A UK survey of COVID-19 related social support closures and their effects on older people, people with dementia, and carers.

A UK survey of COVID-19 related social support closures and their effects on older people, people with dementia, and carers.
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DOI:
10.1002/gps.5434
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发表时间:
2021-03
影响因子:
4
通讯作者:
Gabbay M
Gabbay M
中科院分区:
医学2区
文献类型:
--
作者:
Giebel C;Lord K;Cooper C;Shenton J;Cannon J;Pulford D;Shaw L;Gaughan A;Tetlow H;Butchard S;Limbert S;Callaghan S;Whittington R;Rogers C;Komuravelli A;Rajagopal M;Eley R;Watkins C;Downs M;Reilly S;Ward K;Corcoran R;Bennett K;Gabbay M

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这项全国调查的目的是探讨COVID - 19公共卫生措施对获得社会支持服务的影响,以及服务关闭对老年人和痴呆症患者心理健康的影响。2020年4月至5月期间,英国对老年人、痴呆症患者和护理人员进行了一项在线和电话调查。该调查收集了人口统计和邮政编码数据、COVID - 19公共卫生措施前后的社会支持服务使用情况、当前生活质量、抑郁和焦虑。多元线性回归分析探讨社会支持服务变化与焦虑和幸福感之间的关系。569名参与者完成了这项调查(61名痴呆症患者,285名无薪护理人员和223名老年人)。配对样本t检验和x2检验表明,COVID - 19后,每周使用社会支持服务的平均小时数和获得各种服务的人数显着减少。多元回归分析表明,社会支持服务时间的较大变化显著预示着痴呆症患者和老年人的焦虑水平增加,而无薪护理人员和老年人的心理健康水平较低。由于COVID无法获得社会支持服务,导致英国各地痴呆症患者和老年人的生活质量下降和焦虑。需要使社会支助服务能够继续以适应的形式提供支助,特别是考虑到在可预见的未来公共卫生方面仍存在限制。
The aim of this national survey was to explore the impact of COVID‐19 public health measures on access to social support services and the effects of closures of services on the mental well‐being of older people and those affected by dementia. A UK‐wide online and telephone survey was conducted with older adults, people with dementia, and carers between April and May 2020. The survey captured demographic and postcode data, social support service usage before and after COVID‐19 public health measures, current quality of life, depression, and anxiety. Multiple linear regression analysis was used to explore the relationship between social support service variations and anxiety and well‐being. Five hundred and sixty‐nine participants completed the survey (61 people with dementia, 285 unpaid carers, and 223 older adults). Paired samples t‐tests and X 2‐tests showed that the mean hour of weekly social support service usage and the number of people having accessed various services was significantly reduced post COVID‐19. Multiple regression analyses showed that higher variations in social support service hours significantly predicted increased levels of anxiety in people with dementia and older adults, and lower levels of mental well‐being in unpaid carers and older adults. Being unable to access social support services due to COVID contributed to worse quality of life and anxiety in those affected by dementia and older adults across the UK. Social support services need to be enabled to continue providing support in adapted formats, especially in light of continued public health restrictions for the foreseeable future.
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