Lasalvia Antonio, Bodini Luca, D'Astore Camilla, Gomez Francesca, Pesarin Alessia, Imperadore Giuseppe, Bonetto Chiara
UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata (AOUI) Di Verona, Policlinico "G.B. Rossi", P.le Scuro, 10, 37134 Verona, Italy.
Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
J Psychosoc Rehabil Ment Health. 2023 Apr 24:1-15. doi: 10.1007/s40737-023-00343-6.
The coronavirus pandemic imposed significant changes in the care of patients in psychiatric residential facilities, especially during lockdown periods. The aim of this study was to assess the impact of the pandemic on patients and staff of psychiatric residential facilities (RFs). This cross-sectional survey was conducted between 30 June and 30 July 2021 and involved 31 RFs located in the province of Verona (Italy). In total, 170 staff members and 272 residents participated in this study. Staff showing clinically significant symptoms of anxiety, depression and burnout were, respectively, 7.7%, 14.2% and 6%. Staff were concerned about the risk that COVID-19 infection might spread among residents (67.6%) and that residents could not receive an acceptable service due to service reconfiguration because of the pandemic (50.3%). Residents found it very unpleasant not to be permitted to attend family members (85.3%), and not to be allowed to engage in outdoor activities due to the restrictions (84%). Both staff and residents agree that the main problematic areas for the residents was the interdiction to meet family members or friends and the interdiction to outdoor activities, whereas problems related to the COVID-19 infection were considered by the staff members as more frequently problematic than reported by residents. The COVID-19 pandemic had a significant impact on the rehabilitation care and recovery journeys of the residents of psychiatric RFs. Therefore, sustained, and careful attention is needed to ensure that the rehabilitation needs of people with severe mental disorders are not neglected in time of pandemics.
The online version contains supplementary material available at 10.1007/s40737-023-00343-6.
冠状病毒大流行给精神科住院设施中患者的护理带来了重大变化,尤其是在封锁期间。本研究的目的是评估大流行对精神科住院设施(RFs)的患者和工作人员的影响。这项横断面调查于2021年6月30日至7月30日进行,涉及位于意大利维罗纳省的31个RFs。共有170名工作人员和272名居民参与了本研究。表现出具有临床意义的焦虑、抑郁和倦怠症状的工作人员分别为7.7%、14.2%和6%。工作人员担心新冠病毒感染可能在居民中传播(67.6%),以及由于大流行导致服务重新配置,居民可能无法获得可接受的服务(50.3%)。居民们发现不被允许探视家庭成员非常不愉快(85.3%),并且由于限制而不被允许进行户外活动(84%)。工作人员和居民都认为,对居民来说主要的问题领域是被禁止会见家庭成员或朋友以及被禁止进行户外活动,而工作人员认为与新冠病毒感染相关的问题比居民报告的更频繁地成为问题。新冠病毒大流行对精神科RFs居民的康复护理和康复进程产生了重大影响。因此,需要持续且谨慎的关注,以确保在大流行期间严重精神障碍患者的康复需求不会被忽视。
在线版本包含可在10.1007/s40737-023-00343-6获取的补充材料。