Defending community living for frail older people during the COVID-19 pandemic.
Defending community living for frail older people during the COVID-19 pandemic.
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在 COVID-19 大流行期间捍卫体弱老年人的社区生活。
DOI：
10.1111/psyg.12598
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Awata S.
中科院分区：
文献类型：
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作者：
Okamura T;Ura C;Sugiyama M;Kugimiya Y;Okamura M;Ogawa M;Miyamae F;Edahiro A;Awata S.
亲爱的编辑，衰老不可避免地与能力丧失联系在一起，这使得社区生活变得困难。我们正在开发一种现实的方法，在东京的一个大型住宅区为虚弱的老年人建立一个包容性社区，在那里，许多社会孤立的老年人独自生活。1、2然而，新冠肺炎疫情给我们的研究蒙上了一层阴影。当宣布进入紧急状态时，我们决定在研究区实施电话支援。两名曾担任社区空间工作人员的公共卫生护士开始电话联系89名患有认知障碍的老年人，他们参与了我们的纵向研究。3公共卫生护士还进行了短暂的心理治疗，并得到精神科医生的支持。该研究方案得到了东京都老年学研究所伦理委员会的批准。在这里，我们想举例说明我们活动中出现的三个虚构的案例。首先是对新冠肺炎感染的焦虑。当A先生试图出门时，还没走几步就开始感到奇怪的头痛，不禁相信自己感染了新冠肺炎。当A先生咨询家庭医生时，医生建议他去综合医院看精神病医生。然而，由于有感染的风险，他不敢去医院。A先生对他的家人很生气，因为他们还在外面工作。A先生宣布，他将搬出自己的房子，一个人住。随着短暂的心理治疗的进行，他的恐惧逐渐消失。第二，社区生活的脆弱性。独居的B先生的子女建议他搬到一家老年医院。然而，他相信他可以在没有任何帮助的情况下生活，并拒绝了他的儿童保护建议以及区域综合支助中心的帮助。当我们打电话时，他已经完全失去了信心。他反复询问如何搬到老年医院
Dear Editor Ageing is inevitably linked with losing abilities, which makes community living difficult. We are developing a realistic method to build an inclusive community for frail older people in a large housing complex district in Tokyo, in which many socially isolated older people live by themselves. 1, 2 However, the COVID-19 pandemic has cast a shadow on our research. When the state of emergency was declared, we decided to implement telephone support in the study area. Two public health nurses who had worked as community space staff started telephone outreach for 89 older people who were living with cognitive impairment, who have participated in our longitudinal research. 3 The public health nurses also conducted brief psychotherapy, which was backed-up by psychiatrists. The study protocol was approved by the Ethics Committee of the Tokyo Metropolitan Institute of Gerontology.Here we would like to illustrate three fictitious cases that emerged from our activities. First, anxiety about COVID-19 infection. When Mr. A tried to go outside, he began to feel a strange headache before he had gone several steps, and could not help believing that he had been infected with COVID-19. When Mr. A consulted the home doctor, he was advised to visit the general hospital to see a psychiatrist. However, he was afraid to go to the hospital because of the risk of infection. Mr. A was angry at his family because they were still working outside. Mr. A declared that he would move out of his house and live alone. As the brief psychotherapy session proceeded, his fear gradually disappeared. Second, the fragility of community living. Mr. B, who was living alone, had been advised to move to a geriatric institution by his children. However, he was confident that he could live without any help, and rejected his childrenLs suggestion as well as help from the regional comprehensive support centre. When we telephoned, he had completely lost his confidence. He repeatedly asked about how to move to the geriatric