School of Aging Studies, University of South Florida, Tampa, FL, USA.
J Appl Gerontol. 2023 Jul;42(7):1565-1573. doi: 10.1177/07334648231162360. Epub 2023 Mar 11.
COVID-19 regulations have posed challenges for long-term care (LTC). However, few studies have examined how such regulations influenced the care of residents living with dementia. Our objective was to gain an understanding of LTC administrative leaders' perceptions regarding the impact of the COVID-19 response on this population. Using the convoys of care framework, we conducted a qualitative descriptive study. Forty-three participants, representing 60 LTC facilities, completed one interview where they described how COVID-19 policies shaped care for residents living with dementia. Results from deductive thematic analysis revealed that participants believed the care convoys of residents living with dementia were strained. Participants emphasized how diminished family involvement, increased staff responsibilities, and the industry's heightened regulatory climate contributed to disrupted care. Further, they highlighted how pandemic-focused safety guidelines did not always consider the unique needs of those living with dementia. Consequently, this study may inform policy by outlining considerations for future emergencies.
COVID-19 规定给长期护理（LTC）带来了挑战。然而，很少有研究探讨这些规定如何影响患有痴呆症的居民的护理。我们的目的是了解长期护理行政领导对 COVID-19 应对措施对这一人群影响的看法。我们使用护理队伍框架进行了一项定性描述性研究。43 名参与者代表 60 个长期护理设施完成了一次访谈，他们描述了 COVID-19 政策如何影响患有痴呆症的居民的护理。从演绎主题分析中得出的结果表明，参与者认为患有痴呆症的居民的护理队伍受到了压力。参与者强调了家庭参与减少、员工责任增加以及行业监管环境加剧如何导致护理中断。此外，他们还强调了以大流行为重点的安全指南并不总是考虑到患有痴呆症的人的特殊需求。因此，这项研究可能会通过概述未来紧急情况的考虑因素为政策提供信息。
