Pain and dementia are two health problems linked to ageing and two of the main causes of the reduction in quality of life in older people. Pain in older people tends to be chronic and mainly osteoarticular, although of mixed origin (Sirsch et al., 2015). The prevalence of chronic pain in older people in Spain is estimated at 25%-76% in people living in the community and as high as 83%-93% in people living in nursing homes (Sáez-López et al., 2015), due in part to the difficulty of evaluating and treating pain in the older population. This prevalence is similar to that of older
RESUMEN Objetivo: Describir el impacto de la primera ola de la pandemia por COVID-19 en los profesionales sanitarios. Metodología: Estudio descriptivo, retrospectivo y multicéntrico. Los datos se recogieron mediante un cuestionario autoadministrado con preguntas cerradas y abiertas. El cuestionario tenía unas variables comunes para todos los profesionales y unas exclusivas para COVID-19 positivos. Resultados: Fueron completados 599 cuestionarios. El 83% eran mujeres con una media de edad de 45,6 ± 11,0 años, el 33,4% eran enfermeras y el 21,7% técnicos. Un 65,8% de los trabajadores había recibido formación sobre los Equipos de Protección Individual (EPI) y, el 35,4% respondió que habían dispuesto de EPI el 75% de las veces y el 48,3%, siempre. Un 42,1% (n = 252) de los profesionales refirieron fatiga física, el 38,1% (n = 228) fatiga emocional, el 33,7% (n = 202) estrés y un 30,2% (n = 181) insomnio, como síntomas derivados de la situación vivida durante la pandemia. Los profesionales positivos a SARS-CoV-2 (n = 91) no tenían más antecedentes patológicos de riesgo que los negativos (p = 0,077), eran técnicos u otros profesionales asistenciales (p = 0,001) y trabajaban en el socio-sanitario (p = 0,001). La mayoría eran considerados nivel de riesgo 3 (p = 0,001) y habían estado en contacto con un paciente positivo (p = 0,012) o con otro profesional positivo (p = 0,05). Conclusiones: La primera ola de la pandemia por COVID-19 ha tenido un impacto en la salud física y mental de los trabajadores, especialmente en los de primera línea. PALABRAS CLAVE: covid-19, personal de salud, evaluación en salud, evaluación de necesidades ABSTRACT Objective: To describe the impact of the COVID-19 pandemic first wave on the healthcare professionals. Methodology: Descriptive, retrospective and multicenter study. Data were collected through a self-administering questionnaire with closed and open questions. The questionnaire had common variables for all professionals and exclusive ones for positive COVID-19 professionals. Results: 599 questionnaires were completed. The 83% were women, with a mean of 45.6±11.0 years and 33.4% were nurses and 21.7% technical. The 65.8% of the healthcare professionals affirmed that they had received training on the Personal Protective Equipment (PPE) and 35.4% responded that 75% of the times they had available PPE and 48.3%, always. The 42.1% (n=252) of the professionals reported physical fatigue, 38.1% (n=228) emotional fatigue, 33.7% (n=202) stress and 30.2% (n=181) insomnia, as symptoms derived from the situation experienced during the pandemic. The professionals who were positive for COVID-19 (n=91) had no more risk pathological antecedents than negatives ones (p=0.077); they were technical or other healthcare professionals (p=0.001) and they worked at a socio-sanitary center (p=0.001). Most of the positive professionals were considered to be at risk level 3 (p=0.001) and had been in contact with a positive patient (p = 0.012) or with another positive professional (p=0.05). Conclusions: The first wave of the COVID-19 pandemic has had an impact on the physical and mental health of the health professionals, especially in the first-line ones. KEY WORDS: covid-19, healthcare workers, health evaluation, needs assessment
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