Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staff: a prospective observational study

BMC Geriatrics

Research

María Gómez Gallego¹  Adriana Catarina De Souza Oliveira²  Carmelo Gómez Martínez²  Paloma Echevarría Pérez²  Juan José Hernández Morante³  Elena Carrasco Martínez⁴  Jorge Moreno Molina⁵ 

[1] Department of Neurology and Mental Health, Faculty of Nursing, UCAM Universidad Católica San Antonio de Murcia, Murcia, Spain;Research Group of Nursing Languages in Social Context, Faculty of Nursing, UCAM Universidad Católica San Antonio de Murcia, Campus de Guadalupe, Murcia, Spain;Research Group of Nursing Languages in Social Context, Faculty of Nursing, UCAM Universidad Católica San Antonio de Murcia, Campus de Guadalupe, Murcia, Spain;Eating Disorders Research Unit, UCAM Universidad Católica San Antonio de Murcia, Campus de Guadalupe, s/n, 30107, Murcia, Spain;Research Group of Nursing Languages in Social Context, Faculty of Nursing, UCAM Universidad Católica San Antonio de Murcia, Campus de Guadalupe, Murcia, Spain;“Mensajeros de La Paz” Nursing Home Association, Murcia, Spain;“Mensajeros de La Paz” Nursing Home Association, Murcia, Spain;

关键词: Lockdown;    Nursing home;    Depression;    Anxiety;    Humanization;    Social support;    Relatives;    Staff;   

DOI  :  10.1186/s12877-023-03764-x

 received in 2022-07-26, accepted in 2023-01-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPrevious works have observed an increase of depression and other psychological disorders on nursing home residents as a consequence of coronavirus disease 2019 (COVID-19) lockdown; however, there are few studies that have performed a comprehensive evaluation of all people involved in nursing homes environment. The objective of the work was to analyse the impact of lockdown on psychosocial factors of nursing home residents, relatives and clinical staff and how these variables have influenced residents’ survival.MethodsA prospective study was designed. Evaluations were performed at three different times: a) at the beginning of Spanish confinement, in March 2020; b) just before the second wave of the pandemic, with relaxation of security measures but in lockdown, and c) in January–February 2021, at the end of the second wave, when visits were already allowed. The study was conducted on three different nursing homes. Three hundred and one residents, 119 clinical staff and 51 relatives took part in the study. Anxiety and depression were evaluated in all participants. A scale on the meaning of suffering was also performed. In addition, burnout status was also determined in the clinical staff.ResultsAll participants showed lower depression during lockdown, while at the beginning and at the end of the confinement, these values were significantly increased. In residents, these changes were dependent of cognitive status (p = 0.012). Anxiety was significantly higher in residents. The evolution of anxiety was similar than with depression, with lower values during confinement, although clinical staff showed higher anxiety levels at the beginning. The feeling of suffering was significantly lower in the clinical staff than in resident and relative groups. Residents’ survival was dependent of cognitive status (p = 0.018) and voluntary confinement (p < 0.001).ConclusionsDuring the first COVID-19 lockdown, psychological wellbeing of residents cared in nursing homes, their relatives and staff did not seem to be seriously affected. Previous mental health in relatives and staff together with a resilient approach to the adversity might partly be protecting factors. The lack of consequences on residents’ anxiety, depression and perception of social support may reflect the special attention and care they received. Finally, as in the current study only data of the first two COVID-19 waves were analysed, its findings might be partly generalized to all the pandemic.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 7