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报告称,COVID-19 大流行对智障人士及其照顾者的影响:范围综述。

The reported effects of the COVID-19 pandemic on people with intellectual disability and their carers: a scoping review.

机构信息

Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland.

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

出版信息

Ann Med. 2021 Dec;53(1):786-804. doi: 10.1080/07853890.2021.1922743.

Abstract

BACKGROUND

People with an intellectual disability are a vulnerable group during COVID-19 due to multi-morbidity, frailty, underlying conditions/health problems, social circumstances and limitations in understanding. This place them at greater risk of more severe outcomes from COVID-19.

OBJECTIVE

To chart the evidence of the effects of the COVID-19 pandemic on people with intellectual disability and their carers reported in the research.

METHODS

A scoping review method was used to review literature published across eight databases in 2020 and included manual searches of reference lists of included articles.

RESULTS

Sixteen studies were selected for inclusion. The findings highlight that professionals, people with intellectual disability and their carers were keen to comply with pandemic related public health guidance. However, implementing infection prevention and control measures in certain contexts for people with intellectual disability was challenging. Thereby a rights-based, person-centred approach to care is essential and professionals need to extend their understanding and practice of collaborative working to include people with intellectual disability and their family/carers. The findings highlight that compliance with public health guidance and infection control measures can be difficult for people with intellectual disability to implement.

CONCLUSIONS

There is limited good quality robust research on COVID-19 and people with intellectual disability and/or their carers experiences.

摘要

背景

由于多病共存、体弱、潜在条件/健康问题、社会环境和理解能力有限,智力残疾人士在 COVID-19 期间是一个弱势群体。这使他们面临更严重的 COVID-19 后果的风险更高。

目的

综述 COVID-19 大流行对智力残疾人士及其照顾者的影响的研究证据。

方法

采用范围综述方法,对 2020 年八个数据库中的文献进行综述,并对纳入文章的参考文献进行手动搜索。

结果

选择了 16 项研究纳入。研究结果强调,专业人员、智力残疾人士及其照顾者都热衷于遵守与大流行相关的公共卫生指导。然而,在某些情况下为智力残疾人士实施感染预防和控制措施具有挑战性。因此,以权利为基础、以个人为中心的护理方法至关重要,专业人员需要扩大他们对协作工作的理解和实践,包括智力残疾人士及其家庭/照顾者。研究结果强调,遵守公共卫生指导和感染控制措施对智力残疾人士来说可能难以实施。

结论

关于 COVID-19 以及智力残疾人士及其照顾者的经验,高质量的稳健研究有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcd4/8205046/74796d222991/IANN_A_1922743_F0001_C.jpg

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