新冠疫情期间儿童和青少年的隔离遵从性和心理影响。
Compliance and Psychological Impact of Quarantine in Children and Adolescents due to Covid-19 Pandemic.
机构信息
Department of Pediatrics, Government Medical College, Bettiah, Bihar, India.
Department of Community Medicine, Nalanda Medical College and Hospital, Patna, Bihar, India.
出版信息
Indian J Pediatr. 2020 Jul;87(7):532-536. doi: 10.1007/s12098-020-03347-3. Epub 2020 May 29.
OBJECTIVES
To examine a cohort of children and adolescents quarantined during Coronavirus disease 2019 outbreak in India and to describe their understanding of, compliance with and the psychological impact of quarantine experience.
METHODS
One hundred twenty one children and adolescents along with their parents were interviewed regarding their compliance and psychological distress during the quarantine period. A comparable data was also obtained from 131 children and adolescents who were not quarantined.
RESULTS
Most of the children and adolescents were non-compliant as compliance with all requirements was low (7.43%), though compliance with community protective measures (17.35%) was better than compliance with household protective measures (10.71%). Quarantined children and adolescents experienced greater psychological distress than non-quarantined children and adolescents (p ˂0.001). Worry (68.59%), helplessness (66.11%) and fear (61.98%) were the most common feelings experienced under quarantine.
CONCLUSIONS
The low compliance with quarantine requirements as seen in this study raises a serious concern about the effectiveness of quarantine as a preventive measure of disease transmission. Compliance and mental health problems can be improved by providing adequate financial support and enhanced knowledge about pandemic planning.
目的
研究在印度 2019 年冠状病毒病爆发期间被隔离的儿童和青少年队列，并描述他们对隔离体验的理解、遵守情况和心理影响。
方法
对 121 名儿童和青少年及其父母进行了访谈，了解他们在隔离期间的遵守情况和心理困扰。还从 131 名未被隔离的儿童和青少年中获得了可比数据。
结果
大多数儿童和青少年不遵守规定，因为所有规定的遵守率都很低（7.43%），尽管遵守社区保护措施（17.35%）好于遵守家庭保护措施（10.71%）。被隔离的儿童和青少年比未被隔离的儿童和青少年经历更大的心理困扰（p<0.001）。担忧（68.59%）、无助（66.11%）和恐惧（61.98%）是隔离期间最常见的感受。
结论
本研究中观察到的隔离规定低遵守率严重关注了隔离作为疾病传播预防措施的有效性。通过提供足够的财政支持和加强大流行规划知识，可以改善遵守规定和心理健康问题。
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