Institute of Nursing and Health Research, Ulster University, Newtownabbey, Northern Ireland, UK.
Institute of Nursing and Health Research, Ulster University, Londonderry, Northern Ireland, UK.
Health Soc Care Community. 2022 Jul;30(4):1275-1285. doi: 10.1111/hsc.13677. Epub 2021 Dec 9.
The COVID-19 pandemic has led to the closure or reduction in support services for family carers, resulting in increased social isolation and stress for this population. The current scoping review aimed to identify the impact of COVID-19 upon carers and support provided for them during the pandemic. Four online databases (CINAHL, Medline, PsycINFO and PubMed) were systematically searched on 16th December 2020 and updated on 16th July 2021 for articles written in English and published after January 2020, focused on the carer and the impact of COVID-19. Google scholar and reference lists of relevant papers were checked, and key authors were contacted for further relevant information. The database searches identified 976 citations, which resulted in 670 unique articles following the removal of duplicates. Title and abstract screening identified 63 articles for full-text review, 11 of which were subsequently excluded, leaving 52 articles which were subject to inductive thematic analysis. Four key themes were identified. Whilst a number of issues were identified that were exacerbated by the pandemic, others directly resulting from it were revealed. Few studies discussed support measures for carers and only one trial evaluated an intervention. This review identifies the impact of COVID-19 on carers, but there is a dearth of evidence to inform appropriate tailored support. Governments need to identify carers as a priority group in social care reform and commission co-produced, evidence and experience informed pathways to reinstate support services, potentially modelled on pandemic plans following the example currently being considered for the paid healthcare workforce.
COVID-19 大流行导致为家庭照顾者提供的支持服务关闭或减少,使这一人群的社会隔离和压力增加。本次范围界定综述旨在确定 COVID-19 对照顾者及其在大流行期间所获得的支持的影响。2020 年 12 月 16 日,对 4 个在线数据库(CINAHL、Medline、PsycINFO 和 PubMed)进行了系统搜索,并于 2021 年 7 月 16 日进行了更新,以获取 2020 年 1 月后以英文撰写并发表的、聚焦于照顾者及其受 COVID-19 影响的文章。还检查了 Google 学术和相关论文的参考文献列表,并联系了主要作者以获取进一步的相关信息。数据库搜索共确定了 976 条引文,经过去重后得到 670 篇独特的文章。标题和摘要筛选确定了 63 篇全文审查的文章,其中 11 篇随后被排除,留下 52 篇文章进行归纳主题分析。确定了四个关键主题。虽然有一些问题是大流行加剧的,但也有一些是直接由大流行引起的。很少有研究讨论照顾者的支持措施,只有一项试验评估了一种干预措施。本综述确定了 COVID-19 对照顾者的影响,但缺乏适当的针对性支持的证据。政府需要将照顾者确定为社会护理改革的优先群体,并委托共同制定、以证据和经验为依据的途径,以恢复支持服务,可能会仿照目前正在考虑为有偿医疗保健人员制定的大流行计划。
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