Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.

Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.
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DOI:
10.1016/j.jamda.2020.11.025
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发表时间:
2021-03
影响因子:
7.6
通讯作者:
McGilton, Katherine S.
McGilton, Katherine S.
中科院分区:
医学1区
文献类型:
--
作者:
Bethell, Jennifer;Aelick, Katelynn;Babineau, Jessica;Bretzlaff, Monica;Edwards, Cathleen;Gibson, Josie-Lee;Colborne, Debbie Hewitt;Iaboni, Andrea;Lender, Dee;Schon, Denise;McGilton, Katherine S.

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良好的社会关系与更好的健康和福祉相关。然而,对于居住在长期护理院 (LTC) 的人们来说,社会联系有不同的考虑因素。本次范围界定审查的目的是总结将社会联系与心理健康结果(特别是 LTC 居民)联系起来的研究文献,以及确定在 COVID-19 期间帮助该人群建立和维持社会联系的策略的研究。范围审查。长期护理院、疗养院和疗养院的居民。我们检索了 MEDLINE(R) ALL (Ovid)、CINAHL (EBSCO)、PsycINFO (Ovid)、Scopus、Sociological Abstracts (ProQuest)、Embase 和 Embase Classic (Ovid)、Emcare Nursing (Ovid) 和 AgeLine (EBSCO),以查找量化 LTC 居民社会联系方面的研究;我们将搜索范围限制为从数据库建立到搜索日期(2019 年 7 月)期间发布的英文文章。在当前的分析中,我们纳入的研究报告了(1)社会联系与心理健康结果之间的关联,(2)可改变的风险因素与社会联系之间的关联,或(3)以社会联系为结果的干预研究。根据 (2) 和 (3) 中的研究,我们确定了 LTC 住院医师、家庭和工作人员在 COVID-19 期间可以实施和调整的策略,并纳入了介绍这些策略的文章。我们的综述中纳入了 133 项研究。我们找到了 61 项研究来测试社会关系与心理健康结果之间的关联。我们重点介绍了 72 项观察性和干预性研究提供的 12 项策略,这些策略可能有助于 LTC 居民、家庭和工作人员为 LTC 居民建立和维持社会联系。已发表的针对 LTC 居民进行的研究表明,良好的社会关系与更好的心理健康结果有关。观察和干预研究提供了一些关于解决该人群社会联系方法的证据。尽管还需要进一步研究,但考虑到 COVID-19 对 LTC 居民社会联系的突然而严重的影响,并不排除采取行动的必要性。
Good social connection is associated with better health and wellbeing. However, social connection has distinct considerations for people living in long-term care (LTC) homes. The objective of this scoping review was to summarize research literature linking social connection to mental health outcomes, specifically among LTC residents, as well as research to identify strategies to help build and maintain social connection in this population during COVID-19. Scoping review. Residents of LTC homes, care homes, and nursing homes. We searched MEDLINE(R) ALL (Ovid), CINAHL (EBSCO), PsycINFO (Ovid), Scopus, Sociological Abstracts (ProQuest), Embase and Embase Classic (Ovid), Emcare Nursing (Ovid), and AgeLine (EBSCO) for research that quantified an aspect of social connection among LTC residents; we limited searches to English-language articles published from database inception to search date (July 2019). For the current analysis, we included studies that reported (1) the association between social connection and a mental health outcome, (2) the association between a modifiable risk factor and social connection, or (3) intervention studies with social connection as an outcome. From studies in (2) and (3), we identified strategies that could be implemented and adapted by LTC residents, families and staff during COVID-19 and included the articles that informed these strategies. We included 133 studies in our review. We found 61 studies that tested the association between social connection and a mental health outcome. We highlighted 12 strategies, informed by 72 observational and intervention studies, that might help LTC residents, families, and staff build and maintain social connection for LTC residents. Published research conducted among LTC residents has linked good social connection to better mental health outcomes. Observational and intervention studies provide some evidence on approaches to address social connection in this population. Although further research is needed, it does not obviate the need to act given the sudden and severe impact of COVID-19 on social connection in LTC residents.
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