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Brief Report
DOI: 10.1016/j.reumae.2021.02.001
Available online 2 June 2021
Impact of the COVID-19 pandemic on rheumatology nursing consultation
Impacto de la COVID-19 en la consulta de enfermería reumatológica
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Susana P. Fernández Sáncheza, Fermín Rodríguez Muñozb, Ana Laiza,c, Ivan Castellvía,c, Berta Magallaresa, Héctor Corominasa,c,
Corresponding author
vancor@yahoo.com

Corresponding author.
a Servicio de Reumatología y Enfermedades Autoinmunes Sistémicas, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Enfermería de Consultas Externas, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
c Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
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Tables (2)
Table 1. Descriptive analysis of the sample which regularly attends monographic rheumatology nursing consultation before and that observed ruing the first wave of the COVID-19 pandemic.
Table 2. Change observed in the frequency of interventions carried out by rheumatology nursing before and during the pandemic.
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Abstract
Objective

The COVID-19 pandemic has brought major changes to the model of patient care in Rheumatology. Our aim was to compare the change in the care delivered in a rheumatology nursing consultation before and during the pandemic.

Material and methods

Descriptive and observational study. Patient care was registered before and during the COVID-19 outbreak. The variables collected were age, sex, prevalent rheumatic disease, type of visit and reason for consultation.

Results

254 consecutive patients were included before the COVID-19 pandemic for 20 days and 251 patients during COVID-19 for 10 working days. The mean age was 61 years before and 57 during the pandemic. Of both groups, 74% were women. The most frequently attended pathologies before and during COVID-19 were rheumatoid arthritis and spondyloarthropathies. Scheduled face-to-face visits decreased during COVID-19 (46.5% versus 1.6%), with an increased number of phone scheduled visits (2.8% versus 52.2%) and spontaneous consultations either by phone or e-mail (28.3% versus 45%). The type of scheduled visits during COVID-19 were for stable diseases (20% versus 37%) and monitoring (12% versus 38%). The reason for spontaneous consultation increased during COVID-19 and were mainly doubts regarding prevention measures and treatment optimization (13.8% versus 31.1%).

Conclusions

The first wave of COVID-19 brought to rheumatology nursing consultation a global increase in all activities in the number of visits per day, in the number of stable patient controls, in monitoring and answering patient concerns.

Keywords:
Rheumatology nursing
Activity
Outbreak
COVID-19
Impact
Resumen
Objetivo

Comparar el cambio en la actividad asistencial realizada en una consulta de enfermería reumatológica antes y durante la pandemia.

Material y métodos

Estudio descriptivo y observacional de 254 pacientes consecutivos antes y 251 durante.

Resultados

El tipo de visita programada presencial disminuyó durante COVID-19 (46,5% vs 1,6%), aumentando la visita programada telefónica (2,8% vs 52,2%) y las consultas espontáneas a través del teléfono o email (28,3% vs 45%). Las funciones realizadas en las programadas fueron el control del paciente estable (20% vs 37%) y la gestión (12% vs 38%). El motivo de consulta espontánea incrementó durante la COVID-19 sobre todo: dudas respecto a medidas de prevención y optimización de tratamiento (13,8% vs 31,1%).

Conclusiones

La primera ola de la COVID-19 generó en la consulta de enfermería un incremento global de todas las actividades: número de visitas/día, en el número de controles de pacientes estables, en gestión y en la resolución de dudas.

Palabras clave:
Enfermería reumatología
Actividad
Pandemia
COVID-19
Impacto

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