Law School, University of Eastern Finland, Joensuu, Finland.
Faculty of Law, University of Helsinki, Helsinki, Finland.
J Alzheimers Dis. 2023;92(4):1473-1485. doi: 10.3233/JAD-221096.
Exceptional circumstances such as the COVID-19 pandemic increase the risk for vulnerability among people living with dementia.
This article discusses the well-being and rights of people living with dementia in Finland during the pandemic and analyses the legal framework covering the restrictions of their rights during that period.
The empirical research comprises a survey of persons with dementia (n = 31) and their family members (n = 168). The participants completed a total of 13 survey items involving questions about their well-being during the pandemic, restrictions on freedom, access to services, information on pandemic regulations and guidelines as well as possible problems with authorities. The survey included both multiple choice and open-ended questions.
According to people with dementia and their family members, by spring 2021, the pandemic had reduced meaningful activities available to people living with dementia in Finland and decreased the number of meetings between them and other people. Many reported a decline in their physical and/or mental well-being or greater difficulty or delays in accessing social and health services. Over a third of respondents found that the right to meet people was restricted among people with dementia, and almost half of the respondents took the view that their freedom of movement was restricted. There were also major shortcomings in terms of information on restrictions.
The results highlight the importance of bearing in mind the negative effects that restrictions on mobility, meeting other people and meaningful activities can have on the well-being of people living with dementia. This should be considered, for example, when reforming legislation.
特殊情况,如 COVID-19 大流行,增加了痴呆症患者脆弱性的风险。
本文讨论了在大流行期间芬兰痴呆症患者的福祉和权利问题,并分析了涵盖这一期间限制其权利的法律框架。
实证研究包括对痴呆症患者(n=31)及其家庭成员(n=168)的调查。参与者总共完成了 13 项调查,其中包括有关他们在大流行期间的幸福感、自由限制、服务获取、大流行法规和准则信息以及与当局可能出现的问题等问题。调查包括多项选择和开放式问题。
根据痴呆症患者及其家庭成员的说法,到 2021 年春季,大流行已经减少了芬兰痴呆症患者可获得的有意义的活动,并减少了他们与其他人之间的会面次数。许多人报告说他们的身体和/或心理健康状况下降,或者更难或更延迟地获得社会和健康服务。超过三分之一的受访者表示,限制痴呆症患者与他人会面的权利受到限制,近一半的受访者认为他们的行动自由受到限制。此外,关于限制的信息也存在重大缺陷。
结果强调了必须牢记限制流动性、与他人会面和有意义的活动对痴呆症患者福祉的负面影响。在改革立法时应考虑到这一点。