Respiratory nursing post-COVID consultation

ABSTRACT

Introduction: Due to the pandemic caused by SARS-COV2, a great number of infections occurred, so the Respiratory Nursing Unit of the Hospital Virgen del Rocio, proposed the creation of the post - COVID Nursing Consultation for the follow-up of those patients who needed hospitalization produced by SARS CoV2 infection. Objective(s) to assess the patient's symptoms after being discharged and to analyze the degree of adherence to treatment. Method(s) Cross-sectional descriptive observational study based on the analysis of a cohort of 120 patients. Data collection from July 2020 to March 2021 time of admission, associated symptoms, adherence to treatment, sex. The consultation is carried out by the nursing team of the unit in person and by telephone once a week with quarterly reviews until completing the year with discharge if appropriate. We use the validated scales of mMRC, Barthel and Goldberg. Result(s) Cohort of 120 patients, 53 women and 67 men. First visit 1 month +/- 1 week after hospital discharge. Symptomatology associated with the process dyspnea 80% after Intensive Care Unit, 20% after hospitalization. Anxiety 60% after ICU, 75% after hospitalization. Depression 58% after ICU, 42% after hospitalization. Adherence to pharmacological treatment 51 women, 57 men. Adherence to non-pharmacological treatment 42 women, 47 men. Second visit Three months +/- 1 week after hospital discharge. Dyspnea 50 patients. Anxiety 22 patients. Depression 31 patients. Adherence to pharmacological treatment 52 women, 65 men. Adherence to nonpharmacological treatment 50 women, 56 men. Conclusion(s) The nursing intervention in the post - COVID follow-up demonstrates a decrease in patients and anxiety and depression and an increase in adherence to treatment.