School of Health Sciences, University of Occupational and Environmental Health, Japan. Yahatanishi-ku, Kitakyushu 807-8555, Japan.
J UOEH. 2022;44(2):151-159. doi: 10.7888/juoeh.44.151.
This study aims to clarify the impact of COVID-19 on the mental health of users with mental illness of home visit nursing services. We sent a questionnaire to 1,740 home visit nursing station managers, 374 (21.5%) of whom responded. The total number of valid responses was 328, which amounted to 87.7% of the returned surveys. In total, 103 (31.4%) stations reported that their users' mental health deteriorated owing to the spread of COVID-19. Eighty-nine (86.4%) stations reported that their users' anxiety increased. More than 80% of the stations explained infection control measures to their users, but 194 (59.1%) stations answered that their users found it challenging to practice cleanliness. A total of 207 (63.1%) stations answered that the promotion of strategies for coping with stress is necessary for their users. Users with mental illness are vulnerable to stress and have a higher risk of death due to COVID-19. Thus, they should be carefully observed and referred to facilities if required. Home visit nursing staff have an important role to play in the preservation of the well-being of their users with mental illness during the COVID-19 pandemic.
本研究旨在阐明 COVID-19 对居家护理服务使用者精神疾病的心理健康的影响。我们向 1740 名居家护理站经理发送了一份问卷，其中 374 名（21.5%）做出了回应。有效回复总数为 328 份，占返回调查的 87.7%。共有 103 个（31.4%）站点报告称，由于 COVID-19 的传播，其使用者的心理健康恶化。89 个（86.4%）站点报告称其使用者的焦虑增加。超过 80%的站点向其使用者解释了感染控制措施，但 194 个（59.1%）站点回答说其使用者难以保持清洁。共有 207 个（63.1%）站点回答说，对于其使用者来说，推广应对压力的策略是必要的。患有精神疾病的使用者容易受到压力的影响，并且由于 COVID-19 而死亡的风险更高。因此，如果需要，应仔细观察并将其转介到设施中。在 COVID-19 大流行期间，居家护理人员在保护其精神疾病使用者的福祉方面发挥着重要作用。
