Department of Public Mental Health, National Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
Social Health Institute, Palacky University, Univerzitní 22, 771 11, Olomouc, Czech Republic.
Psychiatr Q. 2021 Dec;92(4):1393-1411. doi: 10.1007/s11126-021-09912-z. Epub 2021 Apr 5.
Long-stay institutions have been considerably affected by the COVID-19 pandemic. We aimed to assess the mental health of clients and staff as well as quality and safety of care in long-stay institutions during the state-of-emergency in the Czech Republic in response to COVID-19 pandemic. We found a high prevalence of poor mental health outcomes in clients (46% poor well-being, 58% depression, 45% anxiety) and staff (17% poor well-being, 22% depression, 14% anxiety). In clients, COVID-19 health-related and economic worries were associated with depression (1.79, 95% CI = 1.14; 2.8 and 2.28, 95% CI = 1.27; 4.08 respectively) and anxiety (1.63, 95% CI = 1.11; 2.4 and 1.85, 95% CI = 1.2; 2.85 respectively) and in staff with any mental health outcome (1.92, 95% CI = 1.33; 2.77 and 1.75, 95% CI = 1.15; 2.66 respectively). Lack of information and communication from authorities, lack of protective equipment and logistic difficulties were reported as challenges. Delivery of care was mostly disrupted as well as admission and discharge processes. Other reported issues included lack of staff, lack of activities for patients or an increase in usage of restrictive measures. Best practices and key future measures were identified by each institution, a summary of which is presented in the article.
长期护理机构受到 COVID-19 大流行的严重影响。我们旨在评估在捷克共和国因 COVID-19 大流行而进入紧急状态期间，长期护理机构中客户和员工的心理健康状况以及护理质量和安全性。我们发现客户（46%的健康状况不佳，58%的抑郁，45%的焦虑）和员工（17%的健康状况不佳，22%的抑郁，14%的焦虑）的心理健康不良发生率较高。在客户中，与 COVID-19 相关的健康问题和经济忧虑与抑郁（1.79，95%置信区间[CI] = 1.14；2.8）和焦虑（1.63，95% CI = 1.11；2.4）有关，而在员工中，任何心理健康问题都与（1.92，95% CI = 1.33；2.77 和 1.75，95% CI = 1.15；2.66）有关。缺乏来自当局的信息和沟通、缺乏防护设备和后勤困难被报道为挑战。护理服务大多中断，以及入院和出院流程也受到影响。其他报告的问题包括员工短缺、患者缺乏活动或限制措施的使用增加。每个机构都确定了最佳实践和关键的未来措施，文章对此进行了总结。
