Burnout y factores predictores en profesionales de Enfermería chilenos a un año de pandemia por COVID-19 / Burnout and predicting factors in Chilean nursing professional after one year of COVID-19 pandemic

Objetivo: analizar la asociación de variables sociodemográficas y laborales, estado de salud, inteligencia emocional, apoyo social percibido y espiritualidad en el desarrollo del burnout en profesionales de Enfermería a un año del comienzo de la pandemia COVID-19 en Chile.Método: se llevó a cabo un estudio descriptivo transversal (julio-octubre 2021). La población de estudio fueron enfermeras, que hubieran trabajado durante la pandemia en cualquier centro de atención sanitaria en Chile, atendiendo a pacientes al menos durante tres meses. Se aplicó un cuestionario online que incluía perfil enfermera, Maslach Burnout Inventory, Cuestionario Nórdico Estandarizado, Trait-Meta Mood Scale-24, Escala Multidimensional de Apoyo Social Percibido e Índice Breve de Religiosidad y Espiritualidad. Se llevó a cabo análisis descriptivo, correlaciones y regresión lineal.Resultados: participaron 192 profesionales, 181 (94,3%) eran mujeres. La edad media (DE) fue de 30,8 (6,81) años. La antigüedad laboral media (DE) fue de 5,6 (5,98) años. El 64,1% de las enfermeras presentó burnout. Se evidenció relación inversa y moderada entre las dimensiones de burnout e inteligencia emocional (directas, para el caso de realización personal). Se observó relación directa y moderada entre la realización personal y el apoyo social de amigos. También hubo relación indirecta y cercana a moderada entre cansancio emocional y espiritualidad. En los modelos predictivos, el dolor físico y la inteligencia emocional se asociaron con burnout.Conclusiones: más de la mitad de los profesionales de Enfermería de la muestra presentó burnout, siendo sus principales predictores el dolor físico y la inteligencia emocional.(AU)

Objective: to analyse the impact of sociodemographic and occupational variables, health status, emotional intelligence, perceived social support and spirituality, upon the development of burnout in Nursing professionals at one year after the start of the COVID-19 pandemic in Chile.Methods: a descriptive cross-sectional study was conducted (July to October 2021). The study population were nurses who had worked during the pandemic at any healthcare centre in Chile, seeing patients during at least three months. An online questionnaire was applied, including the nurse profile, the Maslach Burnout Inventory, the Standardized Nordic questionnaire, the Trait-Meta Mood Scale-24, the Multidimensional Scale of Perceived Social Support, and the Brief Spirituality/Religiousness Index. Descriptive analysis, correlations and linear regression were conducted.Results: the study included 192 professionals, 181 (94,3%) were female. Their mean age (SD) was 30.8 (6.81) years. Their mean seniority (SD) was 5.6 (5.98) years. Of these nurses, 64.1% presented burnout. A reverse and moderate relationship was observed between the burnout and emotional intelligence dimensions (direct in the case of personal fulfilment). A direct and moderate relationship was observed between personal fulfilment and social support by friends. There was also an indirect and close to moderate relationship between emotional exhaustion and spirituality. In the predictive models, physical pain and emotional intelligence were associated with burnout.Conclusions: more than half of Nursing professionals presented burnout, and its main predictors were physical pain and emotional intelligence.(AU)

Experience in a rehabilitation center for mastectomized women at the start of the COVID-19 pandemic.

OBJECTIVE: Describe the experience lived in an interdisciplinary follow-up care center for mastectomized women at a public university in São Paulo during the beginning of the COVID-19 pandemic. METHOD: Experience report on the health care provided in the health center for mastectomized women. RESULTS: The care was provided three times a week by an interdisciplinary health team. The mentioned areas that cover the women care in the center: Physical, Psychological, Social Support and Health Education. CONCLUSIONS: The attention by an interdisciplinary team becomes prevalent in the care of mastectomized women, since cancer and its treatment produce various changes in women's lives in the short and long term, so follow-up and support must be biopsychosocial, covering all areas that may be affected, especially during the pandemic.

Experience in a rehabilitation center for mastectomized women at the start of the COVID-19 pandemic / Experiencia en centro de rehabilitación de mujeres mastectomizadas al inicio de la pandemia por COVID-19 / Experiência em centro de reabilitação de mulheres mastectomizadas no início da pandemia do COVID-19

ABSTRACTObjective: Describe the experience lived in an interdisciplinary follow-up care center for mastectomized women in a public university in Sao Paulo during the onset of the COVID-19 pandemic.Method: Experience report on the health care provided in the health center for mastectomized women.Results: The health care was provided three times a week by an interdisciplinary health team. The areas of care for women at the centre were physical, psychological, social support; health education and support during the pandemic.Conclusions: The attention by an interdisciplinary team becomes prevalent in the care of mastectomized women, since cancer and its treatment produce various changes in women's lives in the short and long term, so follow-up and support must be biopsychosocial, covering all areas that may be affected, especially during the pandemic.Keywords: Women's health. Breast neoplasms. Mastectomy. Comprehensive health care. Coronavirus infections.

RESUMENObjetivo: Describir la experiencia vivida en un centro de atención interdisciplinaria de seguimiento a mujeres mastectomizadas de una universidad pública de Sao Paulo durante el inicio de la pandemia de COVID-19.Método: Relato de experiencia sobre las atenciones de salud brindadas en el centro de salud para mujeres mastectomizadas.Resultados: Las atenciones fueron realizadas tres veces por semana por un equipo interdisciplinario de salud. Se mencionan las áreas que abarcan la atención de las mujeres en el centro: Acompañamiento físico, Psicológico, Social y la Educación en Salud.Conclusión: La atención por un equipo interdisciplinario se torna imperante en el cuidado de mujeres mastectomizadas, ya que el cáncer y su tratamiento producen diversos cambios en la vida de la mujer, a corto y largo plazo, por lo que el seguimiento y acompañamiento debe ser biopsicosocial, abarcando todas las áreas que pueden verse afectadas, especialmente durante la pandemia. Palabras clave: Salud de la mujer. Neoplasias de la mama. Mastectomía. Atención integral de salud. Infecciones por coronavirus.

RESUMOObjetivo: Descrever a experiência vivida em um centro de acompanhamento interdisciplinar de mulheres mastectomizadas de uma universidade pública de São Paulo durante o início da pandemia COVID-19.Método: Relato de experiência sobre cuidados de saúde prestados no centro de saúde para mulheres mastectomizadas.Resultados: Os atendimentos foram realizadas três vezes por semana por uma equipe interdisciplinar de saúde. São mencionadas as áreas que abrangem o atendimento à mulher no centro: Acompanhamento físico, psicológico, social e Educação em saúde.Conclusão: A atenção por uma equipe interdisciplinar torna-se predominante no cuidado de mulheres mastectomizadas, pois o câncer e seu tratamento produzem diversas mudanças na vida das mulheres, a curto e longo prazo. Portanto o acompanhamento devem ser biopsicossociais, cobrindo todas as áreas que podem ser afetadas, especialmente durante a pandemia.Palavras-chave: Saúde da mulher. Neoplasias da mama. Mastectomia. Assistência integral à saúde. Infecções por coronavirus.