What was the impact of a global pandemic (COVID-19) lockdown period on experiences within an eating disorder service? A service evaluation of the views of patients, parents/carers and staff.
What was the impact of a global pandemic (COVID-19) lockdown period on experiences within an eating disorder service? A service evaluation of the views of patients, parents/carers and staff.
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DOI：
10.1186/s40337-021-00368-x
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发表时间：
2021-01-19
影响因子：
4.1
通讯作者：
Ranceva N
中科院分区：
文献类型：
--
作者：
Shaw H;Robertson S;Ranceva N
世界卫生组织于2020年3月11日宣布新冠肺炎疫情为全球大流行。因此，英国政府对工作和社会接触施加了严格的限制，作为“封锁”的一部分。虽然大流行对进食障碍患者的全面影响尚不清楚，但文献表明，先前存在精神疾病的患者可能更容易受到心理健康影响。此外，这些限制大大减少了获得精神卫生服务的机会，并对提供服务提出了新的挑战。开展了一项服务评估，以探索新冠肺炎全球大流行如何改变年轻人饮食障碍服务的提供，以及这如何影响患者、家人和工作人员的体验。进行了一次审计，以探讨禁闭期如何影响转诊和提供服务。在一次在线调查中收集了定量数据，并以两种形式收集了定性数据：作为在线调查一部分的开放式回答和采用叙述性询问构成的开放式焦点小组。43名参与者包括12名患者、19名父母/照顾者和12名工作人员。患者年龄在18岁以下，被诊断为进食障碍。新冠肺炎和封锁加大了服务压力，并大幅改变了服务提供。这影响了患者的关系体验，他们的护理人员和工作人员面临着新的挑战。患者、父母/护理人员和工作人员都更喜欢面对面的预约，而不是虚拟的选择。新冠肺炎前后服务满意度差异无统计学意义。在禁闭限制中提供饮食失调服务是可能的，患者和父母报告说他们对此非常满意。在治疗开始时提供面对面的预约并将家庭纳入计划应是优先事项。工作人员的支持对于能够继续提供高质量的服务至关重要。确定了关键主题，并提出了临床建议，以指导服务交付。
The World Health Organization declared the outbreak of COVID-19 as a global pandemic on the 11th March 2020. As a result, the UK Government imposed severe restrictions on working and social contact as part of “lockdown.” Whilst the full extent of the pandemic’s impact on eating disorder patients is unknown, the literature suggests that patients with pre-existing mental illness may be more vulnerable to the mental health impacts. In addition, the restrictions greatly reduced the access to mental health services and presented new challenges to service delivery. A service evaluation was carried out to explore how the COVID-19 global pandemic changed service provision in a young person’s eating disorder service and how this affected patient, family and staff experiences. An audit was carried out to explore how the lockdown period had impacted referrals and service delivery. Quantitative data was collected in an online survey and qualitative data was collected in two formats: open ended answers as part of the online survey and open-ended focus groups, structured using narrative enquiry. The 43 participants consisted of 12 patients, 19 parents/carers, and 12 staff members. Patients were under the age of 18 and had a diagnosis of an eating disorder. COVID-19 and lockdown increased the pressure on the service and changed service provision significantly. This has impacted the relational experiences for patients and their carers and staff have been faced with new challenges. Patients, parents/carers and staff all preferred face-to-face appointments over virtual options. There was no difference in service satisfaction before and during COVID-19. It is possible to provide an eating disorder service in lockdown restrictions that patients and parents report high satisfaction with. Providing face-to-face appointments at the beginning of treatment and including families in the planning should be prioritised. Staff support is crucial to be able to continue delivering high quality services. The key themes are identified, and clinical recommendations are made to guide service delivery.
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