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巴西和智利痴呆患者及其家庭照顾者的大流行时间对其心理健康的影响:为期一年的随访。

Impact of the Pandemic Time on the Mental Health of People with Dementia and Their Family Caregivers in Brazil and Chile: One-Year Follow-Up.

机构信息

Geroscience Center for Brain Health and Metabolism (GERO), Santiago, Chile.

Physiopathology Department - Institute of Biomedical Sciences (ICBM), Neuroscience and East Neuroscience Departments, Faculty of Medicine, Neuropsychology and Clinical Neuroscience Laboratory (LANNEC), Universidad de Chile, Santiago, Chile.

出版信息

J Alzheimers Dis. 2024;98(2):691-698. doi: 10.3233/JAD-231310.

DOI:10.3233/JAD-231310
PMID:38427488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11175387/
Abstract

BACKGROUND

Previous studies reported the negative impact of social isolation on mental health in people with dementia (PwD) and their caregivers, butlongitudinal studies seem scarcer.

OBJECTIVE

To describe a one-year follow-up impact of the COVID-19 pandemic on PwD and their caregivers in both Brazil and Chile.

METHODS

This study analyzed the impact of the pandemic on the psychological and physical health of PwD and their family caregivers after one year of follow-up in three outpatient clinics in Brazil (n = 68) and Chile (n = 61).

RESULTS

In both countries, PwD reduced their functional capacity after one year of follow-up (p = 0.017 and p = 0.009; respectively) and caregivers reported worse physical and mental health (p = 0.028 and p = 0.039). Only in Chile, caregivers reported more sadness associated with care (p = 0.001), and reduced time sleeping (p = 0.07).

CONCLUSIONS

In conclusion, the COVID-19 pandemic appears to have had a long-lasting impact on PwD and their caregivers. However, it is essential to acknowledge that the inherent progression of dementia itself may also influence changes observed over a year.

摘要

背景

先前的研究报告称,社交隔离对痴呆症患者(PwD)及其照顾者的心理健康有负面影响,但纵向研究似乎较少。

目的

描述 COVID-19 大流行对巴西和智利的 PwD 及其照顾者在一年随访期内的影响。

方法

本研究分析了在巴西(n=68)和智利(n=61)的三个门诊诊所进行一年随访后,大流行对 PwD 及其家庭照顾者的心理健康和身体健康的影响。

结果

在这两个国家,PwD 的功能能力在一年随访后都有所下降(p=0.017 和 p=0.009;分别),照顾者报告的身心健康状况更差(p=0.028 和 p=0.039)。仅在智利,照顾者报告了更多与照顾相关的悲伤(p=0.001),睡眠时间减少(p=0.07)。

结论

总之,COVID-19 大流行似乎对 PwD 及其照顾者产生了持久的影响。然而,必须承认,痴呆症本身的固有进展也可能影响一年多来观察到的变化。

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本文引用的文献

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Caregiving for Persons Living With Dementia During the COVID-19 Pandemic: Perspectives of Family Care Partners.新冠疫情期间对痴呆症患者的照护:家庭照护伙伴的观点
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Long-term impact of the COVID-19 pandemic on facility- and home-dwelling people with dementia: Perspectives from professionals involved in dementia care.长期来看,新冠疫情对住养老院和住家里的痴呆症患者的影响:痴呆症护理专业人员的观点。
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Neuropsychiatric Symptoms of Alzheimer's Disease and Caregiver Burden.阿尔茨海默病的神经精神症状与照料者负担
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Health, Economic and Social Development Challenges of the COVID-19 Pandemic: Strategies for Multiple and Interconnected Issues.新冠疫情的健康、经济和社会发展挑战:应对多重相互关联问题的策略
Healthcare (Basel). 2022 Apr 21;10(5):770. doi: 10.3390/healthcare10050770.
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Cognitive, Functional, and Emotional Changes During the COVID-19 Pandemic in Greek Patients with Neurocognitive Disorders.在 COVID-19 大流行期间希腊神经认知障碍患者的认知、功能和情绪变化。
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Strengthening Health Systems To Face Pandemics: Subnational Policy Responses To COVID-19 In Latin America.加强卫生系统以应对大流行病:拉丁美洲对 COVID-19 的国家以下政策应对。
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The course of neuropsychiatric symptoms and psychotropic drug use in Dutch nursing home patients with dementia during the first wave of COVID-19: A longitudinal cohort study.在 COVID-19 第一波期间荷兰养老院痴呆患者的神经精神症状和精神药物使用过程:一项纵向队列研究。
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How COVID-19 Has Affected Caregivers' Burden of Patients with Dementia: An Exploratory Study Focusing on Coping Strategies and Quality of Life during the Lockdown.新冠疫情如何影响痴呆症患者照料者的负担:一项聚焦于封锁期间应对策略与生活质量的探索性研究
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