新冠病毒病对长期护理机构的影响：老年人及其家庭的健康状况与应对策略
COVID-19's Impact in Long-Term Care Facilities: The Health and Coping Strategies of Older Adults and Their Families.
作者信息
Cohen Christine, Abt Maryline, Bélanger Louise, Ortoleva Bucher Claudia
机构信息
La Source School of Nursing, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
Département Sciences infirmières, Université du Québec en Outaouais, Gatineau, QC, Canada.
出版信息
J Adv Nurs. 2025 Jun;81(6):3226-3239. doi: 10.1111/jan.16530. Epub 2024 Oct 9.
AIM
Describe the stressors that long-term care facility (LTCF) residents and their family members were exposed to during the COVID-19 pandemic, the resources they mobilised to cope with them, and the strategies used by professionals to support them.
DESIGN
A descriptive qualitative design study.
METHOD
Between March 2021 and February 2022, we carried out semi-structured interviews with 8 LTCF residents, 11 family members, and 6 focus groups made up of healthcare and support staff from 8 LTCFs.
RESULTS
Three themes emerged: (1) residents and family members: separated and suffering, (2) residents and family members: reinventing themselves, and (3) staff: attempts to maintain residents' well-being.
CONCLUSION
LTCF Residents' and their family members' exposure to the various stressors linked to the COVID-19 pandemic generated suffering. Healthcare and support staff implemented strategies to support them, notably to maintain links between them. Some deep reflection must occur on the concepts of LTCF residents' autonomy and self-determination when implementing protective measures in future pandemic situations.
IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE
This study has provided new insights into the nature of the stressors faced by LTCF residents and their families, and the measures implemented by professionals to support them. The role of the families of LTCF residents needs to be better recognised. Our results indicate the importance of involving nurses in discussions on patient autonomy and self-determination when implementing protective measures (in a pandemic situation).
IMPACT
Exploring the nature of the stressors experienced by LTCF residents and their families enables professionals to tailor strategies to support them. Maintaining residents' self-determination is essential when implementing protective measures. Families involved with residents must be recognised and included in the assessment of stressors and the personalisation and implementation of strategies to support LTCF residents.
PATIENT OR PUBLIC CONTRIBUTION
No Patient or Public Contribution.
目的
描述长期护理机构（LTCF）居民及其家庭成员在新冠疫情期间所面临的压力源、他们为应对这些压力源而调动的资源，以及专业人员用于支持他们的策略。
设计
描述性定性设计研究。
方法
在2021年3月至2022年2月期间，我们对8名长期护理机构居民、11名家庭成员以及由8家长期护理机构的医护和支持人员组成的6个焦点小组进行了半结构化访谈。
结果
出现了三个主题：（1）居民和家庭成员：分离与痛苦，（2）居民和家庭成员：重塑自我，（3）工作人员：努力维持居民的福祉。
结论
长期护理机构居民及其家庭成员暴露于与新冠疫情相关的各种压力源中，产生了痛苦。医护和支持人员实施了支持他们的策略，特别是维持他们之间的联系。在未来疫情形势下实施保护措施时，必须对长期护理机构居民的自主性和自决权概念进行深入思考。
对专业和患者护理的启示
本研究为长期护理机构居民及其家庭所面临压力源的性质以及专业人员为支持他们而实施的措施提供了新的见解。长期护理机构居民家庭的作用需要得到更好的认可。我们的结果表明，在实施保护措施（在疫情形势下）时，让护士参与关于患者自主性和自决权的讨论非常重要。
影响
探索长期护理机构居民及其家庭所经历压力源的性质，使专业人员能够制定支持他们的策略。在实施保护措施时，维持居民的自决权至关重要。必须认可与居民有关联的家庭，并将其纳入压力源评估以及支持长期护理机构居民的策略个性化和实施过程中。
患者或公众贡献
无患者或公众贡献。
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