Manifestações psicológicas em pacientes com Covid-19 hospitalizados em uti com necessidade de ventilação mecânica invasiva

Abstract

The Covid-19 pandemic has led to an essential restructuring of hospital care, requiring psychologists to adapt in order to provide emotional support in emergency situations. The experience of coping with illness in Intensive Care Units (ICUs) with the need for Invasive Mechanical Ventilation (IMV) has considerably exacerbated the psychological impacts, which are associated with isolation, uncertainty and intensive medical procedures. This article proposed a review of electronic medical records with the aim of investigating psychological symptoms in patients undergoing IMV in the COVID-19 ICU. This quantitative, retrospective study analyzed the medical records of users of the Unified Health System diagnosed with COVID-19 and hospitalized in a teaching hospital in Rio Grande do Sul. 664 medical records reviewed and 40 were validated for this study. Categorical variables were examined according to the type of variable, with a significance level of 95% (p<0.05). The results showed that 57.5% of the patients had anxiety symptoms, 55% had depressive symptoms and 30% had cognitive alterations. The most common symptoms were hypotimic mood (50%), panic attacks (42.7%) and intrusive thoughts (20%). There was a statistically significant correlation (p<0.05) between some variables and symptoms such as irritability, easy crying, demotivation, anhedonia and altered speech. This analysis showed that the psychological symptoms observed in Covid-19 patients hospitalized in the ICU with the need for IMV are multidimensional and have a direct impact on their treatment and recovery, highlighting the role of psychologists in ICUs. It is suggested that further studies be carried out to investigate additional and complementary aspects to the results obtained, in order to deepen understanding of the subject and provide support for improving clinical practices and interventions.