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“庆祝老年”:在新冠疫情期间这一表述过时了吗?老年人居家隔离与孤独的医学、社会、心理及宗教影响

"Celebrating old age": an obsolete expression during the COVID-19 pandemic? Medical, social, psychological, and religious consequences of home isolation and loneliness among the elderly.

作者信息

Burlacu Alexandru, Mavrichi Ionut, Crisan-Dabija Radu, Jugrin Daniel, Buju Smaranda, Artene Bogdan, Covic Adrian

机构信息

Department of Interventional Cardiology - Cardiovascular Diseases Institute, Iasi, Romania.

'Grigore T. Popa' University of Medicine, Iasi, Romania.

出版信息

Arch Med Sci. 2020 Jun 8;17(2):285-295. doi: 10.5114/aoms.2020.95955. eCollection 2021.

Abstract

Since epidemiological arguments favouring self-isolation during the COVID-19 pandemic are widely recommended, the consequences of social isolation/loneliness of older people considered to be at higher risk for severe illness are neglected. We identified and described medical, social, psychological, and religious issues, indirectly generated by the COVID-19 lockdown. Mortality induced by SARS-CoV-2 and death from other "neglected" issues were put in balance. Arguments for strict lockdown from most European countries are compared with a relaxed approach, as has been applied in Sweden. Social isolation affects disproportionally the elderly, transforming it into a public health concern. One witnesses openly ageist discourse, while painful decisions to prioritising ventilation for younger patients deepens the sense of hopelessness. Fear has led to anxiety disorders and depression. Various religious practices provide resources for coping with isolation/overcoming loneliness. Higher levels of mortality/morbidity due to "COVID-19 versus non-COVID-19" polarisation oblige the healthcare community to find ways to provide proper care for its elders.

摘要

由于在新冠疫情期间广泛推荐支持自我隔离的流行病学观点,那些被认为患重病风险较高的老年人所面临的社会隔离/孤独的后果却被忽视了。我们识别并描述了由新冠疫情封锁间接引发的医学、社会、心理和宗教问题。比较了新冠病毒导致的死亡率和其他“被忽视”问题导致的死亡情况。将大多数欧洲国家采取的严格封锁措施的理由与瑞典采用的较为宽松的做法进行了比较。社会隔离对老年人的影响尤为严重,使其成为一个公共卫生问题。人们公开目睹了年龄歧视性言论,而优先为年轻患者提供通气治疗这一痛苦决定加深了绝望感。恐惧导致了焦虑症和抑郁症。各种宗教活动为应对隔离/克服孤独提供了资源。“新冠疫情与非新冠疫情”两极分化导致的更高死亡率/发病率迫使医疗界找到为老年人提供适当护理的方法。

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