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新冠疫情:痴呆症护理与研究面临的挑战

COVID-19: challenges for dementia care and research.

作者信息

Dourado Marcia Cristina Nascimento, Belfort Tatiana, Monteiro Alexandre, de Lucena Aline Tavares, Lacerda Isabel Barbeito, Gaigher Julia, Baptista Maria Alice Tourinho, Brandt Michelle, Kimura Nathália Ramos, de Souza Natalie, Gasparini Paula, Rangel Rogéria, Marinho Valeska

机构信息

Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Dement Neuropsychol. 2020 Dec;14(4):340-344. doi: 10.1590/1980-57642020dn14-040002.

Abstract

The COVID-19 pandemic has raised significant concerns about the management and care for people with dementia and their caregivers. In this context, this work will discuss how social isolation or social distancing caused by the pandemic may impact the clinical management of people with dementia, caregivers' health, and dementia research. The pandemic disrupts all forms of social interaction and may increase the behavioral impairment of people with dementia. Regarding pharmacological treatment, telemedicine is an option, but the context of social isolation raises questions about how to manage people with dementia with lack of cognitive stimulation and non-pharmacological treatment. In addition, the impact of the pandemic on caregivers should be considered. There is some evidence that telephone counseling can reduce depressive symptoms of caregivers of people with dementia. In dementia research, social isolation imposes researchers to modify their study protocols in order to continue collecting data by developing remote tools to assess the participants such as electronic informed consent and online questionnaires and tests. Thus, there is an urgent need for the evaluation and refinement of interventions to address several cognitive, behavioral, and clinical aspects of the long-term impact of the pandemic in dementia.

摘要

新冠疫情引发了人们对痴呆症患者及其照护者的管理与照护的重大担忧。在此背景下,本研究将探讨疫情导致的社会隔离或社交距离如何影响痴呆症患者的临床管理、照护者的健康状况以及痴呆症研究。疫情扰乱了所有形式的社交互动,可能会加重痴呆症患者的行为障碍。在药物治疗方面,远程医疗是一种选择,但社会隔离的背景引发了关于如何管理缺乏认知刺激和非药物治疗的痴呆症患者的问题。此外,还应考虑疫情对照护者的影响。有证据表明,电话咨询可以减轻痴呆症患者照护者的抑郁症状。在痴呆症研究中,社会隔离迫使研究人员修改研究方案,以便通过开发远程工具(如电子知情同意书、在线问卷和测试)来继续收集数据,从而评估参与者。因此,迫切需要评估和完善干预措施,以应对疫情对痴呆症长期影响的若干认知、行为和临床方面的问题。

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