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新冠疫情期间的韧性和对痴呆症患者的支持:一项定性研究。

Resilience and supporting people living with dementia during the time of COVID-19; A qualitative study.

机构信息

Department of Primary Care & Mental Health, 4591University of Liverpool, Liverpool, UK.

Department of Primary Care & Mental Health, 4591University of Liverpool, UK; NIHR ARC NWC, Liverpool, UK.

出版信息

Dementia (London). 2022 Jan;21(1):250-269. doi: 10.1177/14713012211036601. Epub 2021 Aug 4.

Abstract

OBJECTIVES

To explore the different factors of resilience for people living with dementia and unpaid carers, in response to sudden changes in care and lifestyle during the COVID-19 pandemic.

METHODS

Unpaid carers and people living with dementia were offered telephone interviews in April 2020 to discuss their experiences since the COVID-19 pandemic. Participants were asked about the benefits and challenges of accessing dementia support, as well as coping, symptoms, strategies and impacts. Each transcript was analysed using inductive and deductive thematic analysis by two researchers.

FINDINGS

Semi-structured interviews from 50 participants ( = 42 unpaid carers and = 8 people living with dementia) reported protective and risk factors of resilience concerning (1) communication, (2) adaptations, (3) support networks and (4) lifestyle factors and coping mechanisms.

CONCLUSIONS

Resilience factors considered both organisational factors for external support, along with individual coping mechanisms. Organisations and social support services should consider resilience factors in future service planning, to better support people living with dementia, or caring someone living with dementia, during times of great stress. The ecological model of resilience established from this research refers to resilience during times of unexpected change in the COVID-19 pandemic; however, it could be considered relevant in other periods of high stress within this cohort.

摘要

目的

探讨在 COVID-19 大流行期间,针对照顾者和痴呆患者生活方式和照护的突然变化,他们各自的韧性因素有何不同。

方法

2020 年 4 月,我们对无偿照顾者和痴呆患者进行了电话访谈,以了解他们在 COVID-19 大流行期间的经历。参与者被问及获得痴呆症支持的好处和挑战,以及应对、症状、策略和影响。两名研究人员使用归纳和演绎主题分析方法对每份转录本进行分析。

结果

来自 50 名参与者(=42 名无偿照顾者和=8 名痴呆症患者)的半结构化访谈报告了与(1)沟通、(2)适应、(3)支持网络和(4)生活方式因素和应对机制有关的韧性因素。

结论

韧性因素既考虑了外部支持的组织因素,也考虑了个人应对机制。在未来的服务规划中,组织和社会支持服务应考虑韧性因素,以便在面临巨大压力时更好地支持痴呆患者或照顾其的人。本研究建立的韧性生态模型是指在 COVID-19 大流行期间应对意外变化时的韧性;然而,在该人群的其他高压力时期,它也可能被认为是相关的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c21/8721689/c47a80d64479/10.1177_14713012211036601-fig1.jpg

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