Wolf-Ostermann Karin, Schmidt Annika, Preuß Benedikt, Heinze Franziska, Seibert Kathrin, Friedrich Anna-Carina, Domhoff Dominik, Stolle Claudia, Rothgang Heinz
Institut für Public Health und Pflegeforschung (IPP), Universität Bremen.
SOCIUM Forschungszentrum Ungleichheit und Sozialpolitik, Universität Bremen.
Pflege. 2020;33(5):277-288. doi: 10.1024/1012-5302/a000761.
Care in times of Corona: Results of a cross-sectional study in German home care services Background: People in need of care are particularly affected by the COVID-19 pandemic due to their age and previous illnesses. At the same time, a large number of daily contacts between nursing staff and those in need of care increase the risk of transmission of the disease.
The study aims to illustrate (I) to what extent home care services and semi-residential care facilities are affected by COVID-19, (II) human and material resources, (III) the care situation of those in need of care and (IV) the organizational handling of the situation and outline support requests to politicians.
More than 12,000 home-care nursing services and semi-residential care facilities were invited to participate in an online survey with quantitative and qualitative elements, 701 nursing services (response rate 7,3 %) and 96 semi-residential facilities (response rate 3,5 %) took part.
Almost a third (30,1 %, 189 / 627) of the nursing services surveyed are affected by confirmed or suspected cases of COVID-19 among clients. About half of the services report a reduced use of SGB V (47,6 %, 288 / 605) or SGB XI services (59,7 %, 375 / 628). Two thirds of the semi-residential facilities (65,6 %, 63 / 96) say they are currently closed due to the pandemic. Likewise, half of the nursing services (45,8 %, 253 / 552) reported that care with reduced use of services was at risk / unstable or even not ensured.
The results show that the situation of care-dependent people served by home-care services in the present pandemic - and also with a view to a possible second wave - should receive increased attention particularly with regard to unstable / risky care arrangements.
新冠疫情期间的照护：德国家庭护理服务的横断面研究结果 背景：由于年龄和既往疾病，需要照护的人群尤其受到新冠疫情的影响。与此同时，护理人员与需要照护者之间大量的日常接触增加了疾病传播的风险。
本研究旨在说明（I）家庭护理服务和半寄宿护理机构受新冠疫情影响的程度，（II）人力和物力资源，（III）需要照护者的照护情况，以及（IV）对该情况的组织处理方式，并概述对政界人士的支持请求。
超过12000家家庭护理服务机构和半寄宿护理机构受邀参与一项包含定量和定性内容的在线调查，701家护理服务机构（回复率7.3%）和96家半寄宿机构（回复率- 3.5%）参与了调查。
接受调查的护理服务机构中，近三分之一（30.1%，189/627）受到客户确诊或疑似新冠病例的影响。约一半的服务机构报告称SGB V（47.6%，288/605）或SGB XI服务的使用量减少（59.7%，375/628）。三分之二的半寄宿机构（65.6%，63/96）表示，由于疫情，它们目前已关闭。同样，一半的护理服务机构（45.8%，253/552）报告称，服务使用量减少的照护存在风险/不稳定，甚至无法得到保障。
结果表明，在当前疫情中，家庭护理服务所服务的依赖照护人群的情况——以及考虑到可能出现的第二波疫情——尤其应在不稳定/有风险的照护安排方面得到更多关注。
