Reestruturação organizacional e conduta profissional frente a pandemia da covid-19

Abstract

The pandemic caused by the new coronavirus, or SARS-CoV-2 virus, has imposed a great economic burden on the health system of several countries, as well as on the health of patients and health workers. The objective of this study was to evaluate the emotional burden on workers who were at the forefront of the challenge of dealing with the COVID-19 disease, and the hospital reorganization, as well as the evaluation of a group of patients (n=110) hospitalized in COVID beds. -19 from the Western Regional Hospital, in 2021. The methodology used was a qualitative, quantitative, and retrospective study. The group of health workers included from nurses to nursing technicians. The results show that in 62. % of the cases, the professionals had graduated up to 6 years and 81.5% of the professionals had worked for up to 02 years in the HRO (p<0.01). In 91.2% of the professionals, mild (64.9%) and moderate (26.35%) anxiety and moderately severe and mild (8.8%) anxiety were identified. The PHQ-9 test showed statistical significance (p<0.01) between the types of depression for all participating professionals. In 88.1% of the interviewees there were signs of mild (67.7%) and moderate (20.4%) depression. In the others (12.9%) there were signs of depression classified as moderately severe and severe. Regarding the patients evaluated, there was a prevalence of males n=67 (61%) over females n=43 (39%). The age groups with the highest number of cases admitted to the ICU in the evaluated period were: 40 to 49 years old n=29 (26.4%) and 50 to 59 years old n=37 (33.6%), totaling 66.0%. The most common comorbidities observed among ICU patients were: Diabetes mellitus (n=19, 14%), Systemic arterial hypertension (n=45, 32%) and Obesity (n=22, 16%). Bacterial infections prevailed among the patients and the most frequently observed microorganisms were: Klebsiella pneumoniae (n=64, 34.41%), Pseudomonas spp. (n=47, 25.27%), Candida albicans (n=29, 15.59%) and coagulase negative Staphylococcus (n=14, 7.53%). The most prescribed antimicrobials were: Meropenem (n=77, 21.63%), Tigecycline (n=55, 15.45%), Gentamicin (n=54, 15.17%), Ertapenem (n=28, 7, 87%) and Azithromycin (n=23, 6.46%). Regarding the clinical outcome of the evaluated patients, there was a prevalent rate of death (n=54, 49.1%) in relation to discharges (n=46, 42.0%). The prevalent age groups in relation to death are between 50 and 79 years old, making up a total of 55.6% of patients. It is concluded that the pandemic caused by the new coronavirus led to an emotional overload of health workers, in addition to the devastating effects on the population, in addition to overloading the health system. In addition, it favored the infection of patients, especially by bacteria, which probably impacted and will impact on the selection of more resistant pathogens.