PDF(Pubmed)
Abstract：
BACKGROUND: Psychological distress is a predictor of future health and disease data, with consequent implications for both the patient and the healthcare system. Taking advantage of the unprecedented situation caused by the COVID-19 pandemic we aimed to assess whether the type of medical care received by patients during the initial months of the pandemic influenced their evolution, particularly at the psychological level. Additionally, we investigated whether allostatic load was associated not only with physical but also psychological alterations.
METHODS: All the patients diagnosed with COVID-19 infection at HM Madrid Hospital during the month of March 2020 were studied, both those hospitalized (110) and those treated on an outpatient basis (46). They were psychologically evaluated using the Profile of Mood States (POMS) test. We calculated the allostatic load using different laboratory parameters.
RESULTS: Outpatient patients had significantly higher scores than hospitalized ones in Tension-Anxiety (52 ± 19.3 vs. 38 ± 4.3; p < 0.001). So, 36.9% of the outpatient patients exhibited anxiety. Allostatic load has not been correlated with patients\' psychological alterations.
CONCLUSIONS: Psychological distress of outpatient patients should be taken into account in their management to improve mental health planning. This knowledge could provide comprehensive care to patients including their mental health, in the face of subsequent epidemics/pandemics.
METHODS: All the patients diagnosed with COVID-19 infection at HM Madrid Hospital during the month of March 2020 were studied, both those hospitalized (110) and those treated on an outpatient basis (46). They were psychologically evaluated using the Profile of Mood States (POMS) test. We calculated the allostatic load using different laboratory parameters.
RESULTS: Outpatient patients had significantly higher scores than hospitalized ones in Tension-Anxiety (52 ± 19.3 vs. 38 ± 4.3; p < 0.001). So, 36.9% of the outpatient patients exhibited anxiety. Allostatic load has not been correlated with patients\' psychological alterations.
CONCLUSIONS: Psychological distress of outpatient patients should be taken into account in their management to improve mental health planning. This knowledge could provide comprehensive care to patients including their mental health, in the face of subsequent epidemics/pandemics.
摘要：
背景：心理困扰是未来健康和疾病数据的预测指标，对患者和医疗保健系统都有影响。利用COVID-19大流行造成的前所未有的情况，我们旨在评估患者在大流行的最初几个月接受的医疗类型是否影响了他们的演变，特别是在心理层面。此外,我们调查了同种异体负荷是否不仅与生理改变有关，还与心理改变有关。
方法：研究了2020年3月在马德里皇家医院诊断为COVID-19感染的所有患者，住院患者(110人)和门诊治疗患者(46人).使用情绪状态概况（POMS）测试对他们进行了心理评估。我们使用不同的实验室参数计算了同种异体载荷。
结果：门诊患者在紧张焦虑方面的得分明显高于住院患者（52±19.3vs.38±4.3；p<0.001)。所以,36.9%的门诊患者出现焦虑。静力负荷与患者的心理改变无关。
结论：门诊患者的心理困扰应考虑到他们的管理，以改善心理健康规划。这些知识可以为患者提供全面的护理，包括他们的心理健康，面对随后的流行病/大流行。
方法：研究了2020年3月在马德里皇家医院诊断为COVID-19感染的所有患者，住院患者(110人)和门诊治疗患者(46人).使用情绪状态概况（POMS）测试对他们进行了心理评估。我们使用不同的实验室参数计算了同种异体载荷。
结果：门诊患者在紧张焦虑方面的得分明显高于住院患者（52±19.3vs.38±4.3；p<0.001)。所以,36.9%的门诊患者出现焦虑。静力负荷与患者的心理改变无关。
结论：门诊患者的心理困扰应考虑到他们的管理，以改善心理健康规划。这些知识可以为患者提供全面的护理，包括他们的心理健康，面对随后的流行病/大流行。
