Fernández Sánchez Susana P, Rodríguez Muñoz Fermín, Laiz Ana, Castellví Ivan, Magallares Berta, Corominas Héctor
Servicio de Reumatología y Enfermedades Autoinmunes Sistémicas, Hospital de la Santa Creu i Sant Pau, Barcelona , España.
Enfermería de Consultas Externas, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Reumatol Clin (Engl Ed). 2021 Feb 27;18(4):231-5. doi: 10.1016/j.reuma.2021.02.003.
The COVID-19 pandemic has brought major changes to the model of patient care in Rheumatology. Our aim was to compare the change in the care delivered in a rheumatology nursing consultation before and during the pandemic.
Descriptive and observational study in 254 patients before and in 251 during the pandemic outbreak.
The type of scheduled face-to-face visit decreased during COVID-19 (46.5% vs. 1.6%), with the number of scheduled telephone visits increasing (2.8% vs. 52.2%) and spontaneous consultations over the phone or email (28.3% vs. 45%). The functions performed in the programmed ones were the stable patient control (20% vs. 37%) and management (12% vs. 38%). The reason for spontaneous consultation increased during COVID-19, especially doubts regarding prevention measures and treatment optimization (13.8% vs. 31.1%).
The first wave of COVID-19 brought to rheumatology nursing consultation a global increase in all activities in the number of visits per day, in the number of stable patient controls, in monitoring and answering patient concerns.
新冠疫情给风湿病患者护理模式带来了重大变化。我们的目的是比较疫情前和疫情期间风湿病护理咨询中所提供护理的变化。
对疫情爆发前的254名患者和疫情期间的251名患者进行描述性和观察性研究。
在新冠疫情期间，预定面对面就诊的类型减少（46.5%对1.6%），预定电话就诊的数量增加（2.8%对52.2%），通过电话或电子邮件进行的自发咨询增加（28.3%对45%）。在预定就诊中执行的功能是稳定患者管理（20%对37%）和处理（12%对38%）。在新冠疫情期间，自发咨询的原因增加，尤其是关于预防措施和治疗优化的疑问（13.8%对31.1%）。
新冠疫情的第一波给风湿病护理咨询带来了每日就诊次数、稳定患者管理数量、监测和回答患者问题等所有活动的全面增加。
