ABSTRACT
Objective: To report the impact of the COVID-19 pandemic on the activity of nurses working on an inflammatory bowel disease (IBD) unit and to identify reasons for telehealth care and its relationship to certain characteristics. Background: The COVID-19 pandemic had led to an increase in demand for remote care in patients with inflammatory bowel disease who require monitoring and frequent access to health services. Design methods: A retrospective study of all activity (in person and by phone call or email) done on the unit during the acute phase of the pandemic at a reference hospital in Spain. Numbers of activities done by nurses, reasons for telehealth care and sociodemographic and clinical data were collected. Statistical analysis was performed using frequency, chi-squared and analysis of variance tests. Results: A total of 1095 activities for 561 patients who received care were reported. Among them, 1042 (95.2%) were telemedicine activities, amounting to a 47.3% increase over the prior year. COVID-19-related activities numbered 588 (59.5%). Consultations due to disease flare-up numbered 134 (13.7%), representing a 145% increase compared to 2019. Significant differences were found between reasons for using telemedicine and diagnosis, occupational status, contact week and treatment. Conclusion: The acute phase of the pandemic has changed the activity managed by the nursing staff on the unit. Identifying and analysing these changes has yielded valuable information to achieve more efficient management and better care quality for patients in special situations.(AU)
Objetivos: Describir el impacto de la pandemia por COVID-19 en la actividad de la enfermera, en enfermedad inflamatoria intestinal (EII) de la unidad, e identificar las razones de la asistencia telemática y la relación con las variables recogidas. Antecedentes: La pandemia de COVID-19 ha dado lugar a un aumento en la demanda de atención remota en pacientes con EII que requieren un seguimiento y un acceso frecuente a los servicios de salud. Diseño y métodos: Estudio retrospectivo de toda la actividad (presencia, llamada telefónica o correo electrónico), realizado en la unidad durante la fase aguda de la pandemia, en un hospital de referencia en España. Se recogió el número de actividades llevadas a cabo por la enfermera, motivo de asistencia telemática y datos sociodemográficos y clínicos. El análisis estadístico se realizó utilizando la prueba de frecuencia, χ2 y el análisis de varianza. Resultados: Fueron registradas 1.095 actividades por 561 pacientes atendidos, siendo 1.042 (95,2%) actividades de telemedicina, lo que supuso un incremento del 47,3% con respecto al año anterior. Las demandas relacionadas con COVID-19 fueron 588 (59,5%). Por otro lado, 134 (13,7%) fueron consultas por brote de su enfermedad, un 145% más que en 2019. Se han encontrado diferencias significativas entre los motivos del uso de la telemedicina y el diagnóstico, la situación laboral, la semana en que se realizó el contacto y el tratamiento. Conclusión: La fase aguda de la pandemia ha cambiado la actividad gestionada por enfermería en la unidad. Identificar y analizar estos cambios nos ha proporcionado información para conseguir una gestión más eficiente y de calidad al cuidado de los pacientes en situaciones excepcionales.(AU)
Subject(s)
Humans , Pandemics , Coronavirus Infections/epidemiology , Inflammatory Bowel Diseases/complications , Nurse's Role , Colitis, Ulcerative , Crohn Disease , Retrospective Studies , Spain , Gastroenterology , Gastrointestinal Diseases , Telemedicine , NursingABSTRACT
A randomized, open-label, controlled clinical trial was designed to assess the effectiveness of a motivational intervention based on the 5 R's model (relevance, risks, rewards, roadblocks, and repetition) delivered by specialized inflammatory bowel disease nurses every 3 months over a 1-year period as compared with patients who were followed regularly. Patients diagnosed with Crohn disease, aged 18 years or older, who reported being active smokers with Internet access at home and an e-mail address were eligible. A total of 144 patients (72 per group) were included (50% women, median age 40 years). They smoked a median of 10 cigarettes per day (range = 1-40) and had been smoking for a median of 22 years (range = 1-51). Motivation to quit (Richmond test) was low in 73 patients, moderate in 39 patients, and high in 32 patients. Statistically significant differences between the study groups in the predisposition to change, motivation to quit, and tobacco withdrawal were not found. However, 14 patients (20.9%) in the intervention group and 9 patients (13.2%) among controls stopped smoking at the end of the study. These findings support a higher trend toward smoking cessation associated with the motivational intervention 5 R's. This behavioral strategy can aid patients with Crohn disease to quit smoking.
Subject(s)
Crohn Disease , Smoking Cessation , Adult , Crohn Disease/therapy , Female , Humans , Male , Motivation , Smoking , TelephoneABSTRACT
OBJECTIVE: To report the impact of the COVID-19 pandemic on the activity of nurses working on an inflammatory bowel disease (IBD) unit and to identify reasons for telehealth care and its relationship to certain characteristics. BACKGROUND: The COVID-19 pandemic had led to an increase in demand for remote care in patients with inflammatory bowel disease who require monitoring and frequent access to health services. DESIGN - METHODS: A retrospective study of all activity (in person and by phone call or email) done on the unit during the acute phase of the pandemic at a reference hospital in Spain. Numbers of activities done by nurses, reasons for telehealth care and sociodemographic and clinical data were collected. Statistical analysis was performed using frequency, chi-squared and analysis of variance tests. RESULTS: A total of 1095 activities for 561 patients who received care were reported. Among them, 1042 (95.2%) were telemedicine activities, amounting to a 47.3% increase over the prior year. COVID-19-related activities numbered 588 (59.5%). Consultations due to disease flare-up numbered 134 (13.7%), representing a 145% increase compared to 2019. Significant differences were found between reasons for using telemedicine and diagnosis, occupational status, contact week and treatment. CONCLUSION: The acute phase of the pandemic has changed the activity managed by the nursing staff on the unit. Identifying and analysing these changes has yielded valuable information to achieve more efficient management and better care quality for patients in special situations.
