Melby Line, Lyngstad Merete, Ose Solveig Osborg
Department of Health Research, SINTEF Digital, 7465 Trondheim, Norway.
Norwegian Nurses Association, 0104 Oslo, Norway.
Healthcare (Basel). 2023 Jan 25;11(3):346. doi: 10.3390/healthcare11030346.
Municipal home-healthcare services are becoming increasingly important as growing numbers of people are receiving healthcare services in their home. The COVID-19 pandemic represented a challenge for this group, both in terms of care providers being restricted in performing their duties and care receivers declining services for fear of being infected. Furthermore, preparedness plans were not always in place. The purpose of this study is to investigate the consequences for recipients of home healthcare in Norway of the actual level of COVID-19 infection spread in the local population, as observed by licensed nurses working in home-healthcare services. Approximately 2100 nurses answered the survey. The most common adverse consequences for home-healthcare recipients were increased isolation and loneliness, increased health concerns, and the loss of respite care services. An increased burden for relatives/next of kin and fewer physical meetings with service providers were frequently observed and reported as well. This study shows that there were more adverse consequences for service users in municipalities with higher levels of contagion than in those with lower levels of contagion. This indicates that the municipalities adapted measures to the local rate of contagion, in line with local municipal preparedness strategies.
随着越来越多的人在家中接受医疗服务，市政家庭医疗服务变得越来越重要。新冠疫情给这一群体带来了挑战，一方面护理人员履行职责受到限制，另一方面护理对象因担心感染而拒绝服务。此外，防范计划也并非总是到位。本研究的目的是调查挪威家庭医疗服务的实际新冠感染传播水平对家庭医疗服务接受者的影响，这些感染情况由家庭医疗服务中的执业护士观察得出。约2100名护士参与了调查。家庭医疗服务接受者最常见的不良后果包括隔离和孤独感增加、健康担忧加剧以及喘息护理服务丧失。亲属/近亲负担加重以及与服务提供者的面对面交流减少也经常被观察到并报告。本研究表明，与低感染水平的市政当局相比，高感染水平的市政当局中服务使用者面临的不良后果更多。这表明市政当局根据当地的传染率调整了措施，符合当地市政防范策略。
