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应对老年人孤独感的技术进步:对新冠疫情的实际考量及社区恢复力影响

Technological advancements to address elderly loneliness: Practical considerations and community resilience implications for COVID-19 pandemic.

作者信息

Conroy Kristina M, Krishnan Srikripa, Mittelstaedt Stacy, Patel Sonny S

机构信息

Harvard University, Cambridge, MA, USA.

Coronavirus Visualization Team, Cambridge, MA, USA.

出版信息

Work Older People. 2020;24(4):257-264. doi: 10.1108/wwop-07-2020-0036. Epub 2020 Sep 8.

Abstract

PURPOSE

Loneliness has been a known severe public health concern among the elderly population during the COVID-19 pandemic. The aim of this paper is to discuss the practicalities of using emerging technologies to address elderly loneliness and its implications and adaptations to the outbreak of coronavirus disease-2019.

DESIGN/METHODOLOGY/APPROACH: The authors draw on examples from the literature and their own observations from working with older adults, to provide an overview of possible ways technology could help this population in the current COVID-19 pandemic.

FINDINGS

Technological advancements have offered remarkable opportunities to deliver care and maintain connections despite the need to stay physically separated. These tools can be integrated into crisis communications, public health responses, and care programs to address loneliness among the elderly. However, it must be done strategically and informed by the type of loneliness at play, environmental factors, socioeconomics, and technological literacy.

ORIGINALITY

Technological advancements can be a valuable tool in addressing known public health concerns, such as loneliness among the elderly populations. However, the use of this tool should be governed by the specific situation at hand, taking into consideration individual needs and environmental factors, especially the compounded effects caused by the coronavirus pandemic. Different technological programs and approaches are appropriate for different types of loneliness. For example, online therapy such as internet-based cognitive behavior therapy may mitigate loneliness caused by fear; online interaction such as videoconferencing may relieve loneliness caused by lack of social engagement.

PRACTICAL IMPLICATIONS

Care-providing organizations and policy makers should consider the risk of loneliness while responding to COVID-19 outbreak, particularly within elderly populations. As part of a broader plan, technological solutions as well as low-tech approaches can make a difference in mitigating loneliness. Solutions should be accessible to and usable by older adults. Provision of equipment, training, and guidance may be necessary to execute a technology-centric plan; for some communities and individuals, approaches that do not rely on advanced technology may be more effective.

摘要

目的

在2019冠状病毒病疫情期间,孤独一直是老年人群体中一个严重的公共卫生问题。本文旨在探讨利用新兴技术解决老年人孤独问题的实际情况及其对2019冠状病毒病爆发的影响和适应性。

设计/方法/途径:作者借鉴文献中的例子以及他们在与老年人合作中的观察结果,概述了在当前2019冠状病毒病疫情中技术帮助这一人群的可能方式。

研究结果

尽管需要保持身体上的距离,但技术进步为提供护理和维持联系提供了显著机会。这些工具可以整合到危机沟通、公共卫生应对和护理项目中,以解决老年人的孤独问题。然而,必须从策略上进行,并根据所涉及的孤独类型、环境因素、社会经济状况和技术素养来进行。

原创性

技术进步可以成为解决已知公共卫生问题(如老年人群体中的孤独问题)的宝贵工具。然而,这一工具的使用应根据具体情况来决定,要考虑到个人需求和环境因素,尤其是冠状病毒大流行所造成的复合影响。不同的技术方案和方法适用于不同类型的孤独。例如,基于互联网的认知行为疗法等在线治疗可能减轻因恐惧引起的孤独;视频会议等在线互动可能缓解因缺乏社交参与引起的孤独。

实际意义

提供护理的组织和政策制定者在应对2019冠状病毒病疫情时,应考虑到孤独的风险,尤其是在老年人群体中。作为更广泛计划的一部分,技术解决方案以及低技术方法在减轻孤独方面可以发挥作用。解决方案应便于老年人获取和使用。实施以技术为中心的计划可能需要提供设备、培训和指导;对于一些社区和个人来说不依赖先进技术的方法可能更有效。

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本文引用的文献

1
Addressing Loneliness in the Era of COVID-19.应对新冠疫情时代的孤独感
JAMA Health Forum. 2020 Jun 1;1(6):e200631. doi: 10.1001/jamahealthforum.2020.0631.
2
A cross-country database of COVID-19 testing.一个跨越国界的 COVID-19 检测数据库。
Sci Data. 2020 Oct 8;7(1):345. doi: 10.1038/s41597-020-00688-8.
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Factors associated with COVID-19-related death using OpenSAFELY.使用 OpenSAFELY 分析与 COVID-19 相关死亡的因素。
Nature. 2020 Aug;584(7821):430-436. doi: 10.1038/s41586-020-2521-4. Epub 2020 Jul 8.
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The complexity of loneliness.孤独的复杂性。
Acta Biomed. 2018 Jun 7;89(2):302-314. doi: 10.23750/abm.v89i2.7404.
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Association of loneliness with all-cause mortality: A meta-analysis.孤独与全因死亡率的关联:一项荟萃分析。
PLoS One. 2018 Jan 4;13(1):e0190033. doi: 10.1371/journal.pone.0190033. eCollection 2018.

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