2019冠状病毒病防护措施对成年囊性纤维化患者健康、心理健康及治疗依从性的影响
The impact of COVID-19 shielding on the wellbeing, mental health and treatment adherence of adults with cystic fibrosis.
作者信息
Westcott Kristina A, Wilkins Frances, Chancellor Amelia, Anderson Alan, Doe Simon, Echevarria Carlos, Bourke Stephen J
机构信息
Royal Victoria Infirmary, Newcastle upon Tyne, UK.
出版信息
Future Healthc J. 2021 Mar;8(1):e47-e49. doi: 10.7861/fhj.2020-0205.
Abstract
People with cystic fibrosis (CF) were advised to undertake 'shielding' at home during the COVID-19 pandemic to reduce their risk of infection. We studied the impact shielding had on their wellbeing, mental health (GAD-7 and PHQ-9 scores) and adherence to treatment. 63 (46%) of 137 people surveyed responded (19 anonymously; 44 gave their identity). Most (94%) adhered to shielding advice 'all the time/often' but many (76%) found this difficult with disruption of their routines, relationships and exercise habits. Treatment adherence rates were high and continued during COVID-19. Depression scores were low and remained stable. Clinically significant anxiety rates rose from 27% pre-COVID-19 to 54% during COVID-19 and seven patients requested a psychology consultation from this study. There is a need to monitor the wellbeing of people with CF during the ongoing COVID-19 pandemic.
摘要
在新冠疫情期间，囊性纤维化（CF）患者被建议居家“防护”以降低感染风险。我们研究了防护措施对他们的健康、心理健康（广泛性焦虑障碍量表-7和患者健康问卷-9得分）以及治疗依从性的影响。在接受调查的137人中，63人（46%）做出了回应（19人匿名；44人提供了身份信息）。大多数人（94%）“一直/经常”遵守防护建议，但许多人（76%）发现由于日常生活、人际关系和锻炼习惯被打乱，做到这一点很困难。治疗依从率很高，且在新冠疫情期间持续保持。抑郁得分较低且保持稳定。具有临床意义的焦虑率从新冠疫情前的27%升至疫情期间的54%，有7名患者因本研究而寻求心理咨询。在持续的新冠疫情期间，有必要监测CF患者的健康状况。
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