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针对2019冠状病毒病的防护措施对养老院居民及其亲属福祉的影响:一项快速综述

The impact of protective measures against COVID-19 on the wellbeing of residents in nursing homes and their relatives: a rapid review.

作者信息

Schneider P, Abt M, Cohen C, Marmier N, Ortoleva Bucher C

机构信息

La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.

Faculty of Biology and Medicine, Institute of Higher Education and Research in Health Care (IUFRS), Lausanne, Switzerland.

出版信息

BMC Geriatr. 2023 Oct 11;23(1):649. doi: 10.1186/s12877-023-04300-7.

Abstract

During the COVID-19 pandemic and compared to other population groups, older people were at a heightened risk of developing lethal disease symptoms. Thus, many countries put in place protective measures to protect this "at-risk" population, especially in nursing homes, to limit the number of infections. These measures consisted mostly in the absence of social gatherings, the impossibility for relatives to enter the nursing homes, limitations in group activities, and the ban of group-eating. Although these measures were helpful to mitigate the spread of the disease, they also induced long periods of social isolation for the residents of nursing homes. This could have impacted the wellbeing and quality of life of residents and their relatives, with a possible impact on the overall health of residents. We designed this rapid review to investigate the literature on the impact of COVID-19 protective measures in nursing homes on the quality of life, wellbeing and physical health of residents and their relatives. Our results showed that most of the articles included in the review, either using qualitative or quantitative methods, evidenced a detrimental impact of protective measures on resident's and their relatives' wellbeing. We argue that, in the event of a new pandemic similar to the COVID-19, protective measures should also take into account their psychological impact, and not only their physical impact.

摘要

在新冠疫情期间,与其他人群相比,老年人出现致命疾病症状的风险更高。因此,许多国家采取了保护措施来保护这一“高危”人群,尤其是在养老院,以限制感染人数。这些措施主要包括禁止社交聚会、亲属不得进入养老院、限制集体活动以及禁止集体用餐。尽管这些措施有助于减缓疾病传播,但也导致养老院居民长期处于社会隔离状态。这可能会影响居民及其亲属的幸福感和生活质量,进而可能对居民的整体健康产生影响。我们开展这项快速综述,以研究关于新冠疫情期间养老院保护措施对居民及其亲属的生活质量、幸福感和身体健康影响的文献。我们的结果表明,综述中纳入的大多数文章,无论是采用定性还是定量方法,都证明了保护措施对居民及其亲属的幸福感有不利影响。我们认为,在出现类似新冠疫情的新大流行时,保护措施不仅应考虑其对身体的影响,还应考虑其心理影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed1/10568910/6eaffcb62d76/12877_2023_4300_Fig1_HTML.jpg

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