scholarly journals Separación Madre - Recién Nacido hospitalizado en pandemia: Un acontecimiento para reflexionar

2021 ◽  
Author(s):  
Bernardita Baeza Weinmann ◽  
Constanza Escobar-Canales ◽  
Bárbara Ferrada-Lobos ◽  
Camila Conejeros-Rebolledo ◽  
Catalina Lagos-Cisternas
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perinatal Care ◽  
Well Being ◽  
Care Level ◽  
Primary Health ◽  
Health Care Network ◽  
Salud Mental ◽  
Detection Strategies ◽  
Timely Referral

RESUMENLa pandemia por el virus SARS-CoV-2, ha provocado cambios en los protocolos de atención en todos los servicios del país, incluidas las unidades de neonatología, dificultando la cercanía entre las madres y sus recién nacidos, y poniendo en riesgo la generación del vínculo y posterior apego seguro entre el niño y la madre. La hospitalización neonatal, gatilla en las madres afecciones psicoemocionales, debidas principalmente por la consecuente separación. Existe evidencia del impacto que genera en las madres la hospitalización neonatal durante el período de pandemia. Se visualiza la insuficiencia de protocolos establecidos para permitir la cercanía materna con el neonato en contexto de pandemia, por lo que se plantea la necesidad de replantear los protocolos de visita y definir estrategias de detección precoz de alteraciones de salud mental en las madres que han sido separadas de sus neonatos. Se efectúa una reflexión respecto de las acciones, prioridades y desafíos que las matronas y matrones debemos considerar para velar por el bienestar del binomio. Así como la detección a nivel primario de salud, mediante acciones de matronería, que parece ser una intervención ética.Palabras Claves: SARS-CoV-2; Salud Materna, Cuidado Perinatal, Matronería.ABSTRACTThe pandemic caused by the SARS-CoV-2 virus has caused changes in the care protocols in all the neonatology units, making it difficult for mothers and their newborns to be close. And, is a risk of generating a healthy bond and subsequent sure attachment between the child and the mother. Neonatal hospitalization triggers psycho-emotional conditions in mothers, mainly due to the consequent separation.Was identified publications related to the experience of mothers of hospitalized newborns during the pandemic period. In addition, fundamental aspects of the mothers' mental health are pointed out during this parenting period. A reflection is proposed regarding the actions, priorities, and challenges that midwives must consider to ensure the well-being of the couple, especially in the context of a pandemic. The insufficiency of established protocols to care for the mental health of mothers of hospitalized newborns is visualized, for which reason early detection strategies and timely referral to the health care network are proposed for mothers who have been separated from their neonates. Detection at the primary health care level, through midwifery actions, seems to be an ethical intervention.Key Words: SARS-CoV-2; Maternal Health; Perinatal Care; Midwifery.

scholarly journals Acolhimento à pessoa em sofrimento mental na atenção básica

2018 ◽  
Vol 12 (9) ◽  
pp. 2459
Author(s):  
Andrey Ferreira Da silva ◽  
Raíssa Millena Silva Florencio ◽  
Aline Macedo de Queiroz ◽  
Elizângela De Morais Santos ◽  
Laís Chagas de Carvalho ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Professional Training ◽  
Family Health ◽  
Patient Care Team ◽  
Primary Health ◽  
Salud Mental ◽  
La Red

RESUMOObjetivo: conhecer as dificuldades enfrentadas e as estratégias utilizadas pelos profissionais para a melhoria do acolhimento à pessoa em sofrimento mental na Atenção Básica. Método: revisão integrativa nas bases de dados LILACS, BDENF, Index Psicologia, MEDLINE e biblioteca virtual Scielo de artigos publicados no período de janeiro de 2001 a dezembro de 2017, com emprego dos descritores: acolhimento, saúde mental e atenção primária à saúde. Realizou-se a sistematização dos dados pela técnica de Análise de conteúdo. Resultados: foram analisados 25 artigos em que identificaram-se dificuldades relacionadas aos campos profissional, sociocultural e estrutural. No tocante às estratégias, busca-se capacitação por parte dos profissionais, o que favorece a responsabilização, a melhoria na conformação da rede e a organização dos fluxos de atendimento. Conclusão: a falta de capacitação profissional, de insumos materiais, bem como o não reconhecimento da atenção básica como participe da rede são elementos que dificultam o acolhimento, para tanto, a organização do fluxo e a busca por capacitação profissional são estratégias que colaboram no acolhimento. Descritores: Acolhimento; Saúde Mental; Atenção Primária a Saúde; Saúde da Família; Equipe de assistência ao Paciente; Enfermagem Psiquiátrica.ABSTRACT Objective: to know the difficulties faced and the strategies used by the professionals to improve the reception of the person suffering from mental illness in Primary Care. Method: integrative review in the databases LILACS, BDENF, Index Psychology, MEDLINE and Scielo virtual library of articles published from January 2001 to December 2017, using the descriptors: host, mental health and primary health care. The data was systematized using the Content Analysis technique. Results: 25 articles were analyzed in which difficulties related to the professional, sociocultural and structural fields were identified. Regarding the strategies, it is sought training by the professionals, which favors accountability, the improvement in the conformation of the network and the organization of the service flows. Conclusion: the lack of professional training, material inputs, and the lack of recognition of Primary Care as part of the network are elements that make it difficult to host. So the organization of the flow and the search for professional training are strategies that collaborate in the reception. Descriptors: Reception; Mental health; Primary Health Care; Family Health; Patient Care Team; Psychiatric Nursing. RESUMEN Objetivo: conocer las dificultades enfrentadas y las estrategias utilizadas por los profesionales para la mejora de la acogida a la persona en sufrimiento mental en la Atención Básica. Método: revisión integrativa en las bases de datos, LILACS, BDENF, Index Psicología, MEDLINE y biblioteca virtual Scielo de artículos publicados en el período de enero de 2001 a diciembre de 2017, con empleo de los descriptores: acogida, salud mental y atención primaria a la salud. Se realizó la sistematización de los datos por la técnica de Análisis de contenido. Resultados: fueron analizados 25 artículos en los que se identificaron dificultades relacionadas con los campos profesional, sociocultural y estructural. En cuanto a las estrategias, se busca capacitación por parte de los profesionales, lo que favorece la responsabilización, la mejora en la conformación de la red y la organización de los flujos de atención. Conclusión: la falta de capacitación profesional, de insumos materiales, así como el no reconocimiento de la atención básica como participan de la red, son elementos que dificultan la acogida, para tanto, la organización del flujo y la búsqueda por capacitación profesional son estrategias que colaboran en la acogida. Descritores: Acogimiento; Salud Mental; Atención Primaria de Salud; Salud de la Familia; Grupo de Atencion al Paciente; Enfermería Psiquiátrica. 

scholarly journals Cuidado de saúde mental à pessoa idosa: percepção do enfermeiro

2018 ◽  
Vol 12 (10) ◽  
pp. 2710
Author(s):  
Venina Costa Damasceno ◽  
Fernando Sérigo Pereira de Sousa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Psychosocial Care ◽  
The Elderly ◽  
Structured Interview ◽  
Study Data ◽  
Systematic Observation ◽  
Primary Health ◽  
Salud Mental

RESUMOObjetivo: compreender as percepções dos enfermeiros atuantes na atenção primária à saúde sobre o cuidado de saúde mental à pessoa idosa. Método: trata-se de um estudo qualitativo, descritivo e reflexivo. Coletaram-se os dados por meio da entrevista semiestruturada e observação sistemática e analisados sob a ótica da técnica de Análise de Conteúdo. Resultados: emergiram-se as categorias << O cotidiano do cuidado direcionado ao idoso na atenção primária à saúde >> e << Fragilidades e barreiras para a prática da atenção psicossocial >>. Conclusão: compreendeu-se que o cuidado de enfermagem em saúde mental à pessoa idosa na atenção primária é centrado na doença e não na atenção psicossocial apresentando diversas fragilidades e barreiras para a sua prática efetiva. Descritores: Saúde Mental; Idoso; Atenção Primária à Saúde; Saúde Coletiva; Assistência Integral à Saúde; Enfermagem. ABSTRACT Objective: to understand the perceptions of nurses working in primary health care on mental health care for the elderly. Method: this is a qualitative, descriptive and reflective study. Data was collected through a semi-structured interview and systematic observation and analyzed from the perspective of the Content Analysis technique. Results: emerged the categories << The daily life of care directed to the elderly in primary health care >> and << Fragilities and barriers to the practice of psychosocial care >>. Conclusion: it was understood that nursing care in mental health to the elderly in primary care is centered on the disease and not on psychosocial care, presenting several weaknesses and barriers to their effective practice. Descriptors: Mental Health; Old Man; Primary Health Care; Collective Health; Comprehensive Health Care; Nursing.RESUMEN Objetivo: comprender las percepciones de los enfermeros que actúan en la atención primaria a la salud sobre el cuidado de la salud mental en el anciano. Método: se trata de un estudio cualitativo, descriptivo y reflexivo. Se recolectó los datos por medio de la entrevista semiestructurada y observación sistemática y analizados bajo la óptica de la técnica de Análisis de Contenido. Resultados: se han emergido las categorías << El cotidiano del cuidado dirigido al anciano en la atención primaria a la salud >> y << Fragilidades y barreras para la práctica de la atención psicosocial >>. Conclusión: se comprendió que el cuidado de enfermería en salud mental a la persona anciana en la atención primaria se centra en la enfermedad y no en la atención psicosocial presentando diversas fragilidades y barreras para su práctica efectiva. Descriptores: Salud mental; Ancianos; Atención Primaria a la Salud; Salud Colectiva; Atención Integral de Salud; Enfermería.

scholarly journals Conhecimento da equipe de enfermagem e agentes comunitários sobre o comportamento suicida

2018 ◽  
Vol 12 (1) ◽  
pp. 112
Author(s):  
Priscila Freitas Silva ◽  
Maria do Perpétuo Socorro Sousa Nóbrega ◽  
Elda Oliveira
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Suicidal Behavior ◽  
Nursing Assistants ◽  
Primary Health ◽  
Nursing Team ◽  
Factores De Riesgo ◽  
Salud Mental ◽  
The Subject ◽  
Quantitative Descriptive

RESUMOObjetivo: identificar o conhecimento e as estratégias para o cuidado da equipe de Enfermagem da Atenção Primária à Saúde ao sujeito com comportamento suicida. Método: estudo quantitativo, descritivo e exploratório, com dados coletados a partir de um questionário em cinco Unidades Básicas de Saúde, em seguida, digitados no Programa Epi Info 6.04, analisados por frequência simples e apresentados em tabelas. Resultados: participaram do estudo 72 profissionais, oito enfermeiras, 20 auxiliares de Enfermagem e 44 agentes comunitários de saúde, que apresentaram dificuldades em classificar o grau de risco do comportamento suicida, comprometendo os cuidados prestados e os encaminhamentos qualificados para os serviços especializados em saúde mental. Conclusão: são necessárias a educação e a capacitação dos profissionais para ajudar na detecção de fatores de risco para o suicídio, prevenindo-o de maneira efetiva e contribuindo para a saúde pública, a fim de ter um profissional capacitado para atuar e intervir frente a situações tão presentes na saúde mental. Descritores: Suicídio; Equipe de Enfermagem; Assistência à Saúde; Atenção Primária a Saúde.ABSTRACT Objective: to identify the knowledge and strategies for the care of the Nursing team of Primary Health Care, the subject with suicidal behavior. Method: quantitative, descriptive and exploratory study, with data collected from a questionnaire in five Basic Health Units, then typed in the Epi Info 6.04 Program, analyzed with simple frequency and presented in tables. Results: 72 professionals, eight nurses, 20 Nursing assistants and 44 community health agents participated in the study, who presented difficulties in classifying the degree of risk of suicidal behavior, compromising the care provided and referrals qualified for specialized mental health services. Conclusion: the education and the qualification of the professionals is necessary, to help in the detection of risk factors for suicide. By effectively preventing them and contributing to public health, in order to have a professional capable of acting and intervening in situations that are so present in mental health. Descriptors: Suicide; Nursing Team; Delivery of Health Care; Primary Health Care.RESUMEN Objetivo: identificar el conocimiento y las estrategias para el cuidado del equipo de Enfermería de la Atención Primaria a la Salud, al sujeto con comportamiento suicida. Método: estudio cuantitativo, descriptivo y exploratorio, con datos recolectados a partir de un cuestionario en cinco Unidades Básicas de Salud, a continuación, digitados en el Programa Epi Info 6.04, con análisis de frecuencia simple y presentados en tablas. Resultados: participaron del estudio 72 profesionales, ocho enfermeras, 20 auxiliares de Enfermería y 44 agentes comunitarios de salud, que presentaron dificultades en clasificar el grado de riesgo del comportamiento suicida, comprometiendo los cuidados prestados y los encaminamientos calificados para los servicios especializados en salud mental. Conclusión: son necesarias la educación y la capacitación de los profesionales, para ayudar en la detección de factores de riesgo para el suicidio. Previniéndolos de manera efectiva, y contribuyendo a la salud pública, a fin de tener un profesional capacitado para actuar e intervenir frente a situaciones tan presentes en la salud mental. Descriptores: Suicidio; Grupo de Enfermeria; Prestación de Atención de Salud; Atención Primaria de Salud.

scholarly journals Primary Health Worker's Perception on the Need of Integrating Mental Health in Primary Health Care Settings of Kaski District

2019 ◽  
Vol 9 (2) ◽  
pp. 48-52
Author(s):  
Arati Poudel ◽  
Bimala Bhatta
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Health Workers ◽  
Care Level ◽  
Health Care Settings ◽  
Primary Health ◽  
Mental Health Integration ◽  
Primary Health Care Settings

Introduction: The most effective way to close the treatment gap is to integrate mental health services with primary care to ensure that people receive mental health care they need in their place. Understanding providers' perceptions of evidence-based intervention have an undeniable role in improving their dissemination, implementation, and sustained use. Methods: This study was carried out to assess primary health workers' perception of the need of integrating mental health in primary health care settings in which 200 health workers from all the PHC, HP and UHC of the Kaski district were given a self-administered Likert scale having 5 points to assess the perception of health workers on need of integrating mental health in primary health care settings. The median score of Likert scale of perception of need was calculated then the chi square test was done to find the association which was followed by calculating adjusted odds ratio using binary logistic regression analysis. Results: Health workers who had gained information on mental health from course of study are 2.316 [CI:1.124-4.770] times more likely to perceive need of mental health integration into the primary health care setting and those who have provided mental health service are 2.801 [CI: 1.495-5.249] times more likely to be positive towards need. Conclusions: The majority of the health workers working at the primary health care level at Kaski district are positive towards mental health integration with the high number of health workers interested in receiving mental health training thus they should be provided with basic training in mental health to enhance their knowledge and skills for being able to provide mental health care to patients seeking help at the primary health care level.

scholarly journals Professionals’ perspectives on factors within primary mental health services that can affect pathways to involuntary psychiatric admissions

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Irene Wormdahl ◽  
Tonje Lossius Husum ◽  
Jorun Rugkåsa ◽  
Marit B. Rise
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Care Level ◽  
Psychiatric Admissions ◽  
Primary Health ◽  
Primary Mental Health Care

Abstract Background Reducing involuntary psychiatric admissions has been on the international human rights and health policy agenda for years. Despite the last decades’ shift towards more services for adults with severe mental illness being provided in the community, most research on how to reduce involuntary admissions has been conducted at secondary health care level. Research from the primary health care level is largely lacking. The aim of this study was to explore mental health professionals’ experiences with factors within primary mental health services that might increase the risk of involuntary psychiatric admissions of adults, and their views on how such admissions might be avoided. Methods Qualitative semi-structured interviews with thirty-two mental health professionals from five Norwegian municipalities. Data were analysed according to the Systematic Text Condensation method. Results Within primary mental health care professionals experienced that a number of factors could increase the risk of involuntary psychiatric admissions. Insufficient time and flexibility in long-term follow-up, limited resources, none or arbitrary use of crisis plans, lack of tailored housing, few employment opportunities, little diversity in activities offered, limited opportunities for voluntary admissions, inadequate collaboration between services and lack of competence were some of the factors mentioned to increase the risk of involuntary psychiatric admissions. Several suggestions on how involuntary psychiatric admissions might be avoided were put forward. Conclusions Mental health professionals within primary mental health care experienced that their services might play an active part in preventing the use of involuntary psychiatric admissions, suggesting potential to facilitate a reduction by intervening at this service level. Health authorities’ incentives to reduce involuntary psychiatric admissions should to a greater extent incorporate the primary health care level. Further research is needed on effective interventions and comprehensive models adapted for this care level.

scholarly journals The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

2021 ◽  
Vol 34 (2) ◽  
pp. 100-106
Author(s):  
Emily J. Follwell ◽  
Siri Chunduri ◽  
Claire Samuelson-Kiraly ◽  
Nicholas Watters ◽  
Jonathan I. Mitchell
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Focus Groups ◽  
Lived Experiences ◽  
Mental Healthcare ◽  
Care Network ◽  
Key Informant ◽  
Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

scholarly journals COVID-19 is having a destructive impact on health-care workers’ mental well-being

2020 ◽  
Author(s):  
Kris Vanhaecht ◽  
Deborah Seys ◽  
Luk Bruyneel ◽  
Bianca Cox ◽  
Gorik Kaesemans ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Residential Care ◽  
Health Care Workers ◽  
Well Being ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Care Workers ◽  
Sources Of Support ◽  
Mental Well Being

Abstract Background The coronavirus disease 2019 (COVID-19) may aggravate workplace conditions that impact health-care workers’ mental health. However, it can also place other stresses on workers outside of their work. This study determines the effect of COVID-19 on symptoms of negative and positive mental health and the workforce’s experience with various sources of support. Effect modification by demographic variables was also studied. Methods A cross-sectional survey study, conducted between 2 April and 4 May 2020 (two waves), led to a convenience sample of 4509 health-care workers in Flanders (Belgium), including paramedics (40.6%), nurses (33.4%), doctors (13.4%) and management staff (12.2%). About three in four were employed in university and acute hospitals (29.6%), primary care practices (25.7%), residential care centers (21.3%) or care sites for disabled and mental health care. In each of the two waves, participants were asked how frequently (on a scale of 0–10) they experienced positive and negative mental health symptoms during normal circumstances and during last week, referred to as before and during COVID-19, respectively. These symptoms were stress, hypervigilance, fatigue, difficulty sleeping, unable to relax, fear, irregular lifestyle, flashback, difficulty concentrating, feeling unhappy and dejected, failing to recognize their own emotional response, doubting knowledge and skills and feeling uncomfortable within the team. Associations between COVID-19 and mental health symptoms were estimated by cumulative logit models and reported as odds ratios. The needed support was our secondary outcome and was reported as the degree to which health-care workers relied on sources of support and how they experienced them. Results All symptoms were significantly more pronounced during versus before COVID-19. For hypervigilance, there was a 12-fold odds (odds ratio 12.24, 95% confidence interval 11.11–13.49) during versus before COVID-19. Positive professional symptoms such as the feeling that one can make a difference were less frequently experienced. The association between COVID-19 and mental health was generally strongest for the age group 30–49 years, females, nurses and residential care centers. Health-care workers reported to rely on support from relatives and peers. A considerable proportion, respectively, 18 and 27%, reported the need for professional guidance from psychologists and more support from their leadership. Conclusions The toll of the crisis has been heavy on health-care workers. Those who carry leadership positions at an organizational or system level should take this opportunity to develop targeted strategies to mitigate key stressors of health-care workers’ mental well-being.

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

scholarly journals Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Solomon Nyame ◽  
Edward Adiibokah ◽  
Yasmin Mohammed ◽  
Victor C. Doku ◽  
Caleb Othieno ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Primary Health Care ◽  
Service Users ◽  
Traditional Health ◽  
Healthcare Needs ◽  
Primary Health ◽  
Traditional Health Practitioners ◽  
Health Practitioners

Abstract Background In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

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