Universidade Federal de São Carlos, Medicine Department - São Carlos (SP), Brazil.
Oncological Institute of Ribeirão Preto, Oncoclínicas Group, Palliative Care Service - Riberão Preto (SP), Brazil.
Rev Assoc Med Bras (1992). 2021 Sep;67(9):1261-1267. doi: 10.1590/1806-9282.20210417.
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.
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.
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.
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.
本研究旨在评估在 COVID-19 大流行期间照顾临终患者的医护人员的痛苦和生活质量低下的自我感知，并确定医护人员和患者的特征以及临终关怀。
我们进行了一项在线调查，调查对象为 2020 年 7 月 1 日至 10 月 31 日期间照顾临终患者的医护人员。记录生活质量低下、痛苦、患者和医护人员的特征以及临终关怀情况。采用泊松回归评估痛苦和生活质量低下的预测因素。
本研究共纳入 102 名医护人员，其中男性 14 名（13.7%），中位年龄为 37 岁，包括 41 名医生（40.2%）、36 名物理治疗师（35.3%）和 25 名护士（24.5%）。69.6%的医护人员自我感知痛苦，并与医生和对提供的临终关怀的分歧有关。64.7%的医护人员报告生活质量低下，与没有时间与患者家属交谈有关。认为医疗保健足够的医护人员减少了对生活质量低下的自我感知。
自我报告的痛苦在医生和出现分歧时更为常见。当医护人员没有时间与患者家属交谈时，生活质量低下更为常见，而当医护人员认为医疗保健足够时，生活质量低下则较少。卫生服务部门应采取策略，减轻大流行对医护人员的影响。
