirus , Coronavirus/aislamiento & purificación , Infecciones por Coronavirus/mortalidad , Infecciones por Coronavirus/psicología , Humanos , Neumonía Viral/mortalidad , Neumonía Viral/psicología
5.
Ciênc. Saúde Colet ; 26(3): 1013-1022, mar. 2021.
Artículo en Portugués | LILACS (Américas) | ID: covidwho-1138613

RESUMEN

Resumo Este texto tem como finalidade discutir o cuidado de trabalhadoras da área da saúde em face da Covid-19, sob a análise sociológica de autoras que o vêm discutindo enquanto um trabalho que é desempenhado, na sua maioria, pelas mulheres das classes populares, é desvalorizado e sofre baixa remuneração. É uma atividade que envolve as construções sociais das emoções e tem utilizado o corpo como um instrumento de trabalho no cuidado com o outro. Além disso, a precarização do trabalho em saúde na sociedade brasileira acirrada nas últimas décadas, como o aumento de contratos temporários, perdas de direitos trabalhistas, a sobrecarga das atividades, condições de trabalho precárias, dentre outros, soma-se com o aumento dos atendimentos médico-hospitalares diante da pandemia da Covid-19. Neste contexto, as trabalhadoras em saúde vivenciam as ausências de equipamentos de proteção individual, medo de contaminação pelo vírus, preocupações com filhos e familiares, vivências diante da morte e do adoecimento de si e de colegas de profissão. Este texto aponta para a necessidade de atenção governamental, bem como para a gestão do trabalho em saúde e dos órgãos de classe profissional, analisando as condições de trabalho que as trabalhadoras em saúde estão vivendo no enfrentamento da pandemia.


Abstract The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.


Asunto(s)
Humanos , Femenino , Personal de Salud/economía , Personal de Salud/psicología , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/economía , Prestación de Atención de Salud/normas , Prestación de Atención de Salud/tendencias , Pandemias , Salarios y Beneficios/tendencias , Brasil/epidemiología , Actitud Frente a la Muerte , Familia , Factores Sexuales , Lugar de Trabajo/normas , Lugar de Trabajo/psicología , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Miedo , Factores Sociológicos , Equipo de Protección Personal/provisión & distribución , Programas Nacionales de Salud
9.
Rev Peru Med Exp Salud Publica ; 37(2): 327-334, 2020.
Artículo en Español | MEDLINE | ID: covidwho-1128199

RESUMEN

Since December 2019, 414,179 cases of people with coronavirus disease 2019 (COVID-19) have been reported. As a result of the rapid increase in confirmed cases and deaths, population and health personnel, have experienced psychological problems, such as anxiety, depression, and stress. Although scientific information on COVID-19 is constantly increasing, it mainly focuses on genetic, epidemiological aspects, and public health measures, leaving aside possible effects on mental health. In order to summarize the current evidence, we present a narrative review of the effects of the COVID-19 pandemic on mental health. So far, the presence of anxiety, depression, and stress has been reported mostly in general population. Nonetheless, mental health issues have also been reported in health care workers, especially among female professionals, nurses, and those who work directly with suspected or confirmed cases of COVID-19. In efforts to reduce the spread of the disease, attention should be paid to the diagnosis and treatment of mental health issues. We believe that addressing them adequately will empower Peru to contain and eradicate COVID-19.


Asunto(s)
Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Salud Mental , Neumonía Viral/psicología , Ansiedad/epidemiología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Depresión/epidemiología , Humanos , Pandemias/prevención & control , Perú/epidemiología , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Estrés Psicológico/epidemiología
10.
Obstet Gynecol ; 136(6): 1103-1108, 2020 12.
Artículo en Inglés | MEDLINE | ID: covidwho-1109339

RESUMEN

OBJECTIVE: To understand severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing uptake in the labor and delivery unit and rationales for declining testing, and to institute a process to increase equitable testing uptake. METHODS: We conducted a quality-improvement initiative from May 28-June 25, 2020, during the first 4 weeks of universal SARS-CoV-2 testing in the Barnes-Jewish Hospital labor and delivery unit. All consecutive patients presenting for delivery without coronavirus disease 2019 (COVID-19) symptoms were offered testing over four 1-week phases. Phase I documented the rate of testing uptake. Phase II recorded patients' reasons for declining testing. Phase III used phase II findings to create and implement shared decision-making tools. Phase IV offered each patient who declined nasopharyngeal testing an oropharyngeal alternative. The primary outcome was rate of SARS-CoV-2 testing uptake by phase. RESULTS: Of 270 patients, 223 (83%) accepted testing and 47 (17%) declined. Maternal age and mode of delivery were similar between groups, whereas testing uptake was higher among nulliparous, White, Hispanic, or privately insured patients. There was a significant increase in the primary outcome of SARS-CoV-2 testing across phases I-IV, from 68% to 76% to 94% to 95%, respectively (Somers' D 0.45; 95% CI of association 0.30-0.59). The most commonly cited reason for declining testing was concern regarding testing discomfort. In subgroup analyses by race and insurance type, there was a significant increase in testing uptake across phases I-IV for Black patients (56%, 54%, 91%, 92%; Somers' D 0.36; 95% CI of association 0.28-0.64), White patients (76%, 93%, 96%, 100%; Somers' D 0.59; 95% CI of association 0.38-0.8), those with Medicaid insurance (60%, 64%, 88%, 92%; 95%; Somers' D 0.39; CI of association 0.22 to 0.56), and those with private insurance (77%, 96%, 97%, 100%; Somers' D 0.63; 95% CI of association 0.40-0.86). CONCLUSION: Universal SARS-CoV-2 testing uptake significantly increased through a rapid-cycle improvement initiative. Aligning hospital policy with patient-centered approaches led to nearly universally acceptable testing.


Asunto(s)
Infecciones por Coronavirus/diagnóstico , Equidad en Salud , Trabajo de Parto , Aceptación de la Atención de Salud/psicología , Neumonía Viral/diagnóstico , Adulto , Betacoronavirus , Técnicas de Laboratorio Clínico , Infecciones por Coronavirus/psicología , Estudios Transversales , Femenino , Hospitalización , Humanos , Modelos Logísticos , Missouri , Pandemias , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico , Adulto Joven
11.
Pan Afr Med J ; 35(Suppl 2): 130, 2020.
Artículo en Inglés | MEDLINE | ID: covidwho-1106476

RESUMEN

The COVID-19 pandemic has strained health care systems beyond capacity resulting in many people not having access to life-sustaining measures even in well-resourced countries. Palliative and end-of-life care are therefore essential to alleviate suffering and ensure a continuum of care for patients unlikely to survive. This is challenging in sub-Saharan Africa where lack of trained teams on basic palliative care and reduced access to opioids limit implementation of palliative and end-of-life care. At the same time, health care providers have to cope with local cultural conceptions of death and absence of advance care directives.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/terapia , Cuidados Paliativos/organización & administración , Pandemias , Neumonía Viral/terapia , Cuidado Terminal/organización & administración , Directivas Anticipadas , África del Sur del Sahara/epidemiología , Analgésicos Opioides/provisión & distribución , Analgésicos Opioides/uso terapéutico , Actitud Frente a la Muerte , Barreras de Comunicación , Continuidad de la Atención al Paciente , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Cultura , Accesibilidad a los Servicios de Salud , Humanos , Cuidados Paliativos/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Relaciones Profesional-Paciente , Insuficiencia Respiratoria/tratamiento farmacológico , Insuficiencia Respiratoria/etiología , Insuficiencia Respiratoria/mortalidad , Estigma Social , Cuidado Terminal/psicología
12.
J Occup Environ Med ; 62(9): 686-691, 2020 09.
Artículo en Inglés | MEDLINE | ID: covidwho-1105010

RESUMEN

OBJECTIVE: To determine whether job insecurity due to COVID-19 and financial concern were associated with worse mental health during the COVID-19 pandemic. METHOD: Participants (N = 474 employed U.S. individuals) completed an online survey from April 6 to 12, 2020. Linear regressions were used to examine factors associated with mental health. RESULTS: After accounting for demographic characteristics, health status, other COVID-19 experiences, and anxiety symptoms, greater job insecurity due to COVID-19 was related to greater depressive symptoms. Conversely, after accounting for covariates and depressive symptoms, greater financial concern was related to greater anxiety symptoms. Further, greater job insecurity was indirectly related to greater anxiety symptoms due to greater financial concern. CONCLUSIONS: Findings suggest that employers should aim to reduce job insecurity and financial concern among employees during the COVID-19 pandemic to address the associated mental health consequences.


Asunto(s)
Ansiedad/epidemiología , Betacoronavirus , Infecciones por Coronavirus/psicología , Depresión/epidemiología , Empleo/psicología , Salud Mental/estadística & datos numéricos , Neumonía Viral/psicología , Adulto , Anciano , Anciano de 80 o más Años , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/economía , Neumonía Viral/economía , Neumonía Viral/epidemiología , Estados Unidos , Adulto Joven
13.
Spine (Phila Pa 1976) ; 45(18): 1285-1292, 2020 Sep 15.
Artículo en Inglés | MEDLINE | ID: covidwho-1104988

RESUMEN

STUDY DESIGN: Cross-sectional survey. OBJECTIVE: The aim of this study was to investigate the impact of COVID-19 pandemic on the clinical practices of spine surgeons within the Asia Pacific region. SUMMARY OF BACKGROUND DATA: COVID-19 pandemic had changed spine surgeons' clinical practices and their concerns toward personal and family risk of infection. METHODS: This cross-sectional survey was carried out from May 4, 2020 to June 4, 2020. The questionnaire was administered using REDCAP. The online questionnaire includes four sections. First section includes surgeon's demographics, background, type of clinical practice, and status of pandemic in their country. Second section includes volume and the type of spine surgery practice before the COVID pandemic. Third section includes changes of clinical practice during the pandemic and the last section was regarding their concern on COVID transmission. RESULTS: Total of 222 respondents from 19 countries completed the questionnaire. During the pandemic, 92.3% of the respondents felt their clinical practice was affected. 58.5% respondents reported reduced outpatient clinic hours and 74.6% respondents reported reduced operation theatre hours due to the enforcement by the hospital administration. The mean reduction of clinic volume for all countries was 48.1%. There was a significant reduction in the number of surgeries performed in Japan, Malaysia, India, Philippines, and South Korea. This was due to reduced patient load. More than 60% of respondents were worried being infected by COVID-19 virus and >68% were worried of transmission to their family members. CONCLUSION: COVID-19 pandemic has significantly affected the clinical and surgical practice of spine surgeons in the Asia Pacific region. Clinics were closed or the practice hours reduced. Similarly, surgical theaters were closed, reduced, or limited to semi-emergency and emergency surgeries. Spine surgeons were moderately concerned of contracting COVID-19 during their clinical practice but were extremely concerned to transmit this disease to their family members. LEVEL OF EVIDENCE: 4.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Neumonía Viral , Columna Vertebral/cirugía , Cirujanos , Procedimientos Quirúrgicos Operativos/estadística & datos numéricos , Asia , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Estudios Transversales , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Pautas de la Práctica en Medicina/estadística & datos numéricos , Cirujanos/psicología , Cirujanos/estadística & datos numéricos
14.
BMJ Open ; 11(2): e043686, 2021 02 26.
Artículo en Inglés | MEDLINE | ID: covidwho-1105493

RESUMEN

INTRODUCTION: Frontline healthcare providers are redeployed to areas outside their clinical expertise and assigned high-loading workload to address the surge of patients with each coronavirus outbreak. Their importance in crisis is not in doubt. However, they experienced considerable physical distress and psychological stressors, even leading to psychological illness and infection in this environment. There is an urgent need to accurately, comprehensively and objectively understand their experiences, perceptions and current situation of burnout, post-traumatic stress disorder (PTSD), anxiety, depression, insomnia and coronavirus infection. Therefore, this protocol is to conduct a mixed-methods systematic review to summarise the evidence on the experiences of healthcare providers and impacts of the coronavirus on their psychological status and infection during the pandemics. METHODS: Published studies on experience, perspective, impact, burnout, PTSD, anxiety, depression, insomnia, and infection of healthcare providers with SARS, Middle East respiratory syndrome and COVID-19, and written in English and Chinese will be accepted. Databases (MEDLINE, EMBASE, CENTRAL, Web of Science, PubMed, Psychology Information, WanFang and SinoMed) from inception until 30 July 2020 will be searched. Two reviewers will select, screen, extract data and assess the risk of bias independently. Risk of bias of results will be using the Mixed-Methods Appraisal Tool. Using a convergent integrated approach on qualitative/quantitative studies, we will synthesise qualitative and quantitative data separately. The incidence and number of cases about burnout, PTSD, anxiety, depression, insomnia and coronavirus infection among medical staff will be extracted. Then we will transform quantitative data to synthesise narrative findings. This protocol will be reported per the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. ETHICS AND DISSEMINATION: Ethical assessment is not required due to the nature of the proposed systematic review. Findings of our research will be disseminated at conferences related to this field and through publication in peer-reviewed journals. PROSPERO REGISTRATION NUMBER: CRD42020198506.


Asunto(s)
Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Pandemias , Proyectos de Investigación , Ansiedad , Agotamiento Profesional , Depresión , Humanos , Trastornos del Inicio y del Mantenimiento del Sueño , Trastornos por Estrés Postraumático , Revisiones Sistemáticas como Asunto
16.
Rev Psiquiatr Salud Ment ; 13(2): 90-94, 2020.
Artículo en Inglés, Español | MEDLINE | ID: covidwho-125044

RESUMEN

INTRODUCTION: The world is currently undergoing an extremely stressful scenario due to the COVID-19 pandemic. This unexpected and dramatic situation could increase the incidence of mental health problems, among them, psychotic disorders. The aim of this paper was to describe a case series of brief reactive psychosis due to the psychological distress from the current coronavirus pandemic. MATERIALS AND METHODS: We report on a case series including all the patients with reactive psychoses in the context of the COVID-19 crisis who were admitted to the Virgen del Rocío and Virgen Macarena University Hospitals (Seville, Spain) during the first two weeks of compulsory nationwide quarantine. RESULTS: In that short period, four patients met the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for a brief reactive psychotic disorder. All of the episodes were directly triggered by stress derived from the COVID-19 pandemic and half of the patients presented severe suicidal behavior at admission. CONCLUSIONS: We may now be witnessing an increasing number of brief reactive psychotic disorders as a result of the COVID-19 pandemic. This type of psychosis has a high risk of suicidal behavior and, although short-lived, has a high rate of psychotic recurrence and low diagnostic stability over time. Therefore, we advocate close monitoring in both the acute phase and long-term follow-up of these patients.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/psicología , Neumonía Viral/psicología , Distrés Psicológico , Trastornos Psicóticos/etiología , Cuarentena/psicología , Estrés Psicológico/complicaciones , Adulto , Infecciones por Coronavirus/complicaciones , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/complicaciones , Escalas de Valoración Psiquiátrica , Trastornos Psicóticos/diagnóstico , Trastornos Psicóticos/psicología , Factores de Riesgo , España , Suicidio/psicología
19.
PLoS One ; 15(11): e0241173, 2020.
Artículo en Inglés | MEDLINE | ID: covidwho-1067388

RESUMEN

It has been two months since Wuhan eased the lockdown and the people of Wuhan have been under great pressure during COVID-19. The psychological status among healthcare workers and residents were barely know due to the lack of research after Wuhan eased of the lockdown. The purpose of this study was to assess people's mental health and the changes after Wuhan eased the lockdown. A cross-sectional online study among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and 1035(73.0%) were residents from the general public. Their COVID-19 psychological status was evaluated using Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and the PTSD Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16.7% and 17.2% general public had symptoms of depression, anxiety and PTSD ranging from moderate to severe. Anxiety levels were not significantly different between healthcare workers and the general public. The decreased income and the frequent social media exposure are the risk factors for general public. Compared to the early COVID-19 epidemic period, the proportion of anxiety and depression among both the general public and health workers decreased after Wuhan eased the lockdown. Our finding can be used to help the government of Wuhan to develop psychological interventions to improve the mental health of the population and work as a reference of public health guidelines for other cities with severe COVID-19 outbreak.


Asunto(s)
Infecciones por Coronavirus/psicología , Salud Mental , Neumonía Viral/psicología , Distrés Psicológico , Cuarentena/psicología , Adolescente , Adulto , Ansiedad/epidemiología , Betacoronavirus , China , Estudios Transversales , Depresión/epidemiología , Femenino , Personal de Salud/psicología , Humanos , Masculino , Pandemias , Cuestionario de Salud del Paciente , Adulto Joven
20.
Clin Obes ; 10(6): e12412, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: covidwho-1066643

RESUMEN

Recent studies report negative mental health effects of the COVID-19 related lockdown measures in general paediatric cohorts. Since obesity is a risk factor for COVID-19 in adults, children (including adolescents) with obesity might perceive themselves to be vulnerable. Using a combined quantitative and qualitative approach, we explored COVID-19 related anxiety in paediatric patients with severe obesity in the Netherlands using semi-structured telephone interviews and the Paediatric Quality of Life Inventory (PedsQL) questionnaire, which had also been completed by the study population at baseline in the year prior to the COVID-19 outbreak. In total, 75 families participated in the semi-structured telephone interviews during the lockdown, April 2020. Characteristics of included patients were: median age 10.5 years (interquartile range = 7.6-15.2); 52% female; mean BMI standard deviation score 3.8 (SD = 1.0). COVID-19 related anxiety was reported for 24/75 (32%) children. The mean decrease in PedsQL score between baseline visit and COVID-19 outbreak did not differ between children for whom anxiety was reported vs those for whom it was not (mean change -10.3 ± 36.5 vs -3.3 ± 24.4, P = .54). Self-imposed strict quarantine measures were taken by 19/75 (25%) families. During follow-up, several families reported that the previous contact alleviated their anxiety. In conclusion, healthcare professionals should address possible COVID-19 related anxiety in children with severe obesity. Addressing COVID-19 related anxiety could mitigate its potential negative effects.


Asunto(s)
Ansiedad/epidemiología , Infecciones por Coronavirus/psicología , Obesidad Mórbida/psicología , Obesidad Pediátrica/psicología , Neumonía Viral/psicología , Adolescente , Betacoronavirus , Niño , Femenino , Humanos , Masculino , Países Bajos , Pandemias
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA