加拿大退伍军人在 COVID-19 大流行期间的健康状况：COVID-19 退伍军人健康研究的横断面结果。
Well-being of Canadian Veterans during the COVID-19 pandemic: cross-sectional results from the COVID-19 Veteran well-being study.
机构信息
The MacDonald Franklin OSI Research Centre, Lawson Health Research Institute, London, Ontario, Canada.
Department of Psychiatry, Western University, London, Ontario, Canada.
出版信息
Eur J Psychotraumatol. 2022 Jan 24;13(1):2012374. doi: 10.1080/20008198.2021.2012374. eCollection 2022.
BACKGROUND
The impacts of the COVID-19 pandemic have disproportionally affected different population groups. Veterans are more likely to have pre-existing mental health conditions compared to the general Canadian population, experience compounded stressors resulting from disruptions to familial, social, and occupational domains, and were faced with changes in health-care delivery (e.g. telehealth). The objectives of this study are to assess (a) the mental health impact of COVID-19 and related life changes on the well-being of Veterans and (b) perceptions of and satisfaction with changes in health-care treatments and delivery during the pandemic.
METHODS
A total of 1136 Canadian Veterans participated in an online survey. Participants completed questions pertaining to their mental health and well-being, lifestyle changes, and concerns relating to the COVID-19 pandemic, as well as experiences and satisfaction with health-care treatments during the pandemic.
RESULTS
Results showed that 55.9% of respondents reported worse mental health functioning compared to before the pandemic. The frequency of probable posttraumatic stress disorder, major depressive disorder, generalized anxiety disorder, alcohol use disorder, and suicidal ideation were 34.2%, 35.3%, 26.8%, 13.0%, and 22.0%, respectively. Between 38.6% and 53.1% of respondents attributed their symptoms as either directly related to or exacerbated by the pandemic. Approximately 18% of respondents reported using telehealth for mental health services during the pandemic, and among those, 72.8% indicated a choice to use telehealth even after the pandemic.
CONCLUSIONS
This study found that Veterans experienced worsening mental health as a result of the COVID-19 pandemic. The use of telehealth services was widely endorsed by mental health treatment-seeking Veterans who transitioned to virtual care during the pandemic. Our findings have important clinical and programmeadministrator implications, emphasizing the need to reach out to support veterans, especially those with pre-existing mental health conditions and to enhance and maintain virtual care even post-pandemic.
背景
COVID-19 大流行对不同人群产生了不成比例的影响。与加拿大普通人群相比，退伍军人更有可能患有先前存在的心理健康问题，他们经历了家庭、社会和职业领域中断所导致的复合压力源，并且面临着医疗保健服务（例如远程医疗）的变化。本研究的目的是评估 (a) COVID-19 及其相关生活变化对退伍军人福祉的心理健康影响，以及 (b) 大流行期间对医疗保健治疗和服务变化的看法和满意度。
方法
共有 1136 名加拿大退伍军人参加了在线调查。参与者完成了有关他们的心理健康和福祉、生活方式变化以及与 COVID-19 大流行相关的问题，以及在大流行期间对医疗保健治疗的经验和满意度的问题。
结果
结果表明，55.9%的受访者报告称，与大流行前相比，他们的心理健康功能更差。创伤后应激障碍、重度抑郁症、广泛性焦虑症、酒精使用障碍和自杀意念的发生频率分别为 34.2%、35.3%、26.8%、13.0%和 22.0%。38.6%至 53.1%的受访者将其症状归因于大流行或大流行加剧。大约 18%的受访者报告在大流行期间使用远程医疗进行心理健康服务，其中 72.8%的人表示即使在大流行后也会选择使用远程医疗。
结论
本研究发现，退伍军人因 COVID-19 大流行而经历了心理健康状况的恶化。寻求心理健康治疗的退伍军人广泛支持远程医疗服务的使用，他们在大流行期间转向虚拟护理。我们的研究结果具有重要的临床和方案管理员意义，强调需要与退伍军人接触以提供支持，特别是那些有先前存在的心理健康问题的退伍军人，并在大流行后加强和维持虚拟护理。
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