Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Cystic Fibrosis Centre, Milano, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, UOC Direzione Professioni Sanitarie, Milano, Italy.
Int J Clin Pract. 2021 Jul;75(7):e14220. doi: 10.1111/ijcp.14220. Epub 2021 Apr 25.
During Coronavirus Disease 2019 (COVID-19) outbreak in Lombardia, people were recommended to avoid visiting emergency departments and attending routine clinic visits. In this context, it was necessary to understand the psychological reactions of patients with chronic diseases. We evaluated the psychological effects on patients with chronic respiratory conditions and inflammatory bowel disease (IBD) through the analysis of their spontaneous contacts with their referral centres.
Cross-sectional study was conducted from February 23 to April 27, 2020 in patients, or their parents, who contacted their multidisciplinary teams (MDT). E-mails and phone calls directed to the MDT of the centre for cystic fibrosis (CF) in Milano and for paediatric IBD in Bergamo, were categorised according to their contents as information on routine disease management, updates on the patient's health status, COVID-19 news monitoring, empathy towards health professionals, positive feedback and concern of contagion during the emergency.
One thousand eight hundred and sixteen contacts were collected during the study period. In Milano, where the majority of patients were affected by CF, 88.7% contacted health professionals by e-mail, with paediatricians receiving the largest volume of emails and phone calls compared with other professionals (P< .001). Compared with Milano, the centre for IBD in Bergamo recorded more expression of empathy towards health professionals and thanks for their activity in the COVID-19 emergency (52.4% vs 12.7%, P< .001), as well as positive feedback (64.3% vs 2.7%, P = .003).
One of the most important lessons we can learn from COVID-19 is that it is not the trauma itself that can cause psychological consequences but rather the level of balance, or imbalance, between fragility and resources. To feel safe, people need to be able to count on the help of those who represent a bulwark against the threat. This is the role played, even remotely, by health professionals.
在伦巴第大区 2019 年冠状病毒病（COVID-19）爆发期间，人们被建议避免前往急诊部门和常规诊所就诊。在这种情况下，有必要了解慢性病患者的心理反应。我们通过分析他们与转诊中心的自发联系，评估了慢性呼吸系统疾病和炎症性肠病（IBD）患者的心理影响。
横断面研究于 2020 年 2 月 23 日至 4 月 27 日在与多学科团队（MDT）联系的患者或其父母中进行。针对米兰囊性纤维化（CF）中心和贝加莫儿科 IBD 中心 MDT 的电子邮件和电话，根据其内容分为常规疾病管理信息、患者健康状况更新、COVID-19 新闻监测、对卫生专业人员的同情、对紧急情况的正面反馈和对感染的关注。
在研究期间共收集了 1816 次联系。在米兰，大多数患者受 CF 影响，88.7%通过电子邮件联系卫生专业人员，与其他专业人员相比，儿科医生收到的电子邮件和电话数量最多（P<0.001）。与米兰相比，贝加莫 IBD 中心记录了更多对卫生专业人员的同情表达和对他们在 COVID-19 紧急情况下活动的感谢（52.4%比 12.7%，P<0.001），以及正面反馈（64.3%比 2.7%，P=0.003）。
我们从 COVID-19 中学到的一个重要教训是，造成心理后果的不是创伤本身，而是脆弱性和资源之间的平衡或失衡程度。为了感到安全，人们需要能够依靠那些代表着抵御威胁的堡垒的人的帮助。这就是健康专业人员即使在远程情况下也发挥的作用。
