Porcari Desirée E, Palmer Katie, Spalletta Gianfranco, Ciullo Valentina, Banaj Nerisa
Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, Italy.
Department of Neuroscience, University of Rome Tor Vergata, Rome, Italy.
Front Psychiatry. 2020 Nov 16;11:599851. doi: 10.3389/fpsyt.2020.599851. eCollection 2020.
During the first wave of the COVID-19 pandemic, many non-urgent outpatient services in Italy were closed due to the Government-enforced lockdown period. So far, little is known about what effect the pandemic, quarantine measures, and reductions in medical services had on people with cognitive impairment and their caregivers. To develop two versions (i.e., patients and informants/caregivers) of a survey designed to assess the impact of the COVID-19 pandemic during the first Italian lockdown period (11 March -4 May 2020) on Memory Clinic outpatients with Mild Cognitive Impairment (MCI) or dementia, and their caregivers. Psychiatrists, neuropsychologists, and epidemiologists developed two versions: one for patients with Mild Cognitive Impairment and other cognitive disorders, the other for their relatives and/or caregivers. Each version of the survey includes five sections: (a) socio-demographic information and access to technology devices; (b) individual COVID-19 protection methods; (c) knowledge about COVID-19; (d) the effect of COVID-19 on daily life; and (e) the effect of COVID-19 on emotional state. Until an effective vaccine is developed it is likely that future waves of COVID-19 will result in shielding of vulnerable older adults. We believe that this instrument will be useful as a tool to collect information and help clinicians to promptly respond to changes in patients' cognitive, psychiatric, and somatic health needs, and to help for future planning in possible subsequent quarantine periods.
在新冠疫情的第一波期间,由于政府实施封锁,意大利许多非紧急门诊服务都暂停了。到目前为止,对于疫情、隔离措施以及医疗服务减少对认知障碍患者及其照护者产生了何种影响,人们知之甚少。为了设计一项调查问卷的两个版本(即患者版和受访者/照护者版),以评估在意大利首次封锁期间(2020年3月11日至5月4日)新冠疫情对记忆门诊中患有轻度认知障碍(MCI)或痴呆症的患者及其照护者的影响。精神科医生、神经心理学家和流行病学家设计了两个版本:一个针对患有轻度认知障碍和其他认知障碍的患者,另一个针对他们的亲属和/或照护者。调查问卷的每个版本都包括五个部分:(a)社会人口统计学信息和技术设备使用情况;(b)个人新冠防护方法;(c)关于新冠的知识;(d)新冠对日常生活的影响;以及(e)新冠对情绪状态的影响。在研发出有效的疫苗之前,未来几波新冠疫情可能会导致对脆弱的老年人进行防护。我们认为,该工具将有助于收集信息,并帮助临床医生迅速应对患者认知、精神和躯体健康需求的变化,以及为未来可能的隔离期进行规划提供帮助。