Tumori Journal Abstract Book - October 2020 - 93

D - COVID-19	
prohibited, non-urgent follow-up visits were cancelled and
made by phone. Each case was discussed jointly and
assessed the risk/benefit ratio for the continuation of treatments. In suspected cases a PCR test was performed on a
nasopharyngeal sample and, if positive, the patient was
sent to the infectious disease department.
Results: Dedicated and adequately trained staff, collected
access data from 18 March to 31 May 2020. Triage controls were 7856 (F 54%, M 46%): access to the E.R. were
3125 (267 family carers, 150 white codes, 2143 green, 532
yellow, 33 red), among the PTS arrived in PS 139 were
suspected of infection and kept in the dedicated area, waiting for their test; of these 6 were positive (1 sent home in
quarantine, 5 symptomatic were transferred to the reference centre). Other 3982 accesses have been evaluated to
the external triage and 749 to the oncology triage equal to
15,83% of the total accesses entered in hospital (not in PS)
to carry out ev therapies, visits and/or not deferable radiological examinations. Of the pts oncology 52.85% was F,
47.15% M with an average age of 66.51 and a median of
67 years (range 35-97).
Conclusions: No pts evaluated at the external triage and in
oncology were suspected of COVID infection and, at the
moment, no oncological PTS was found positive. The triage procedures put in place can be a first screening for the
identification of a potential population at risk.

D53
Sars-CoV-2 emergency: burnout
and engagement in healthcare
workers of Medical Oncology
Unit
Podda F.1, Marchi A.R.1
1
Medical Oncology Unit, University Hospital And University Of Cagliari,
Cagliari, Cagliari

Background: The health emergency from Sars-CoV-2
required the implementation of prevention measures that
had an important impact on habits and lifestyles.
Healthcare workers are among the workers who are most
exposed to the risk of contagion, also exposing them to a
growing emotional and psychological overload. In this
work, Sars-CoV-2 has been examined as a negative factor
coming from the external environment that affects negatively on the internal organizational environment.
Exposure to the virus, fear of being infected or of infecting your family, prolonged working hours, shortage of
personal protective equipment, are just some of the factors that can create situations of stress and burnout. To
anticipate and monitor the onset of these conditions in
healthcare workers, a psychological analysis and support
project has been set up since the beginning of the phase of
maximum contagion of Sars-CoV-2.

93
Methods: The intervention was proposed to all healthcare
workers in the Medical Oncology Unit by subjecting them
to the Maslach Burnout Inventory (MBI), to investigate the
dimensions of emotional exhaustion, depersonalization and
personal accomplishment, the Utrecht Work Engagement
Scale (UWES), for engagement in the dimensions of vigor,
dedication and absorption. From the results obtained, psychological interviews were planned at implementing individual resilience and hardiness, in cases where the subject
has reported a high burnout and low value on the engagement scale, and group collaboration and sharing, in the case
of burnout of medium level and average engagement, to
face the Sars-CoV-2 state of emergency by improving the
aspects of group hardiness.
Results: 43% of healthcare workers reported high engagement while 48% are on average 9% report low values.
Burnout is present in high value in 39%, average in 35% and
not present in 26% of healthcare workers. The dimensions
detected in the MBI and UWES are directly opposite, therefore burnout healthcare workers can report high values in
engagement and vice versa. Only in 8% of cases did subjects
report high burnout values and low engagement values.
Conclusions: Providing cognitive tools through psychological support interviews facilitated greater awareness
and understanding of the problem, an understanding of the
interactions between health professionals and the emergence of Sars-Cov-2, strengthening positive relationships,
the problem solving, compensating for anxiety and reorganizing organizational roles.

D54
Management oral cancer
therapies in Oncology Clinic
during COVID19 Pandemia
Pastorini A.1, Caponigro G.1, Fusco O.1, Deligiannis P.1, Maiolani M.1,
Cubeddu A.1, Cantini S.1, Menatti E.1, Bertolini A.1
1

ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio

Background: Since 2017 to optimize the dispensing and
administration of the so-called oral cancer therapies, it was
decided to set up at our Oncology Unit of the Sondrio
Hospital a dedicated clinic. In recent years, since the number of oral therapies available has increased, above all due
to the growing indications,consequently the flow of
patients to our clinic has increased.
The onset of the pandemic COVID 19 has therefore
imposed on us, in order to reduce the gathering of patients
and caregivers in the rooms of the clinic, an reorganization
to minimizing outpatient visits to mitigate exposure and
possible further transmission and, at the same time, to
maintain the safety of oncological therapy.
Material and methods: Based on the low haematological
toxicity profile, we chose to dispense the therapy bi-monthly
Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020
