Un programa de manejo del estrés en un hospital de campaña COVID-19: una prueba de prueba de concepto

Autores/as

  • Marcelo Bruno Generoso Department of Public Health of the City of São Paulo, São Paulo, Brazil https://orcid.org/0000-0002-6270-8026
  • Carla Caroline Vieira Silva Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-9131-1036
  • Raphael Castiglioni Nascimento Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-6896-4813
  • Leonardo Wanderley Juliani Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Renan Fernandes Cardoso Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-8367-1488
  • Rebecca Soares Oliveira Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-4880-5698
  • Danillo Alves Bastos Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Isabel Marrach Pasqual Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Amanda Silva Sardinha Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0003-2808-3883
  • Paulo Marcelo Naoum Mazaferro Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil
  • Marsal Sanches Department of Psychiatry and Behavior Sciences, Baylor College of Medicine, Houston, TX, Estados Unidos https://orcid.org/0000-0002-6993-6822
  • Ricardo Riyoiti Uchida Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0002-4209-8830
  • Pedro Shiozawa Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil https://orcid.org/0000-0001-5349-6669

DOI:

https://doi.org/10.25118/2763-9037.2022.v12.413

Palabras clave:

COVID-19, salud mental, trabajador de la salud, hospital de campaña

Resumen

Introducción: Durante la pandemia del COVID-19 varias ciudades recurrieron a los Hospitales de Campaña para ampliar la capacidad del sistema de salud. Esta estrategia demostró ser efectiva pero impuso un desafío significativo para los trabajadores de la salud (TS) que estaban expuestos a un ambiente altamente estresante en estas instalaciones. Objetivos: Presentamos un programa de manejo del estrés implementado en un Hospital de Campaña COVID-19 diseñado para reducir los niveles de ansiedad y estrés y aumentar la motivación entre HW. Métodos: Realizamos un ensayo abierto de fase II basado en cuatro grupos de intervenciones integradoras; meditación guiada - exploración corporal, meditación guiada - respiración, medicina musical y escucha terapéutica. Los resultados se evaluaron con Escalas Análogas Visuales y el Inventario de Ansiedad Estado-Rasgo de Spielberger. Resultados: Se incluyeron en el estudio un total de 441 voluntarios y, sin importar el tipo de intervención en sí, se encontró un efecto positivo para todos los resultados con una reducción media del 16,75 % para la ansiedad (reducción de 7,17 puntos, sd=10,20, p< 0,0001), una reducción del 27,5% para el estrés (reducción de 1,23 punto, dt=0,89, p<0,0001) y un aumento de la motivación del 9,4% (aumento de 0,72 punto, dt=0,60, p<0,0001). Conclusión: encontramos que el presente programa de manejo del estrés diseñado con actividades breves, fáciles de aplicar y de bajo costo es capaz de reducir significativamente la ansiedad, el estrés y mejorar la motivación de HW en un hospital de campaña COVID-19.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Biografía del autor/a

Marcelo Bruno Generoso, Department of Public Health of the City of São Paulo, São Paulo, Brazil

Carla Caroline Vieira Silva, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Raphael Castiglioni Nascimento, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Leonardo Wanderley Juliani, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Renan Fernandes Cardoso , Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Rebecca Soares Oliveira , Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Danillo Alves Bastos, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Isabel Marrach Pasqual, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Amanda Silva Sardinha, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Paulo Marcelo Naoum Mazaferro, Department of Public Health of the City of São Paulo, São Paulo, SP, Brazil

Marsal Sanches, Department of Psychiatry and Behavior Sciences, Baylor College of Medicine, Houston, TX, Estados Unidos

Ricardo Riyoiti Uchida , Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil

Pedro Shiozawa, Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo, SP, Brazil

Citas

The Lancet Planetary, H. A tale of two emergencies. Lancet Planet Health. 2020;4(3):e86. https://doi.org/10.1016/S2542-5196(20)30062-0

Silva-Gomes RN, Silva-Gomes, VT. COVID-19 pandemic: burnout syndrome in healthcare professionals working in field hospitals in Brazil. Enfermería Clínica (English Edition). 2021;31(2):128-9. https://doi.org/10.1016/j.enfcle.2020.10.002 - PMCid:PMC7862880

Huremović D. Psychiatry of pandemics. A mental health response to infection outbreak. 2019. https://doi.org/10.1007/978-3-030-15346-5 - PMid:30918996

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, He L, Sheng C, Cai Y, Li X, Wang J, Zhang Z. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15-e6. https://doi.org/10.1016/S2215-0366(20)30078-X

Appelbom S, Bujacz A, Finnes A, Ahlbeck K, Bromberg F, Holmberg J, Larsson L, Olgren B, Wanecek M, Wetterborg D, Wickse R. The rapid implementation of a psychological support model for frontline healthcare workers during the COVID-19 pandemic: a case study and process evaluation. Frontiers in psychiatry. 2021;12:713251. https://doi.org/10.3389/fpsyt.2021.713251 - PMid:34539465 PMCid:PMC8446385

Flynn J, O'Connor L, Hanlon M, Bellani G, Contreras M, Doherty A, Durand H, Fallon E, Gormley C, Laffey J, Molloy G, Sarma K, Strepparava MG, Russo S, Walsh J, McGuire BE. The identification of needs and development of best practice guidance for the psychological support of frontline healthcare workers during and after COVID-19: a protocol for the FLoWS project. HRB Open Res. 2020;3:54. https://doi.org/10.12688/hrbopenres.13117.1 PMid:33870088 - PMCid:PMC8030118

Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology. 1992;31(3):301-6. https://doi.org/10.1111/j.2044-8260.1992.tb00997.x PMid:1393159

Lesage FX, Berjot S, Deschamps F. Clinical stress assessment using a visual analogue scale. Occup Med (Lond). 2012;62(8):600-5. https://doi.org/10.1093/occmed/kqs140 - PMid:22965867

Chiappetta M, D'Egidio V, Sestili C, Cocchiara R, La Torre G. Stress management interventions among healthcare workers using mindfulness: a systematic review. Senses and Sciences. 2018;5:517-49. Available in: https://sensesandsciences.com/index.php/Senses/article/view/138 Acessed: 1 sep. 2022.

Nizamie SH, Tikka SK. Psychiatry and music. Indian J Psychiatry. 2014;56(2):128-40. https://doi.org/10.4103/0019-5545.130482 PMid:24891698 - PMCid:PMC4040058

MacDonald RA. Music, health, and well-being: a review. Int J Qual Stud Health Well-being. 2013;8:20635. https://doi.org/10.3402/qhw.v8i0.20635 - PMid:23930991 PMCid:PMC3740599

Mesquita AC, Carvalho ECd. Therapeutic listening as a health intervention strategy: an integrative review. Revista da Escola de Enfermagem da USP. 2014;48:1127-36. https://doi.org/10.1590/S0080-623420140000700022 PMid:25626514

Descargas

Publicado

2022-10-30

Cómo citar

1.
Generoso MB, Silva CCV, Nascimento RC, Juliani LW, Cardoso RF, Oliveira RS, Bastos DA, Pasqual IM, Sardinha AS, Mazaferro PMN, Sanches M, Uchida RR, Shiozawa P. Un programa de manejo del estrés en un hospital de campaña COVID-19: una prueba de prueba de concepto. Debates em Psiquiatria [Internet]. 30 de octubre de 2022 [citado 5 de febrero de 2025];12:1-13. Disponible en: https://revistardp.org.br/revista/article/view/413

Número

Sección

Articulos Originales

Plaudit

Artículos más leídos del mismo autor/a