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新冠疫情期间的心理健康挑战:来自家中有神经发育障碍儿童的家长的观点

Mental health challenges during COVID-19: perspectives from parents with children with neurodevelopmental disabilities.

作者信息

Currie Genevieve, Finlay Brittany, Seth Ashish, Roth Christiane, Elsabbagh Myada, Hudon Anne, Hunt Matthew, Jodoin Sebastien, Lach Lucyna, Lencucha Raphael, Nicholas David B, Shakako Keiko, Zwicker Jennifer

机构信息

School of Public Policy, University of Calgary, Calgary, AB, Canada.

School of Nursing and Midwifery, Mount Royal University, Calgary, AB, Canada.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2136090. doi: 10.1080/17482631.2022.2136090.

Abstract

BACKGROUND

The global pandemic and subsequent denials, delays, and disruptions in essential daily activities created significant challenges for children with neurodevelopmental disorders (NDDs) and their parents. Public health restrictions during the COVID-19 pandemic limited access to supports and services required by children with NDDs to maintain their health and well-being.

OBJECTIVE

This study sought to understand the impacts of these public health measures and restrictions on mental health from the perspective of parents with children with NDDs to inform pathways for public health policies responsive to the needs of this population.

METHOD

Interpretive descriptive design was used to guide data collection and data analysis. Forty caregivers were interviewed about their experience with pandemic restrictions.

FINDINGS

Generic policy measures contributed to many gaps in families' social support systems and contributed to mental health challenges for children and their parents. Four themes emerged: 1) lack of social networks and activities, 2) lack of access to health and social supports, 3) tension in the family unit, and 4) impact on mental health for children and their parents.

RECOMMENDATIONS

Emergency preparedness planning requires a disability inclusive approach allocating resources for family supports in the home and community. Families identified supports to minimize further pandemic disruptions and enhance recovery.

摘要

背景

全球大流行以及随后基本日常活动的拒绝、延误和中断给神经发育障碍(NDDs)儿童及其父母带来了重大挑战。新冠疫情期间的公共卫生限制措施限制了NDDs儿童维持其健康和福祉所需的支持和服务的获取。

目的

本研究旨在从患有NDDs儿童的父母的角度了解这些公共卫生措施和限制对心理健康的影响,以为响应这一人群需求的公共卫生政策提供指导。

方法

采用解释性描述设计来指导数据收集和数据分析。对40名照顾者进行了访谈,了解他们在疫情限制方面的经历。

结果

一般政策措施导致家庭社会支持系统出现许多缺口,并给儿童及其父母带来了心理健康挑战。出现了四个主题:1)缺乏社交网络和活动,2)难以获得健康和社会支持,3)家庭单元关系紧张,4)对儿童及其父母心理健康的影响。

建议

应急准备规划需要一种包容残疾的方法,为家庭在家庭和社区中的支持分配资源。家庭确定了一些支持措施,以尽量减少疫情的进一步干扰并促进恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d140/9629071/115f6bac6b55/ZQHW_A_2136090_F0001_OC.jpg

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