Thomas Jefferson University, Philadelphia, PA, USA.
J Appl Gerontol. 2022 Jan;41(1):30-35. doi: 10.1177/07334648211036399. Epub 2021 Aug 3.
Social-distancing guidelines from the COVID-19 pandemic have potential to compound morbidity in persons with dementia (PwD) and increase caregiver burden. This qualitative study utilized semi-structured interviews between August-November 2020 to explore the impact of COVID-19 on PwD and caregivers. Conventional qualitative content analysis was used. Inter-coder reliability was confirmed using the kappa coefficient. Twenty-five interviews were completed with four themes emerging: disruption of socialization, fear and risk mitigation, coping strategies, and caregiver burden. Participants described how lack of socialization and confinement led to feelings of loneliness, depression, and worsening memory problems. Caregivers reported increased burden and heightened feelings of responsibility for their loved one. Increased isolation imposed by the pandemic has a detrimental impact on PwD. Further work is needed to develop interventions to support PwD and other cognitive impairments and caregivers during the pandemic and when in-person socialization is not possible.
社交隔离:新冠疫情期间的社交隔离指南可能会加重痴呆症患者(PwD)的发病和护理人员的负担。本研究于 2020 年 8 月至 11 月期间采用半结构式访谈,旨在探讨 COVID-19 对 PwD 和护理人员的影响。本研究采用常规定性内容分析法,并通过 Kappa 系数确认了编码者间的可靠性。共完成了 25 次访谈,得出了四个主题:社交中断、恐惧与风险缓解、应对策略和护理人员负担。参与者描述了缺乏社交和禁闭如何导致孤独、抑郁和记忆力下降等问题。护理人员报告说,他们的负担增加了,对亲人的责任感也增强了。大流行造成的隔离加剧对 PwD 产生了不利影响。需要进一步研究制定干预措施,以在大流行期间以及无法进行面对面社交时,为 PwD 和其他认知障碍患者及其护理人员提供支持。