Barbosa Maria Miguel, Paúl Constança, Teixeira Laetitia, Yanguas Javier, Afonso Rosa Marina
Health Sciences Research Centre of the University of Beira Interior (CICS-UBI) - Faculdade de Ciências da Saúde, Av. Infante D. Henrique, 6201-506 Covilhã, Portugal.
CINTESIS@RISE, ICBAS, University of Porto, Rua Dr. Plácido da Costa, s/n, 4200-450 Porto, Portugal.
Curr Psychol. 2022 Aug 5:1-10. doi: 10.1007/s12144-022-03499-9.
During the pandemic, restrictive measures were implemented at Portuguese residential care facilities (PRCF), such as isolating residents and ceasing collective activities. It is important to understand how PRCF are implementing activities that allow residents to occupy their time and fight isolation. As such, we aim to analyze whether: 1. new activities were implemented for residents (identifying which were carried out); 2. occupation activities were provided to isolated residents in their rooms (identifying which were carried out); 3. the implementation of activities is associated with variables like the amount of staff. This is an exploratory, quantitative, and cross-sectional study. An online questionnaire was sent by email to 2325 PRCF and entities were asked to share it with their workers. The study was also divulged on social networks. Data collection occurred between July 8th and October 18th, 2020. The study had 784 staff members participating and 90.8% reported that new activities were implemented at their facilities, predominantly videocalls. Concerning isolated residents most respondents (64.4%) stated that providing activities was impossible. Results showed that those PRCF that expanded teams had a higher percentage of new activities and activities with residents isolated in bedrooms. These results are alarming because while residents should have had more resources to cope with the pandemic, higher risks of unoccupied time and isolation existed, a dramatic situation for its potentially harmful consequences. Focusing on sanitary issues (and less on older adults) may reinforce traditional care models that had shown negative impacts before the pandemic. This highlights the need to evolve the care paradigm during and beyond the pandemic at PRCF: with Person-Centered Care as an option.
在疫情期间,葡萄牙的住宿护理机构(PRCF)实施了限制措施,如隔离居民并停止集体活动。了解PRCF如何开展让居民有事可做并对抗隔离的活动很重要。因此,我们旨在分析:1. 是否为居民开展了新活动(确定开展了哪些活动);2. 是否为隔离在房间里的居民提供了消遣活动(确定开展了哪些活动);3. 活动的开展是否与员工数量等变量相关。这是一项探索性、定量和横断面研究。通过电子邮件向2325家PRCF发送了在线问卷,并要求各机构与员工分享。该研究也在社交网络上公布。数据收集于2020年7月8日至10月18日期间进行。该研究有784名工作人员参与,90.8%的人报告称其所在机构开展了新活动,主要是视频通话。关于隔离居民,大多数受访者(64.4%)表示无法提供活动。结果显示,那些扩大了团队规模的PRCF开展新活动以及与隔离在卧室的居民开展活动的比例更高。这些结果令人担忧,因为虽然居民本应拥有更多资源来应对疫情,但出现空闲时间和隔离的风险更高,这种严峻情况可能会带来有害后果。专注于卫生问题(而较少关注老年人)可能会强化在疫情之前就已显示出负面影响的传统护理模式。这凸显了在疫情期间及之后PRCF需要转变护理模式:以以人为本的护理作为一种选择。