Exploring the ways in whichCOVID-19 and lockdown has affected the lives of adult patients with anorexia nervosa and their carers
Exploring the ways in whichCOVID-19 and lockdown has affected the lives of adult patients with anorexia nervosa and their carers
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DOI：
10.1002/erv.2762
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发表时间：
2020-07-09
影响因子：
5.3
通讯作者：
Treasure, Janet
中科院分区：
文献类型：
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作者：
Clark Bryan, Danielle;Macdonald, Pamela;Treasure, Janet
目的本定性研究探讨了2019年冠状病毒病（COVID-19）大流行和相关封锁措施对神经性厌食症（AN）成年患者及其照顾者生活的影响。方法从英国政府实施封锁开始，对AN患者（n= 21）和护理人员（n= 28）进行半结构化访谈。与封城及COVID-19影响直接相关的数据采用专题分析进行分析。结果分别为病人和照顾者确定了四个广泛的主题。患者经历：1。减少获得进食障碍（艾德）服务; 2.破坏社区的日常生活和活动; 3.心理困扰和艾德症状加重; 4.在恢复过程中加强自我管理的尝试。照顾者的主题包括：1。关注为病人提供的专业支援; 2.对被禁闭的照顾者提出的实际要求增加; 3.管理围绕患者福祉的新挑战; 4.新的机会结论COVID-19和封锁措施导致的艾德服务减少、常规丧失、焦虑加剧和艾德症状，给患者和护理人员带来了挑战。艾德服务增加远程支持，使治疗和自我管理的资源和策略的持续促进两组的自我效能。
Objective This qualitative study explores the ways in which the coronavirus disease 2019 (COVID-19) pandemic and associated lockdown measures have affected the lives of adult patients with anorexia nervosa (AN) and their carers. Method Semi-structured interviews were conducted with patients with AN (n= 21) and carers (n= 28) from the start of UK Government imposed lockdown. Data related directly to the impact of lockdown and COVID-19 were analysed using thematic analysis. Results Four broad themes were identified for patients and carers separately. Patients experienced: 1. reduced access to eating disorder (ED) services; 2. disruption to routine and activities in the community; 3. heightened psychological distress and ED symptoms; 4. increased attempts at self-management in recovery. Carer themes included: 1. concern over provision of professional support for patients; 2. increased practical demands placed on carers in lockdown; 3. managing new challenges around patient wellbeing; 4. new opportunities. Conclusions Reduced access to ED services, loss of routine and heightened anxieties and ED symptoms resulting from COVID-19 and lockdown measures presented challenges for patients and carers. Increased remote support by ED services enabled the continuation of treatment and self-management resources and strategies promoted self-efficacy in both groups.