RESUMO

BACKGROUND: The health emergency caused by COVID-19 revealed the shortcomings of health services (HS), but little is known about how this has impacted the mental health of health professionals (HP) when perceiving these difficulties. METHODS: Data were collected through an online survey administered to HP in Lima (Peru) between May and July 2020. A questionnaire was applied to identify perceived quality of health services (PHQS). A network analysis was performed, and the centrality measures of the variables were calculated and plotted. RESULTS: A total of 507 HP completed the survey. In the network analysis of PHQS, four clusters were identified: (A) "empathy" and "recognition of competencies," (B) "logistical support," "protection," "personal early diagnosis," and "early family diagnosis"; C) "professional competence with regard to their treatment and treatment for their family," "equipment for their treatment and treatment for their family," "professional competence with regard to their treatment and treatment for their family," and "institutional support for them and their family"; and D) "fear of being infected or infecting their family," "fear of dying or death of a family member," "knowledge stability," "job burnout," and "role change." The variables of PHQS with the greatest centrality were "equipment for their treatment," "equipment for the treatment of their family," and "early family diagnosis." CONCLUSIONS: The structure of the PHQS of HP describes direct and indirect influences of different variables in the context of COVID-19.

Assuntos

RESUMO

BACKGROUND: Adverse childhood experiences (ACE) have a great impact on mental health outcomes of adults. However, little is known whether ACE may act as modulators of the mental health of health professionals caring for patients with COVID-19. METHODS: Data were collected through an online cross-sectional survey administered to health professionals in Lima (Peru) between May and July 2020. The survey included standardized self-assessment instruments for anxiety, depression, acute stress (AS) and history of ACE. RESULTS: A total of 542 health professionals completed the survey. Caring for patients with COVID-19 was significantly associated with depression and anxiety and when caring for patients with COVID-19 was combined with a history of early sexual abuse, its effect on the risk of anxiety increased (OR = 7.71, p = .010). Mental health problems were associated with female gender in almost all the analyses and with the majority of ACEs. CONCLUSIONS: Health workers in the context of the COVID-19 pandemic presented a high risk of mental health disorders. Antecedents of sexual abuse acted as a potentiating factor of anxiety in professionals providing COVID-19 care. These findings suggest that the burden of ACE modulates mental health problems in health professionals during the pandemic.

Assuntos

RESUMO

El objetivo del estudio tuvo por finalidad relacionar los cambios en la capacidad física y la ansiedad. Participaron 30 pequeños gimnastas principiantes de ambos sexos, cuyas edades fluctuaban entre los 5 y 9 años. Se utilizaron medidas antropométricas y una prueba de esfuerzo; la ansiedad fue evaluada a través del Inventario de Ansiedad de Estado Competitivo 2 (IAEC-2) luego de 8 meses de entrenamiento gimnástico. Los resultados demuestran una correlación estadísticamente significativa entre los procesos de recuperación cardíaca y la ansiedad cognoscitiva.

The objetive of this study was related to the changes on the physical capacity and the anxiety. The participants were 30 little gymnasts of both sexes, with ages between 5 and 9 years old. We utilized anthropometric measures and an effort test, the anxiety was testimated across the Anxiety inventory of competitive state 2 (IAEC-2) after 8 months of gymnastic training. The results demonstrate a significant statistics correlation between the processes of cardiac recovery and the cognitive anxiety.

Assuntos