Health care professionals and end-of-life care during the COVID-19 pandemic

Detalhes bibliográficos
Autor(a) principal: Ferreira,Esther Angélica Luiz
Data de Publicação: 2021
Outros Autores: Valete,Cristina Ortiz Sobrinho, Santos,André Filipe Junqueira dos, Passarini,Juliana Nalin de Souza, Silva,Alexandre Ernesto, Miwa,Michelle Uchida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001261
Resumo: SUMMARY OBJECTIVE: The aim of this study was to estimate self-perception of anguish and low quality of life among health care professionals who cared for the dying patients during the COVID-19 pandemic and to determine the characteristics of health care professionals and patients and end-of-life care. METHODS: An online survey that included health care professionals who cared for the dying patient from July 1 to October 31, 2020 was conducted. Low quality of life, anguish, characteristics of patients and health care professionals, and end-of-life care were recorded. Poisson regression was performed to assess the predictors of anguish and low quality of life. RESULTS: A total of 102 health care professionals, including 14 males (13.7%), with a median age of 37 years, composed of 41 physicians (40.2%), 36 physiotherapists (35.3%), and 25 nurses (24.5%) were included in this study. Self-perception of anguish occurred in 69.6% and was associated with physicians and disagreement with end-of-life care offered. Low quality of life was reported in 64.7% and was associated with not having time to talk to patients’ relatives. The agreement that medical care was enough reduced self-perception of low quality of life. CONCLUSION: Self-reported anguish was more frequent in physicians and when the disagreement about end-of-life care occurred. Low quality of life was more frequent when health care professionals did not have time to talk to patients’ relatives and was less frequent when health care professionals agreed that medical care was enough. Strategies should be done by health services to reduce the impact of the pandemic on health care professionals.
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spelling Health care professionals and end-of-life care during the COVID-19 pandemicCOVID-19COVID-19 pandemicPalliative careEnd-of-life careAssisted deathGriefSUMMARY OBJECTIVE: The aim of this study was to estimate self-perception of anguish and low quality of life among health care professionals who cared for the dying patients during the COVID-19 pandemic and to determine the characteristics of health care professionals and patients and end-of-life care. METHODS: An online survey that included health care professionals who cared for the dying patient from July 1 to October 31, 2020 was conducted. Low quality of life, anguish, characteristics of patients and health care professionals, and end-of-life care were recorded. Poisson regression was performed to assess the predictors of anguish and low quality of life. RESULTS: A total of 102 health care professionals, including 14 males (13.7%), with a median age of 37 years, composed of 41 physicians (40.2%), 36 physiotherapists (35.3%), and 25 nurses (24.5%) were included in this study. Self-perception of anguish occurred in 69.6% and was associated with physicians and disagreement with end-of-life care offered. Low quality of life was reported in 64.7% and was associated with not having time to talk to patients’ relatives. The agreement that medical care was enough reduced self-perception of low quality of life. CONCLUSION: Self-reported anguish was more frequent in physicians and when the disagreement about end-of-life care occurred. Low quality of life was more frequent when health care professionals did not have time to talk to patients’ relatives and was less frequent when health care professionals agreed that medical care was enough. Strategies should be done by health services to reduce the impact of the pandemic on health care professionals.Associação Médica Brasileira2021-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001001261Revista da Associação Médica Brasileira v.67 n.9 2021reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.20210417info:eu-repo/semantics/openAccessFerreira,Esther Angélica LuizValete,Cristina Ortiz SobrinhoSantos,André Filipe Junqueira dosPassarini,Juliana Nalin de SouzaSilva,Alexandre ErnestoMiwa,Michelle Uchidaeng2021-11-17T00:00:00Zoai:scielo:S0104-42302021001001261Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2021-11-17T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Health care professionals and end-of-life care during the COVID-19 pandemic
title Health care professionals and end-of-life care during the COVID-19 pandemic
spellingShingle Health care professionals and end-of-life care during the COVID-19 pandemic
Ferreira,Esther Angélica Luiz
COVID-19
COVID-19 pandemic
Palliative care
End-of-life care
Assisted death
Grief
title_short Health care professionals and end-of-life care during the COVID-19 pandemic
title_full Health care professionals and end-of-life care during the COVID-19 pandemic
title_fullStr Health care professionals and end-of-life care during the COVID-19 pandemic
title_full_unstemmed Health care professionals and end-of-life care during the COVID-19 pandemic
title_sort Health care professionals and end-of-life care during the COVID-19 pandemic
author Ferreira,Esther Angélica Luiz
author_facet Ferreira,Esther Angélica Luiz
Valete,Cristina Ortiz Sobrinho
Santos,André Filipe Junqueira dos
Passarini,Juliana Nalin de Souza
Silva,Alexandre Ernesto
Miwa,Michelle Uchida
author_role author
author2 Valete,Cristina Ortiz Sobrinho
Santos,André Filipe Junqueira dos
Passarini,Juliana Nalin de Souza
Silva,Alexandre Ernesto
Miwa,Michelle Uchida
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Ferreira,Esther Angélica Luiz
Valete,Cristina Ortiz Sobrinho
Santos,André Filipe Junqueira dos
Passarini,Juliana Nalin de Souza
Silva,Alexandre Ernesto
Miwa,Michelle Uchida
dc.subject.por.fl_str_mv COVID-19
COVID-19 pandemic
Palliative care
End-of-life care
Assisted death
Grief
topic COVID-19
COVID-19 pandemic
Palliative care
End-of-life care
Assisted death
Grief
description SUMMARY OBJECTIVE: The aim of this study was to estimate self-perception of anguish and low quality of life among health care professionals who cared for the dying patients during the COVID-19 pandemic and to determine the characteristics of health care professionals and patients and end-of-life care. METHODS: An online survey that included health care professionals who cared for the dying patient from July 1 to October 31, 2020 was conducted. Low quality of life, anguish, characteristics of patients and health care professionals, and end-of-life care were recorded. Poisson regression was performed to assess the predictors of anguish and low quality of life. RESULTS: A total of 102 health care professionals, including 14 males (13.7%), with a median age of 37 years, composed of 41 physicians (40.2%), 36 physiotherapists (35.3%), and 25 nurses (24.5%) were included in this study. Self-perception of anguish occurred in 69.6% and was associated with physicians and disagreement with end-of-life care offered. Low quality of life was reported in 64.7% and was associated with not having time to talk to patients’ relatives. The agreement that medical care was enough reduced self-perception of low quality of life. CONCLUSION: Self-reported anguish was more frequent in physicians and when the disagreement about end-of-life care occurred. Low quality of life was more frequent when health care professionals did not have time to talk to patients’ relatives and was less frequent when health care professionals agreed that medical care was enough. Strategies should be done by health services to reduce the impact of the pandemic on health care professionals.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-9282.20210417
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.67 n.9 2021
reponame:Revista da Associação Médica Brasileira (Online)
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reponame_str Revista da Associação Médica Brasileira (Online)
collection Revista da Associação Médica Brasileira (Online)
repository.name.fl_str_mv Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)
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