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Vol. 44. Issue 7.
Pages 481-488 (August - September 2021)
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Vol. 44. Issue 7.
Pages 481-488 (August - September 2021)
Original article
DOI: 10.1016/j.gastre.2020.11.006
Impact of the COVID-19 pandemic on the activity of advanced-practice nurses on a reference unit for inflammatory bowel disease
Impacto de la pandemia por COVID-19 en la actividad de la enfermera de práctica avanzada, en enfermedad inflamatoria intestinal en una unidad de referencia
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Ester Navarro-Correala,b,
Corresponding author
, Natalia Borruelb, Virginia Roblesb, Claudia Herrera-de Guiseb, Luis Fernando Mayorga Ayalab, Zahira Pérez Martínezb, Arantxa Ibarz Casasb, Sandra Agustino Rodríguezc, Irene Joana Batuecas Dueltd, Jorge García Alcaided, Sara López Branchadelld, Esperanza Zuriguel-Perezd, Francesc Casellasb
a Nurse and Health, Nurse and Physiotherapy, Department at Universitat de Lleida, Doctoral School, Lleida, Spain
b Crohn-Colitis Care Unit, Vall d’Hebron Hospital Universitari, Barcelona, Spain
c Department of Gastroenterology, Vall d’Hebron Hospital Universitari, Barcelona, Spain
d Management, Knowledge and Evaluation Unit, Vall d’Hebron Hospital Universitari, Barcelona, Spain
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Table 1. Description of demographic and clinical characteristics of patients who contacted Advanced IBD Nurse from UACCa.
Table 2. Relationship of sociodemographic and clinical characteristics with the reason for consultation (n=970).
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Abstract
Objective

To report the impact of the COVID-19 pandemic on the activity of nurses working on an inflammatory bowel disease (IBD) unit and to identify reasons for telehealth care and its relationship to certain characteristics.

Background

The COVID-19 pandemic had led to an increase in demand for remote care in patients with inflammatory bowel disease who require monitoring and frequent access to health services.

Design – methods

A retrospective study of all activity (in person and by phone call or email) done on the unit during the acute phase of the pandemic at a reference hospital in Spain. Numbers of activities done by nurses, reasons for telehealth care and sociodemographic and clinical data were collected. Statistical analysis was performed using frequency, chi-squared and analysis of variance tests.

Results

A total of 1095 activities for 561 patients who received care were reported. Among them, 1042 (95.2%) were telemedicine activities, amounting to a 47.3% increase over the prior year. COVID-19-related activities numbered 588 (59.5%). Consultations due to disease flare-up numbered 134 (13.7%), representing a 145% increase compared to 2019. Significant differences were found between reasons for using telemedicine and diagnosis, occupational status, contact week and treatment.

Conclusion

The acute phase of the pandemic has changed the activity managed by the nursing staff on the unit. Identifying and analysing these changes has yielded valuable information to achieve more efficient management and better care quality for patients in special situations.

Keywords:
COVID-19
Advanced-practice nurses
Inflammatory bowel disease
Ulcerative colitis
Crohn's disease
Telemedicine
Telehealth
Abbreviations:
UACC
AIN
TA
Resumen
Objetivos

Describir el impacto de la pandemia por COVID-19 en la actividad de la enfermera, en enfermedad inflamatoria intestinal (EII) de la unidad, e identificar las razones de la asistencia telemática y la relación con las variables recogidas.

Antecedentes

La pandemia de COVID-19 ha dado lugar a un aumento en la demanda de atención remota en pacientes con EII que requieren un seguimiento y un acceso frecuente a los servicios de salud.

Diseño y métodos

Estudio retrospectivo de toda la actividad (presencia, llamada telefónica o correo electrónico), realizado en la unidad durante la fase aguda de la pandemia, en un hospital de referencia en España. Se recogió el número de actividades llevadas a cabo por la enfermera, motivo de asistencia telemática y datos sociodemográficos y clínicos. El análisis estadístico se realizó utilizando la prueba de frecuencia, χ2 y el análisis de varianza.

Resultados

Fueron registradas 1.095 actividades por 561 pacientes atendidos, siendo 1.042 (95,2%) actividades de telemedicina, lo que supuso un incremento del 47,3% con respecto al año anterior. Las demandas relacionadas con COVID-19 fueron 588 (59,5%). Por otro lado, 134 (13,7%) fueron consultas por brote de su enfermedad, un 145% más que en 2019. Se han encontrado diferencias significativas entre los motivos del uso de la telemedicina y el diagnóstico, la situación laboral, la semana en que se realizó el contacto y el tratamiento.

Conclusión

La fase aguda de la pandemia ha cambiado la actividad gestionada por enfermería en la unidad. Identificar y analizar estos cambios nos ha proporcionado información para conseguir una gestión más eficiente y de calidad al cuidado de los pacientes en situaciones excepcionales.

Palabras clave:
COVID-19
Enfermeras de práctica avanzada
Enfermedad inflamatoria intestinal
Colitis ulcerosa
Enfermedad de Crohn
Telemedicina
Telesalud

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