2020, Número 2
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Rev Hum Med 2020; 20 (2)
Dificultades y temores de las enfermeras que enfrentan la pandemia de COVID-19 en Brasil
Ferreira NV, Yuri HT, Pereira Terças-Trettel AC
Idioma: Español
Referencias bibliográficas: 48
Paginas: 312-333
Archivo PDF: 395.49 Kb.
RESUMEN
Introducción: La alta transmisibilidad y expansión del nuevo coronavirus
(SARS-CoV-2) en el mundo constituyen un alto riesgo laboral para los
profesionales de la salud, especialmente las enfermeras.
Objetivo: Identificar las dificultades y los temores de las enfermeras que
enfrentan la pandemia de COVID-19 en Brasil.
Métodos: Este es un estudio exploratorio y cualitativo, realizado en marzo de
2020, con enfermeras de varias instituciones de salud. La recopilación de datos
se realizó a través de la aplicación WhatsApp, con un cuestionario. Para el
análisis de datos se utilizó el análisis de contenido.
Resultados: Las dificultades y los temores presentados se relacionaron con el
riesgo diario de exposición al virus, los problemas de acceso y uso de equipo
de protección personal, las dudas en el diagnóstico diferencial así como la
sobrecarga de trabajo y la mayor demanda de atención de pacientes y
familiares.
Discusión: La vulnerabilidad de las enfermeras en el estudio es preocupante,
porque carecen de apoyo y atención y ello interfiere en la salud y la calidad de
la atención. Esta suma de factores aumenta el miedo, la ansiedad, la
inseguridad y la incertidumbre para enfrentar el futuro.
REFERENCIAS (EN ESTE ARTÍCULO)
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet[Internet] 2020[citado 25/4/2020];395(10223). Disponible en: https://doi.org/10.1016/S0140-6736(20)30185-9.
Who.into [Internet]. Coronavirus disease 2019(COVID-19) (SituationReport- 114):1-17 [citado 13/5/2020]. Disponible en:https://www.who.int/docs/defaultsource/ coronaviruse/situation-reports/20200512-covid-19-sitrep- 113.pdf?sfvrsn=feac3b6d_2
Covid.saude.gov.br Brasil. [Internet]. [Coronavirus panel]. 2020 [citado 13/5/2020]. Disponible en:https://covid.saude.gov.br/
Wang J, Zhao S, Liu M, Zhao Z, Xu Y, Wang P, et al. ACE2 expression by colonic epithelial cells is associated with viral infection immunity and energy metabolism.medRxiv [Preprint]. 2020 [citado 18/4/2020]. Disponible en: https://doi.org/10.1101/2020.02.05.20020545
Wang LS, Wang YR, Ye DW, Liu QQ. A review of the 2019 Novel Coronavirus (COVID-19) based on current evidence. Int J Antimicrob Agents:105948.[Preprint]. 2020[citado 20/4/2020]: [7p.]. Disponible en: https://doi.org/10.1016/j.ijantimicag.2020.105948
Jiang L, Broome ME, Ning C. The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidemic of Chinese nurses is laudable. Int J Nurs Stud [Preprint]. 2020[citado 26/4/2020]. Disponible en: https://doi.org/10.1016/j.ijnurstu.2020.103578
Shultz JM, Baingana F, Neria Y. The 2014 Ebola outbreak and mental health: current status and recommended response. JAMA [Internet]. 2015[citado 30/4/2020];313(6). Disponible en: https://doi.org/10.1001/jama.2014.17934
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet [Internet]. 2020[citado 16/4/2020];395(10224). Disponible en: https://doi.org/10.1016/S0140- 6736(20)30309-3
Son H, Lee WJ, Kim HS, Lee KS, You M. Examination of Hospital Workers’ Emotional Responses to an Infectious Disease Outbreak: Lessons From the 2015 MERS Co-V Outbreak in South Korea. Disaster Med Public Health Prep [Internet]. 2019[citado 22/4/2020];13(3). Disponible en:https://doi.org/10.1017/dmp.2018.95
Bell SA, Brysiewicz P. 2020 year of the nurse and midwife: Meeting new challenges. IntEmergNurs [Internet]. 2020[citado 20/4/2020]; 49: 100848. Disponible en: https://doi.org/doi:10.1016/j.ienj.2020.100848
Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. J Anxiety Disord [Internet]. 2020[citado 22/4/2020];70: 102196. Disponible en: https://doi.org/10.1016/j.janxdis.2020.102196
The Lancet. 2020: unleashing the full potential of nursing. Lancet Editorial[Internet]. 2019[citado 28/4/2020];394(10212).Disponible en:https://doi.org/10.1016/S0140-6736(19)32794-1
Who.into [Internet]. Year of the Nurse and the Midwife 2020.Genebra: World Health Organization. (n.d.)[citado 28/4/2020]. Disponible en:https://www.who.int/news-room/campaigns/year-of-the-nurse-and-themidwife- 2020
Ibge.gov [Internet]. [Cities and States Mato Grosso]. Brasília: Instituto Brasileiro de Geografia e Estatística (n.d.)[citado 18/4/2020]. Disponible en:https://www.ibge.gov.br/cidades-e-estados/mt.html
Polit DF, Beck CT. Nursing Research: Assessing Evidence for Nursing Practice. 11th ed. Wolters Kluwer Health; 2019.
Ying Y, Kong F, Zhu B, Ji Y, Lou Z, Ruan L. Mental health status among family members of health care workers in Ningbo, China during the Coronavirus Disease 2019 (COVID-19) outbreak: a Cross-sectional Study. medRxiv [Preprint]. 2020[citado 25/4/2020]. Disponible en:https://doi.org/10.1101/2020.03.13.20033290
Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A crosssectional study. Brain BehavImmun [Preprint]. 2020[citado 22/4/2020];S0889- 1591(20). Disponible en: https://doi.org/10.1016/j.bbi.2020.03.028
Liu Y, Wang H, Chen J, Zhang X, Yue X, Ke J. Emergency management of nursing human resources and supplies to respond coronavirus disease 2019 epidemic. Int J NursSci[Internet]. 2020[citado 23/4/2020];7(2).Disponible en:https://doi.org/10.1016/j.ijnss.2020.03.011
Liang Y, Chen M, Zheng X, Liu J. Screening for Chinese medical staff mental health by SDS and SAS during the outbreak of COVID-19. J Psychosom Res [Internet]. 2020[citado 27/4/2020];133(2020).Disponible en:https://doi.org/10.1016/j.jpsychores.2020.110102
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open [Internet]. 2020[citado 22/4/2020];3(3).Disponible en:https://doi.org/10.1001/jamanetworkopen.2020.3976
Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain BehavImmun [Preprint]. 2020[citado 23/4/2020];S0889-1591(20). Disponible en: https://doi.org/10.1016/j.bbi.2020.03.007
Huang J, Han M, Luo T, Ren A, Zhou X. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing ZaZhi [Internet]. 2020[citado 26/4/2020];38(3). Disponible en: https://doi.org/10.3760/cma.j.cn121094- 20200219-00063
Qi J, Xu J, Li B, Huang J, Yang Y, Zhang Z, et al. The Evaluation of Sleep Disturbances for Chinese Frontline Medical Workers under the Outbreak of COVID-19. medRxiv [Preprint]. 2020[citado 22/4/2020]. Disponible en: https://doi.org/10.1101/2020.03.06.20031278
Alsubaie S, Temsah MH, Al-Eyadhy AA, Gossady I, Hasan GM., Al-rabiaah A, et al. Somily Middle East Respiratory Syndrome Coronavirus epidemic impact on healthcare workers' risk perceptions, work and personal lives. J Infect DevCtries [Internet]. 2019 [citado 30/4/2020];13(10).Disponible en: https://doi.org/10.3855/jidc.11753
Kock RA, Karesh WB, Veas F, Velavan TP, Simons D, Mboera LEG, et al. 2019-nCoV in context: lessons learned? Lancet Planet Health [Internet]. 2020[citado 25/4/2020];4(3). Disponible en:https://doi.org/10.1016/S2542- 5196(20)30035-8
Schwartz J, King CC, Yen MY. Protecting health care workers during the COVID-19 coronavirus outbreak-lessons from Tai-wan’s SARS response. Clin Infect Dis [Preprint]. 2020 [citado 25/4/2020].Disponible en: https://doi.org/10.1093/cid/ciaa255
Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei W, et al.Community Responses during Early Phase of COVID-19 Epidemic, Hong Kong. Emerg Infect Dis[Internet].2020[citado 10/5/2020];26(7).Disponible en: https://doi.org/10.3201/eid2607.200500
Choi KR, Jeffers KS, Logsdon MC. Nursing and the Novel Coronavirus: Risks and Responsibilities in a Global Outbreak. J AdvNurs [Preprint]. 2020 [citado 26/4/2020]. Disponible en: https://doi.org/10.1111/jan.14369
Koh D. Occupational risks for COVID-19 infection. Occup Med (Lond) [Internet]. 2020[citado 28/4/2020];70(1). Disponible en: https://doi.org/10.1093/occmed/kqaa036
Pialirissi R. [Precarious Work]. Revista Administração em Saúde [Internet]. 2017[citado 2020 Apr 21];17(66).Disponible en: https://doi.org/10.23973/ras.66
Ling L, Joynt GM, Lipman J, Constantin JM, Joannes-Boyau O. COVID-19: A critical care perspective informed by lessons learnt from other viral epidemics. AnaesthCrit Care Pain Med[Internet]. 2020[citado 21/4/2020];39(2).Disponible en: https://doi.org/10.1016/j.accpm.2020.02.002
Misra A. Doctors and healthcare workers at frontline of covid 19 epidemic: admiration, a pat on the back, and need for extreme caution. Diabetes MetabSyndr [Internet]. 2020[citado 26/4/2020];14(3). Disponible en: https://doi.org/10.1016/j.dsx.2020.03.006
Santos JLG, Vieira M, Assuiti LFC, Gomes D, Meirelles BHS, Santos SMA. [Risk and vulnerability in the practice of professional healthcare]. Rev. GaúchaEnferm. [Internet]. 2012[citado 28/4/2020];33(2). Disponible en: https://doi.org/10.1590/S1983-14472012000200028
Monteiro KJL, Rozenthal T, Lemos ERS. [Differential diagnosis of Brazilian spotted fever and dengue in the context of acute febrile illness]. Rev Patol Trop [Internet]. 2014[citado 22/4/2020];43(3).Disponible en: https://doi.org/10.5216/rpt.v43i3.32220
Sergio ADM, Figueroa EG, Saadia VGM, Elizabeth SH, Beatriz RS, Víctor MAA, et al. Leptospirosis prevalence in patients with initial diagnosis of dengue. J Trop Med [Internet]. 2012[citado 23/4/2020]:[5p.].Disponible en: https://doi.org/10.1155/2012/519701
Chrispal A., Boorugu H., Gopinath K. G., Chandy S., Prakash J. A., Thomas E. M., Abraham A. M., Abraham O. C., & Thomas K. Acute undifferentiated febrile illness in adult hospitalized patients: the disease spectrum and diagnostic predictors – an experience from a tertiary care hospital in south India. Trop Doct [Internet]. 2010[citado 26/4/2020];40(4). Disponible en: https://doi.org/10.1258/td.2010.100132
De Moraes JC, Toscano CM, de Barros EN, Kemp B, Lievano F, Jacobson S, et al. Etiologies of rash and fever illnesses in Campinas, Brazil. J Infect Dis[Internet]. 2011[citado 26/4/2020]; 204 (Suppl 2):S627-36. Disponible en: https://doi.org/10.1093/infdis/jir490.
Bordi L, Nicastri E, Scorzolini L, Di Caro A, Capobianchi MR, Castilletti C, et al. Differential diagnosis of illness in patients under investigation for the novel coronavirus (SARS-CoV-2), Italy, February 2020. Euro Surveill [Internet]. 2020[citado 27/4/2020];25(8). Disponible en: https://doi.org/10.2807/1560- 7917.ES.2020.25.8.2000170
Beirigo APT, Pereira IS, Costa PS. [Influenza A (H1N1): bibliographicreview]. SaBios: Revista. Saúde e Bioliologia [Internet]. 2017 [citado 27/4/2020];12(2).Disponible en: https://revista2.grupointegrado.br/revista/index.php/sabios2/article/view/2495
Lan J, Song Z, Miao X, Li H, Li Y, Dong L, et al. Skin damage among healthcare workers managing coronavirus disease-2019. J Am AcadDermatol [Internet]. 2020[citado 6/4/2020];82(5). Disponible en: https://doi.org/10.1016/j.jaad.2020.03.014
Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet [Internet]. 2020 [citado 25/4/2020];7(4). Disponible en:https://doi.org/10.1016/S2215- 0366(20)30078-X
cofen.com [Internet]. [Cofen provides a channel for emotional help to professionals]. Brasília: Conselho Federal de Enfermagem (Report 2020 Mar 25). [citado 18/4/2020]. Disponible en:http://www.cofen.gov.br/cofendisponibiliza- canal-para-ajuda-emocional-a-profissionais_78283.html
Grech V. Unknown unknowns – COVID-19 and potential global mortality. Early Hum Dev [Internet]. 2020[citado 30/4/2020];144:1-5.Disponible en:https://doi.org/10.1016/j.earlhumdev.2020.105026
Law S, Leung AW, Xu C. Severe Acute Respiratory Syndrome (SARS) and Coronavirus disease-2019 (COVID-19): From Causes to Preventions in Hong Kong. Int J Infect Dis [Internet]. 2020[citado 20/4/2020];94:156-63. Disponible en:https://doi.org/10.1016/j.ijid.2020.03.059
Lima CKT, Carvalho PMM, Lima IAAS, Nunes JVAO, Saraiva JS, de Souza RI, et al. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res [Internet]. 2020[citado 21/4/2020];287:112915. Disponible en: https://doi.org/10.1016/j.psychres.2020.112915
Machado MH, AguiarFilho W, Lacerda WF, Oliveira E, Lemos W, Wermelinger M, et al [General characteristics of nursing: the socio-demographic profile]. Enferm.Foco[Internet]. 2016 [citado 27/4/2020];7(Suppl):9- 14.Disponible en:https://doi.org/10.21675/2357-707X.2016.v7.nESP.686
Haleem A, Javaid M, Vaishya R. Effects of COVID 19 pandemic in daily life. Curr Med Res Pract [Preprint]. 2020[citado 27/4/2020]. Disponible en:https://doi.org/10.1016/j.cmrp.2020.03.011
Chatterjee P, Nagi N, Agarwal U, Das B, Banerjee S, Sarkar S, et al. The 2019 novel coronavirus disease (COVID-19) pandemic: A review of the current evidence. Indian J Med Res. 2020 Feb /Mar [citado 30/4/2020];151(2).Disponible en:https://doi.org/10.4103/ijmr.IJMR_519_20