Palavras-chave
COVID-19
Prática profissional
Competência
Profissional
Reabilitação
Como Citar
Resumo
Introdução: são poucos os estudos que descrevem como a pandemia por
COVID-19 afetou as práticas clínicas dos profissionais de fonoaudiologia, e é
ainda mais escasso o conhecimento deste impacto em países
latino-americanos, como a Colômbia. Objetivo: descrever o impacto da
pandemia de COVID-19 no exercício da fonoaudiologia clínica, bem como as
adaptações implementadas para garantir os cuidados de saúde na Colômbia.
Materiais e métodos: estudo de corte transversal no qual foi aplicado um
questionário online entre janeiro e fevereiro de 2021 a fonoaudiólogos clínicos
com experiência na área. O questionário pesquisou variáveis
sociodemográficas e categorias como o exercício clínico e o impacto do
COVID-19 na prática fonoaudiológica clínica. Os resultados foram analisados
descritivamente e aplicado Chi2 de independência para encontrar possíveis
associações. Resultados: 9 % dos profissionais perderam o emprego devido à
pandemia e, dos restantes, 14 % optaram pela telesaúde. Existem restrições de
intervenção, nomeadamente em matéria de cuidados de saúde e de fala, bem
como adaptações que visam proteger a saúde do paciente e do profissional. É
evidente que o treinamento em atenção com pacientes com COVID-19 promove
o uso de elementos de proteção pessoal (p<0,01), a construção de protocolos de
assistência institucional (p<0,01) e a estabilidade de tempos de intervenção
durante as sessões (p<0,04). Conclusões: a pandemia por COVID-19 impactou
a prática clínica fonoaudiológica e modificou o comportamento dos
profissionais não só pela adoção de medidas de biossegurança, mas também
pela transição para a teleconsulta para garantir a assistência em saúde.
Referências
World Health Organization. WHO DirectorGeneral’s opening remarks at the media briefing on COVID-19-11 March 2020. Geneva: WHO; 2020.
Decreto 417 de 2020. Por el cual se declara un Estado de Emergencia Económica, Social y Ecológica en todo el territorio Nacional. Presidencia de la República de Colombia, marzo 17 de 2020.
Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract. 2020; 10: 78–79. doi: https://doi. org/10.1016/j.cmrp.2020.03.011
García-Iglesias JJ, Gómez-Salgado J, Martín-Pereira J, et al. [Impact of SARS-CoV-2 (Covid-19) on the mental health of healthcare professionals: a systematic review.]. Rev Esp Salud Publica. 2020; 94.
Calisher C, Carroll D, Colwell R, et al. Statement in support of the scientists, public health professionals, and medical professionals of China combatting COVID-19. Lancet (London, England). 2020; 395: e42–43. doi: https://doi.org/10.1016/S0140- 6736(20)30418-9
World Health Organization. Disability considerations during the COVID-19 outbreak. Bangladesh Physiother J. 2020; 10: 1–22. doi: https://apps.who.int/iris/handle/10665/332015
Moreno-Chaparro J, Calderón-Calvo A, CubillosMesa C, Sánchez Santamaría KJ, Martínez Sánchez ME. Impact of the COVID-19 pandemic on the professional clinical practice of occupational therapy. Cad Bras Ter Ocup. 2022; 30. https://doi. org/10.1590/2526-8910.ctoAO242731672
Denehy L, Lanphere J, Needham DM. Ten reasons why ICU patients should be mobilized early. Intensive Care Med. 2017; 43: 86–90. doi: https:// doi.org/10.1007/s00134-016-4513-2
Ceravolo MG, Arienti C, de Sire A, et al. Rehabilitation and COVID-19: the Cochrane Rehabilitation 2020 rapid living systematic review. Eur J Phys Rehabil Med. 2020; 56: 642–51. https:// doi.org/10.23736/S1973-9087.20.06501-6
Sheehy LM. Considerations for Postacute Rehabilitation for Survivors of COVID-19. JMIR public Heal Surveill. 2020; 6: e19462. doi: https:// doi.org/10.2196/19462
Ley 376 de 1997. Por la cual se reglamenta la profesión de Fonoaudiología y se dictan normas para su ejercicio en Colombia. Diario No. 43.079. Congreso de la República de Colombia, 9 de julio de 1997.
Miles A, Connor NP, Desai RV, et al. Dysphagia Care Across the Continuum: A Multidisciplinary Dysphagia Research Society Taskforce Report of Service-Delivery During the COVID-19 Global Pandemic. Dysphagia. 2020. doi: https://doi. org/10.1007/s00455-020-10153-8
Namasivayam-MacDonald M, Riquelme L. SpeechLanguage Pathology Management for Adults With COVID-19 in the Acute Hospital Setting: Initial Recommendations to Guide Clinical Practice. Am J Speech-Language Pathol. 2020; published online Sept. doi: https://doi.org/10.1044/2020_ AJSLP-20-00096
Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review. Dysphagia. 2020; 35: 549–557. doi: https://doi. org/10.1007/s00455-020-10139-6
Centers for Disease Control and Prevention. Interim US guidance for risk assessment and work restrictions for healthcare personnel with potential exposure to COVID-19. Bethesda (MD): CDC; 2020.
Bolton L, Mills C, Wallace S, Brady MC, Group RC of S and LT (RCSLT) C-19 A. Aerosol generating procedures, dysphagia assessment and COVID-19: A rapid review. Int J Lang Commun Disord. 2020: 55(4): 629–636. doi: https://doi.org/10.1111/1460- 6984.12544.
Zaga C, Pandian V, Brodsky M, et al. SpeechLanguage Pathology Guidance for Tracheostomy During the COVID-19 Pandemic: An International Multidisciplinary Perspective. Am J SpeechLanguage Pathol 2020; 29: 1320–34. doi: https:// doi.org/10.1044/2020_AJSLP-20-00089
Castillo-Allendes A, Contreras-Ruston F, Cantor, Lady, et al. Terapia de voz en el contexto de la pandemia covid-19: recomendaciones para la práctica clínica. J Voice. 2020; 2021. 35(5): 808.e1–808.e12. doi: https://doi.org/10.1016/j. jvoice.2020.08.018.
Tohidast SA, Mansuri B, Bagheri R, Azimi H. Provision of speech-language pathology services for the treatment of speech and language disorders in children during the COVID-19 pandemic: Problems, concerns, and solutions. Int J Pediatr Otorhinolaryngol. 2020; 138: 110262. https://doi. org/10.1016/j.ijporl.2020.110262
Fong R, Tsai CF, Yiu OY. The Implementation of Telepractice in Speech Language Pathology in Hong Kong During the COVID-19 Pandemic. Telemed e-Health. 2021. 27(1):30-38. doi: https:// doi.org/10.1089/tmj.2020.0223.
Von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014; 12: 1495–9. https://doi.org/10.1016/j. ijsu.2014.07.013
Adams WK, Wieman CE. Development and validation of instruments to measure learning of expert‐like thinking. Int J Sci Educ. 2011; 33: 1289– 312. https://doi.org/10.1080/09500693.2010.512369
Nora CRD, Zoboli E, Vieira MM. Validation by experts: importance in translation and adaptation of instruments. Rev Gaúcha Enferm. 2018; 38. http:// doi.org/10.1590/1983-1447.2017.03.64851
R Core Team. R: A Language and Environment for Statistical Computing. Vienna: R Foundation for Statistical Computing; 2020.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013; 310: 2191–4. https://doi. org/10.1001/jama.2013.281053
Council for International Organizations of Medical Sciences. International ethical guidelines for healthrelated research involving humans. Geneva: Cioms 2016.
Protección Social. Resolución 8430 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Ministerio de Salud y Protección Social de Colombia, 1993.
Rouse R, Regan J. Psychological impact of COVID-19 on speech and language therapists working with adult dysphagia: A national survey. Int J Lang Commun Disord. 2021; 56: 1037–52. https:// doi.org/10.1111/1460-6984.12654
Chadd K, Moyse K, Enderby P. Impact of COVID-19 on the Speech and Language Therapy Profession and Their Patients. Front. Neurol. 2021; 12. https://www.frontiersin.org/articles/10.3389/ fneur.2021.629190. doi: https://doi.org/10.3389/ fneur.2021.629190
Doll EJ, Braden MN, Thibeault SL. COVID-19 and Speech-Language Pathology Clinical Practice of Voice and Upper Airway Disorders. Am J speechlanguage Pathol. 2021; 30: 63–74. https://doi. org/10.1044/2020_AJSLP-20-00228
Kollia B, Tsiamtsiouris J. Influence of the COVID-19 pandemic on telepractice in speechlanguage pathology. J Prev Interv Community. 2021; 49: 152–62. https://doi.org/10.1080/1085235 2.2021.1908210
Coutts KA. Dysphagia services in the era of COVID-19: Are speech-language therapists essential? South African J Commun Disord = Die Suid-Afrikaanse Tydskr vir Kommun. 2020; 67: e1–6. https://doi.org/10.4102/sajcd.v67i1.709
Ramage AE. Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists. Am J speech-language Pathol. 2020; 29: 1821–32. https:// doi.org/10.1044/2020_AJSLP-20-00147
Chacon AM, Nguyen DD, McCabe P, Madill C. Aerosol-generating behaviours in speech pathology clinical practice: A systematic literature review. PLoS One. 2021; 16: e0250308–e0250308. https:// doi.org/10.1371/journal.pone.0250308
Colegio Colombiano de Fonoaudiología. Lineamientos de atención del paciente con COVID-19. Bogotá: CCF; 2020.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Alejandro Calderon-Calvo, Jaime Moreno-Chaparro, Katherine Johanna Sánchez-Santamaría, Cristian Cubillos-Mesa, Liliana Isabel Neira-Torres