Impacto psicológico y cambios en la práctica clínica en personal sanitario durante la pandemia COVID-19, Cuenca, 2021

Authors

  • Pablo Roberto Ordóñez Chacha Posgradista de Medicina interna de la Universidad de Cuenca. https://orcid.org/0000-0002-0247-0028
  • Marcos Fernando Molina Matute Médico especialista en Infectología del Hospital de Especialidades José Carrasco Arteaga https://orcid.org/0000-0003-1390-4650
  • Lorena Esperanza Encalada Torres Doctora en Medicina y Cirugía, Especialista en Medicina Interna, Magíster en Investigación de la Salud, Universidad de Cuenca
  • Sergio Vicente Guevara Pacheco Doctor en Medicina y Cirugía, Doctorado en Medicina e investigación traslacional. Universidad de Cuenca https://orcid.org/0000-0002-6466-3933

DOI:

https://doi.org/10.18537/RFCM.40.03.02

Keywords:

COVID-19, psychological impact, healthcare workers, clinical practice

Abstract

Introduction: The COVID-19 pandemic had a great impact on people's health. A vulnerable group were health professionals, with a higher risk of psychological involvement during the care of patients with COVID-19.

Objective: to determine the psychological impact of health personnel at the José Carrasco and Municipal de Cuenca hospitals, and changes in clinical practice during the COVID-19 pandemic.

Methodology: a cross-sectional analytical study was conducted in 90 physicians and nurses. The PHQ-9 test were applied to determine depression, GAD-7 for anxiety, PSS-14 for stress and ISI for insomnia. A form was implemented to collect data on staff changes during clinical practice. Statistical analysis was performed in SPSS v15, applying descriptive statistics; to establish an association, OR was used with 95% CI and chi-squared.

Results: the prevalence of depression was 58.9%, anxiety 62.2%, stress 82.2% and insomnia 54.4%. Anxiety (p<0.01; OR 2.8 95% CI 1.1-6.7) and depression (p<0.001; OR 4.7 CI95% 1.9-11.9) were associated with the medical profession. Insomnia was associated with first-line (p=0.02; OR 8.2 CI95% 1.1-71.4). There were changes in clinical practice; 51.1% had physical distancing during care, 96.7% used PPE, and 85.6% required its use from patients.

Conclusion: the prevalence of psychological impact on health workers was high, associated with the medical profession and frontline work; changes in clinical practice were distancing during care and use of PPE by professionals and patients.

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Published

2022-12-22

Issue

Vol. 40 No. 3 (2022): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Original Article

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Copyright (c) 2022 Md. Pablo Ordóñez, Dr. Marcos Molina, Dra. Lorena Encalada, Dr. Sergio Guevara

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