School of Nursing and Midwifery, National University of Ireland Galway, Aras Moyola, University Road, Galway, Ireland.
Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Limerick, Ireland.
Arch Psychiatr Nurs. 2021 Aug;35(4):375-394. doi: 10.1016/j.apnu.2021.05.002. Epub 2021 May 11.
Globally, governments have introduced a variety of public health measures including restrictions and reducing face-to-face contact, to control the spread of COVID-19. This has implications for mental health services in terms of support and treatment for vulnerable groups such as people with pre-existent mental health conditions. However, there is limited evidence of the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions.
To identify the impact of COVID-19 and its related restrictions on people with pre-existent mental health conditions.
A scoping review of the literature was employed. Eight electronic databases (PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL, Scopus, Academic Search Complete) were searched and 2566 papers identified. 30 papers met the criteria for this review and findings were summarised under three key review questions.
COVID-19 and its related restrictions have had a notable effect on people with pre-existent mental health conditions. Public health restrictions have contributed to increased levels of social isolation, loneliness, and reduced opportunities for people to connect with others. Reduced access to health services and treatments has compounded matters for those seeking support. Exacerbation and deterioration of symptoms are commonly reported and can lead to greater susceptibility to COVID-19 infection.
The importance of proactive planning, alternative accessible healthcare services and supports for vulnerable and at-risk groups is illuminated. Increased monitoring, early intervention and individually tailored care strategies are advocated. Recommendations revolve around the need for enhanced provision of remote support strategies facilitated using technology enhanced resources. ACCESSIBLE SUMMARY.
在全球范围内，各国政府已采取多种公共卫生措施，包括限制和减少面对面接触，以控制 COVID-19 的传播。这对心理健康服务产生了影响，因为需要为有预先存在的心理健康状况的弱势群体提供支持和治疗。然而，关于 COVID-19 及其相关限制对有预先存在的心理健康状况的人的影响的证据有限。
确定 COVID-19 及其相关限制对有预先存在的心理健康状况的人的影响。
进行了文献范围的审查。共搜索了 8 个电子数据库（PsycINFO、Cochrane、Web of Science、MEDLINE、EMBASE、CINAHL、Scopus、Academic Search Complete），共确定了 2566 篇论文。有 30 篇论文符合本综述的标准，并根据三个关键审查问题总结了研究结果。
COVID-19 及其相关限制对有预先存在的心理健康状况的人产生了显著影响。公共卫生限制导致了更高水平的社会隔离、孤独感，减少了人们与他人联系的机会。寻求支持的人获得卫生服务和治疗的机会减少，情况更加复杂。症状的恶化和恶化是常见的报道，可能导致更容易感染 COVID-19。
突显了为弱势群体和高风险群体制定积极主动的规划、替代可及的医疗保健服务和支持的重要性。提倡增加监测、早期干预和个性化护理策略。建议涉及需要增强使用技术增强资源提供远程支持策略。
