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报告的 COVID-19 大流行对智障人士及其照顾者的影响的更新:范围综述。

An update of the reported effects of the COVID-19 pandemic on person with intellectual disability and their carers: a scoping review.

机构信息

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland.

出版信息

Ann Med. 2023 Dec;55(1):2196437. doi: 10.1080/07853890.2023.2196437.

Abstract

BACKGROUND

The effects of the COVID-19 pandemic has been felt by all groups in society and people with intellectual disability are especially vulnerable due to underlying conditions/health problems, multi-morbidity, limitations in understanding, frailty and social circumstances. This places people with intellectual disability, their families and carers at increased risk of stress and in need of support.

OBJECTIVE

To update and chart the evidence of the effects of the COVID-19 pandemic on people with intellectual disability, their families and carers reported within the research in 2021.

METHODS

A scoping review of research published in 2021 across 7 databases.

RESULTS

84 studies met the inclusion criteria, and the findings highlight people with intellectual disability are at a greater risk to COVID-19 health outcomes due to underlying health concerns and access issues. The effects of COVID-19 can be seen from a personal, social and health perspective for people with intellectual disability, their carers and families. However, COVID-19 did have some unanticipated benefits such as: less demand on time, greater opportunity to engage with people of value and building resilience.

CONCLUSIONS

COVID-19 presents many challenges but for people with intellectual disability compounding existing obstacles encountered in access issues, service provision and supports available. There is a need to identify and describe the experiences of people with intellectual disability, their families and carers in the medium-long term during COVID-19. Greater supports and evidence of effective interventions to promote health, deliver services and support individual with intellectual disability is needed as there is little evidence of clinical care for people with intellectual disability during COVID-19.

摘要

背景

COVID-19 疫情对社会各群体都产生了影响,而智力障碍者由于潜在的健康问题/身体状况、多病共存、理解能力有限、体弱和社会环境等因素,尤其容易受到影响。这使得智力障碍者、他们的家人和照顾者面临更大的压力和需要支持。

目的

更新和绘制 2021 年研究中报告的 COVID-19 对智力障碍者、他们的家人和照顾者的影响的证据。

方法

对 2021 年在 7 个数据库中发表的研究进行了范围综述。

结果

符合纳入标准的研究有 84 项,研究结果强调,由于潜在的健康问题和获取问题,智力障碍者感染 COVID-19 的健康结果风险更大。从个人、社会和健康的角度来看,智力障碍者、他们的照顾者和家人都受到了 COVID-19 的影响。然而,COVID-19 也带来了一些意想不到的好处,例如:减少时间的需求,更多机会与有价值的人接触和建立韧性。

结论

COVID-19 带来了许多挑战,但对于智力障碍者来说,由于获取问题、服务提供和支持方面存在的现有障碍更加复杂。需要确定和描述智力障碍者、他们的家人和照顾者在 COVID-19 期间的中长期经历。需要更多的支持和有效的干预措施的证据,以促进健康、提供服务和支持智力障碍者,因为在 COVID-19 期间,几乎没有针对智力障碍者的临床护理证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2bf/10120563/be1b7cebb3a0/IANN_A_2196437_F0001_C.jpg

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