Caring Advanced Cancer Patients at Home During COVID-19 Outbreak: Burnout and Psychological Morbidity Among Palliative Care Professionals in Italy

Providing palliative care (PC) at home for patients with advanced cancer has become essential during the COVID-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging situation because of increased number of discharged patients, reduced availability of health-care facilities...

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Vydáno v:Journal of pain and symptom management Ročník 61; číslo 2; s. e4 - e12
Hlavní autoři: Varani, Silvia, Ostan, Rita, Franchini, Luca, Ercolani, Giacomo, Pannuti, Raffaella, Biasco, Guido, Bruera, Eduardo
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.02.2021
American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc
Témata:
Adult
Anesthesia
Attitude of Health Personnel
Burnout, Professional - epidemiology
Cancer
COVID-19
COVID-19 - epidemiology
COVID-19 - prevention & control
COVID-19 - transmission
COVID-19 Content
Fear - psychology
Female
Home Care Services - organization & administration
Humans
Italy
Male
Middle Aged
Neoplasms - therapy
Pain Medicine
palliative care
Palliative Care - organization & administration
pandemics
psychological burnout
Psychological Distress
Surveys and Questionnaires
Italy
COVID-19
psychological burnout
palliative care
pandemics
psychological distress
Cancer
ISSN:0885-3924, 1873-6513, 1873-6513
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Shrnutí:Providing palliative care (PC) at home for patients with advanced cancer has become essential during the COVID-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging situation because of increased number of discharged patients, reduced availability of health-care facilities, and physical/relational barriers between them and patients. This study aimed to investigate the impact of COVID-19 pandemic on burnout and psychological morbidity among home PCPs in Italy. One hundred and ninety-eight PC physicians and nurses working in home assistance in Italy were invited to participate. The results obtained by the investigation conducted during the COVID-19 emergency (COVID2020) were compared with data collected in 2016 in the same setting (BURNOUT2016). The questionnaires (socio-demographics, Maslach Burnout Inventory and General Health Questionnaire-12) were the same for both the surveys. The PCPs participating in COVID2020 survey (n = 145) were mostly the same (70%) who participated in the BURNOUT2016 study (n = 179). One hundred and forty-five PCPs participated in the study (response rate 73.2%). During the COVID-19 emergency, home PCPs presented a lower burnout frequency (P < .001) and higher level of personal accomplishment than in 2016 (P = .047). Conversely, the risk for psychological morbidity was significantly higher during the pandemic (P < .001). In the age of COVID-19, the awareness of being at the forefront of containing the pandemic along with the sense of responsibility toward their high-risk patients may arouse PCPs' psychological distress, but, on the other hand, this condition may improve their sense of professional satisfaction and personal accomplishment.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0885-3924
1873-6513
1873-6513
DOI:10.1016/j.jpainsymman.2020.11.026