Síntese de evidências científicas e proposição de intervenção psicológica para profissionais de saúde hospitalar com Condição PósCovid-19

Abstract

NOVAIS J.C.E.A. Synthesis of scientific evidence and proposition of psychological intervention for hospital health professionals with Post-Covid-19 condition. Master's Dissertation presented to the Graduate Program in Health Psychology. Federal University of Bahia, Multidisciplinary Health Institute. Vitória da Conquista, Bahia: UFBA, 2023. The post-covid-19 condition, illness in people who have recovered from Covid-19 but still report lasting effects of the infection persisting for weeks or months after Covid-19 infection may develop persistent and long-term psychological symptoms. Many infected healthcare workers report cognitive impairment, insomnia, depression, anxiety, shortness of breath, burnout, and PTSD have been associated with physical and mental health implications. Moreover, in the pandemic scenario, physical and psychological pressure have been associated with signs of occupational stress, among other causes of mental suffering. In this sense, psychological interventions for health care workers play a crucial role in dealing with the mental health implications of the new coronavirus pandemic. However, studies proposing instruments for monitoring the repercussions of the pandemic and the post-Covid-19 Condition on health professionals are still incipient. The studies located are restricted to the organization of care responses according to the severity of the disease, the provision of care to users. Thus, this study aimed to identify and analyze the evidence from the scientific literature and design an intervention for screening and psychosocial monitoring for implications of the pandemic and post-Covid-19 Condition in health professionals working in hospitals. To this end, a qualitative and descriptive research was developed, which included two stages of integrative synthesis review, a methodological study, and a technical product. The results were presented and discussed according to the articles and derived product: The first article is a rapid synthesis of scientific evidence entitled "Determinants for repercussions in the mental health of hospital health professionals in the Covid-19 pandemic" and sought to identify the conditioning and determining factors of psychological distress of health professionals who work in the front line in the hospital environment, before the reorganization of the work process in the context of the Covid-19 pandemic. The second article entitled "Synthesis of psychological and psychosocial interventions for hospital health professionals in the post-covid-19 context and with post-Covid-19 Condition" aimed to identify and systematize psychological and psychosocial interventions directed to hospital health professionals in the post-covid-19 context and those with post-Covid-19 Condition. And finally, in a complementary way, the scientific articles provide theoretical subsidies to establish and refine the technical product derived from the research that constitutes a "Check-list for screening and psychosocial monitoring of hospital health professionals with the Post-Covid-19 Condition". This dissertation enabled the systematization of strategies for psychosocial monitoring of hospital health professionals and the construction of a specific instrument. The methodology, by contemplating several stages, allowed a better understanding of the interventions that have been developed, contributing to the adequacy of care for health professionals in the hospital context. Moreover, it corroborates the scientific discussions around the post-Covid-19 psychological, a theme still scarce in the literature and practice of health systems today.