Department of Community Health, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan.
Pau-Kan Long-Term Care Facility, Chiayi, Taiwan.
Geriatr Gerontol Int. 2020 Oct;20(10):938-942. doi: 10.1111/ggi.14022. Epub 2020 Sep 4.
The policy enforcing visiting restriction during the COVID-19 pandemic may cause feelings of social isolation among residents in long-term care facilities. This study aimed to explore family members' concerns for their relatives during the lockdown period, assess their level of acceptance of the visiting restriction policy and determine the associated factors.
From the 156 family members interviewed, demographic data, satisfaction with overall care quality, worry and concerns for their relatives, acceptance of the visiting restriction and arrangement for the residents if cluster infections occur in the facility were recorded.
Among the members interviewed, 83 (53.2%) were men; mean age of members was 56.3 ± 9.8; most were offspring of residents in the facility (n = 121, 77.6%), most visited the residents at least once a week (n = 113, 72.4%) before the lockdown. The most common concerns of the family members for their relatives were psychological stress (38.5%), followed by nursing care (26.9%) and daily activity (21.1%). Nearly 84.6% of those interviewed accepted the visiting restriction policy, and a higher satisfaction rating independently associated with acceptance of the visiting restriction policy (odds ratio 2.15).
During the lockdown period, staff members should provide more psychological information about residents to their family members. Higher satisfaction rating was found to be independent of the acceptance of the visiting restriction policy. Therefore, good quality of care of the facility wins the trust of family members, and this might mitigate the tension between the family members and staff during a major crisis. Geriatr Gerontol Int ••; ••: ••-•• Geriatr Gerontol Int 2020; 20: 938-942.
在 COVID-19 大流行期间实施探访限制政策可能会使长期护理机构的居民感到社交孤立。本研究旨在探讨家庭成员在封锁期间对其亲属的担忧,评估他们对探访限制政策的接受程度,并确定相关因素。
在接受采访的 156 名家属中,记录了人口统计学数据、对整体护理质量的满意度、对亲属的担忧和关注、对探访限制政策的接受程度以及如果设施内发生群集感染时对居民的安排。
在接受采访的成员中,有 83 人(53.2%)为男性;成员的平均年龄为 56.3±9.8 岁;大多数是居民的子女(n=121,77.6%),大多数人在封锁前至少每周探望一次居民(n=113,72.4%)。家庭成员对其亲属最常见的担忧是心理压力(38.5%),其次是护理(26.9%)和日常活动(21.1%)。近 84.6%的受访者接受了探访限制政策,满意度评分较高与接受探访限制政策独立相关(优势比 2.15)。
在封锁期间,工作人员应向家属提供更多关于居民的心理信息。较高的满意度评分被发现与接受探访限制政策独立相关。因此,设施的优质护理赢得了家属的信任,这可能会在重大危机期间缓解家属与工作人员之间的紧张关系。老年医学与老年病学国际杂志••;••:••-••老年医学与老年病学国际杂志 2020;20:938-942。