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OBJECTIVE: Providing palliative care (PC) at home for advanced cancer patients has become essential during the Covid-19 emergency. Nevertheless, the home PC professionals (PCPs) faced a challenging situation due to increased number of discharged patients, reduced availability of healthcare facilities and physical/relational barriers between them and patients. This study aimed to investigate the impact of Covid-19 pandemic on burnout and psychological morbidity among home PCPs in Italy. METHODS: One hundred and ninety-eighth PC physicians and nurses working in home assistance in Italy were invited to participate. The results obtained by the investigation conducted during the Covid-19 emergency (COVID2020) were compared with data collected in 2016 in the same setting (BURNOUT2016). The questionnaires (socio-demographics, Maslach Burnout Inventory and General Health Questionnaire-12) were the same for both the surveys. The PCPs participating in COVID2020 survey (n=145) were mostly the same (70%) who participated to the BURNOUT2016 study (n=179). RESULTS: One hundred and forty-five PCPs participated in the study (response rate 73.2%). During the Covid-19 emergency, home PCPs presented a lower burnout frequency (p<.001) and higher level of personal accomplishment than in 2016 (p=.047). Conversely, the risk for psychological morbidity was significantly higher during the pandemic (p<.001). CONCLUSIONS: In the age of Covid-19, the awareness of being at the forefront of containing the pandemic along with the sense of responsibility toward their high-risk patients may arouse PCPs psychological distress, but, on the other hand, this condition may improve their sense of professional satisfaction and personal accomplishment.
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10.1016/j.jpainsymman.2020.11.026
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document_parses/pdf_json/3dee78a90baac390c65626c3d06aefe75c51cf1d.json
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document_parses/pmc_json/PMC7691143.xml.json
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CARING ADVANCED CANCER PATIENTS AT HOME DURING COVID-19 OUTBREAK: BURNOUT AND PSYCHOLOGICAL MORBIDITY AMONG PALLIATIVE CARE PROFESSIONALS IN ITALY
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