遏制的情感成本：对2019冠状病毒病大流行期间南亚非正式护理人员治疗效果的横断面分析

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Health Action Pub Date : 2025-12-01 Epub Date: 2025-06-03 DOI:10.1080/16549716.2025.2504227

Carol Troy, Anna Tjin, Anna Goodwin, Iracema Leroi, Roger O'Sullivan, Yaohua Chen

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引用次数: 0

摘要

背景：2019冠状病毒病大流行导致政府实施流动限制、保持社交距离和封锁，改变了全球的护理环境。在南亚，尚不清楚这些变化的哪些方面给非正式护理人员带来了重大的情感成本，也不知道如何在未来的大流行中减轻这种成本。目的：确定环境变化的方面（维度），构成不同的情感成本的南亚照顾者。量化成本并将其分类为持续的、短暂的、隐藏的或不重要的。提出在未来流行病期间减轻护理人员痛苦的方法。方法：数据来自应对孤独、隔离和COVID-19护理人员调查。孟加拉国（123）、印度（116）和巴基斯坦（215）的护理人员（n=454）自我报告了他们在大流行之前/期间的经历。维度是从11个变化指标中提取的。一个维度的情感成本是它对(1)相对于大流行前状况的负担频率变化和(2)大流行期间负担频率的影响。结果：出现了五个因素：社会限制、接受者信息减少/缺失、失去联系、探视权受限和防护服。社交限制（失去联系）增加了负担频率和大流行期间负担频率的变化，表明护理人员持续付出情感代价。限制探视权只影响大流行负担的频率，表明有隐藏的情感影响。结论：社会限制（失去联系，限制探视权）在情感上是昂贵的，因为它迫使护理强度相对于大流行前的水平增加（减少）。通过加强咨询和情感支持服务，南亚公共卫生系统可以减轻护理人员在正常时期和未来危机期间的个人痛苦。

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The emotional cost of containment: a cross-sectional analysis of treatment effects among informal carers in South Asia during the COVID-19 pandemic.

Background: The COVID-19 pandemic led to government-imposed mobility restrictions, social distancing, and lockdowns, altering the caregiving environment worldwide. In South Asia, it is unknown what aspects of these changes posed significant emotional costs to informal carers, or how such costs can be mitigated in future pandemics.

Objectives: To identify environmental change aspects (dimensions) that posed distinct emotional costs for South Asian carers. To quantify the costs and classify them as persistent, transient, hidden, or insignificant. To propose ways of mitigating carer distress during future pandemics.

Methods: The data came from the Coping with Loneliness, Isolation, and COVID-19 Caregiver survey. Carers ( $n = 454$ ) in Bangladesh ( $N = 123$ ), India ( $N = 116$ ), and Pakistan ( $N = 215$ ) self-reported their experiences before/during the pandemic. The dimensions were extracted from 11 change indicators. A dimension's emotional costs were its effects on (1) the change in burden frequency relative to pre-pandemic conditions and (2) the during-pandemic burden frequency.

Results: Five factors emerged: social confinement, reduced/missing information on the recipient, loss of connection, restricted visitation rights, and protective clothing. Social confinement (loss of connection) increased both changes in burden frequency and during-pandemic burden frequency, indicating a persistent emotional cost to carers. Restricted visitation rights affected only pandemic burden frequency, indicating a hidden emotional impact.

Conclusions: Social confinement (loss of connection, restricted visitation rights) was emotionally costly because it forced an increase (decrease) in care intensity relative to pre-pandemic levels. Through enhanced counseling and emotional support services, South Asian public health systems can alleviate carers' private suffering during normal times and future crises.

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来源期刊

Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.10

自引率

3.80%

发文量

108

审稿时长

16 weeks

期刊介绍： Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.