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10.1016/j.jpainsymman.2020.11.026

http://scihub22266oqcxt.onion/10.1016/j.jpainsymman.2020.11.026
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33249082!7691143!33249082
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suck abstract from ncbi


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pmid33249082      J+Pain+Symptom+Manage 2021 ; 61 (2): e4-e12
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  • Caring Advanced Cancer Patients at Home During COVID-19 Outbreak: Burnout and Psychological Morbidity Among Palliative Care Professionals in Italy #MMPMID33249082
  • Varani S; Ostan R; Franchini L; Ercolani G; Pannuti R; Biasco G; Bruera E
  • J Pain Symptom Manage 2021[Feb]; 61 (2): e4-e12 PMID33249082show ga
  • CONTEXT: 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. OBJECTIVES: This study aimed to investigate the impact of COVID-19 pandemic on burnout and psychological morbidity among home PCPs in Italy. METHODS: 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). RESULTS: 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). CONCLUSIONS: 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.
  • |*Attitude of Health Personnel[MESH]
  • |Adult[MESH]
  • |Burnout, Professional/*epidemiology[MESH]
  • |COVID-19/*epidemiology/prevention & control/transmission[MESH]
  • |Fear/psychology[MESH]
  • |Female[MESH]
  • |Home Care Services/*organization & administration[MESH]
  • |Humans[MESH]
  • |Italy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neoplasms/*therapy[MESH]
  • |Palliative Care/*organization & administration[MESH]
  • |Psychological Distress[MESH]


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