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[新冠疫情期间葡萄牙的养老院:未来面临的挑战]

[Nursing homes in Portugal during the COVID-19 outbreak: Challenges for the future].

作者信息

Araujo Odete, Sequeira Carlos, Ferré-Grau Carme, Sousa Lia

机构信息

School of Nursing, University of Minho, Portugal; Health Sciences Research Unit, Nursing (UICISA E: UMinho), Portugal; CINTESIS-Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal.

CINTESIS-Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal; Nursing School of Porto, Porto, Portugal.

出版信息

Enferm Clin (Engl Ed). 2022 Mar-Apr;32(2):83-91. doi: 10.1016/j.enfcle.2021.09.001.

DOI:10.1016/j.enfcle.2021.09.001
PMID:35577413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9099353/
Abstract

OBJECTIVE

This study sought to explore the perceptions of experts about the performance of nursing homes during the COVID-19 outbreak.

METHOD

A qualitative study was developed in two stages: (1) a focus group, conducted in May 2020, with 5 experts; (2) a modified e-Delphi, implemented in September 2020 with 22 experts, both in the area of assistance in nursing homes from Northern and Center of Portugal.

RESULTS

The results allowed identifying three main areas that influenced the performance of nursing homes during the COVID-19 outbreak: organization models and resources; physical and mental health of residents and; family as a support.

CONCLUSIONS

Older adults residing in nursing homes are particularly vulnerable to severe disease or death from COVID-19. It is emergent that nursing homes prevent physical and mental frailty in older residents and the loneliness aggravated by the pandemic circumstances. Decision-makers need to recognize that older people living in nursing homes have several health needs, which should determine the implementation of new strategies namely the increase in the number of professionals with appropriate skills.

摘要

目的

本研究旨在探讨专家对新冠疫情期间养老院表现的看法。

方法

开展了一项分两个阶段的定性研究:(1)2020年5月对5名专家进行了焦点小组访谈;(2)2020年9月对葡萄牙北部和中部养老院护理领域的22名专家实施了改良的电子德尔菲法。

结果

研究结果确定了影响新冠疫情期间养老院表现的三个主要方面:组织模式与资源;居民的身心健康;家庭支持。

结论

居住在养老院的老年人特别容易因感染新冠病毒而患上重病或死亡。养老院亟需预防老年居民的身体和精神虚弱以及疫情造成的孤独感加剧。决策者需要认识到,居住在养老院的老年人有多种健康需求,这应促使实施新策略,即增加具备适当技能的专业人员数量。

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本文引用的文献

1
Evolution and effects of COVID-19 outbreaks in care homes: a population analysis in 189 care homes in one geographical region of the UK.养老院内 COVID-19 疫情的演变和影响:英国一个地理区域内 189 家养老院的人群分析。
Lancet Healthy Longev. 2020 Oct;1(1):e21-e31. doi: 10.1016/S2666-7568(20)30012-X. Epub 2020 Oct 20.
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The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review.新型冠状病毒肺炎及其他病毒性流行病对一线医护人员的心理影响及其应对方法:一项快速系统综述
Brain Behav Immun Health. 2020 Oct;8:100144. doi: 10.1016/j.bbih.2020.100144. Epub 2020 Sep 17.
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Severe Staffing And Personal Protective Equipment Shortages Faced By Nursing Homes During The COVID-19 Pandemic.在 COVID-19 大流行期间,养老院面临严重的人员配备和个人防护设备短缺问题。
Health Aff (Millwood). 2020 Oct;39(10):1812-1821. doi: 10.1377/hlthaff.2020.01269. Epub 2020 Aug 20.
4
The Importance of Physical Activity to Care for Frail Older Adults During the COVID-19 Pandemic.在新冠疫情期间,身体活动对照顾体弱老年人的重要性。
J Am Med Dir Assoc. 2020 Jul;21(7):973-976. doi: 10.1016/j.jamda.2020.04.022. Epub 2020 Apr 30.
5
Loneliness and Isolation in Long-term Care and the COVID-19 Pandemic.长期护理中的孤独与隔离以及新冠疫情
J Am Med Dir Assoc. 2020 Jul;21(7):966-967. doi: 10.1016/j.jamda.2020.05.006. Epub 2020 May 8.
6
Playing the Cards We Are Dealt: COVID-19 and Nursing Homes.应对现状:新冠疫情与养老院
J Am Geriatr Soc. 2020 Aug;68(8):1629-1630. doi: 10.1111/jgs.16658. Epub 2020 Jun 29.
7
Long-Term Care Policy after Covid-19 - Solving the Nursing Home Crisis.新冠疫情后的长期护理政策——解决养老院危机
N Engl J Med. 2020 Sep 3;383(10):903-905. doi: 10.1056/NEJMp2014811. Epub 2020 May 27.
8
Amid the COVID-19 Pandemic, Meaningful Communication between Family Caregivers and Residents of Long-Term Care Facilities is Imperative.在 COVID-19 大流行期间,长期护理设施中的家庭护理人员和居民之间进行有意义的沟通至关重要。
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):410-415. doi: 10.1080/08959420.2020.1765684. Epub 2020 May 22.
9
COVID-19: it is time to balance infection management and person-centered care to maintain mental health of people living in German nursing homes.新冠疫情:是时候平衡感染管理与以人为本的照护,以维护德国养老院居民的心理健康了。
Int Psychogeriatr. 2020 Oct;32(10):1157-1160. doi: 10.1017/S1041610220000897. Epub 2020 May 12.
10
Nursing homes or besieged castles: COVID-19 in northern Italy.养老院还是被围困的城堡:意大利北部的新冠疫情
Lancet Psychiatry. 2020 May;7(5):387-388. doi: 10.1016/S2215-0366(20)30149-8.