老年人社会孤立、主观认知能力下降和心理健康状况中的沟通挑战:范围审查(2019-2021)。

IF 1.9 4区 医学 Q2 NURSING
Rebecca S. Koszalinski, Brenda Olmos
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引用次数: 2

摘要

目的通过进化概念分析,社会孤立(SI)被定义为缺乏社会归属感和与他人的互动,社会接触次数最少,关系质量不足。这一定义代表了对SI的大多数促成因素的更广泛理解,并支持新冠肺炎大流行期间减少沟通和社会化的概念。新冠肺炎大流行加剧了这一问题,包括沟通挑战,并揭示了SI的负面结果。总体研究问题考察了沟通挑战和SI对阿尔茨海默病、相关痴呆和主观认知变化的OAs的影响(2020-2021)。本范围界定文献综述旨在比较2020-2021年疫情前和疫情封锁期间老年人的心理社会和心理健康。设计和方法本综述遵循范围界定综述的系统综述和荟萃分析首选报告项目(PRISMA)扩展(PRISMA ScR)所述的范围界定综述报告程序。与分配给护理学院的一位科学信息专家合作,通过MEDLINE(R)和Epub《印刷前》、《过程中》、《数据审查和其他无索引引文》和《1946日报》查询文献,直至2021年9月2日;APA PsycInfo 1806至2021年8月第5周;和Embase Classic+Embase 1947至2021年9月2日。搜索词包括社交孤立;养老院;养老院;长期护理;养老院、疗养院或疗养院;长期护理或长期护理;老年人或老年人、痴呆症、阿尔茨海默氏症或痴呆症;骨质疏松症;脆性骨折。FINDINGS定量数据通过增加抑郁和焦虑、疫情期间抑郁率高于疫情前以及增加神经精神症状来告知结果。此外,与COVID19相关的限制,包括沟通流受损,似乎是压力相关认知变化和症状的根源。痴呆症患者的沟通障碍可能会导致社交孤立感。定性证据支持痴呆症具有社会、心理、物质和社会人口统计学影响。此外,封锁扰乱了所有利益相关者和居民之间现有的沟通流,导致人们对SI的认知增强,产生了深刻的失落感。实践启示结果包括对负面结果的多样化和复杂的描述。此外,强有力的证据表明,沟通和人际接触可以改善负面结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Communication challenges in social isolation, subjective cognitive decline, and mental health status in older adults: A scoping review (2019-2021).
PURPOSE Through an evolutionary concept analysis, social isolation (SI) was defined as lack of social belonging and engagement with others, minimal number of social contacts, and insufficient quality relationships. This definition represents broader understanding of most contributing factors to SI and supports the concepts of reduced communication and socialization experienced during the COVID-19 pandemic. The COVID-19 pandemic served to heighten this problem, including communication challenges, and brought negative outcomes of SI to light. The overall research question examined the impact of communication challenges and SI on OAs with Alzheimer's disease, related dementias, and subjective cognitive changes (2020-2021). This scoping literature review was developed to compare the psychosocial and mental health of older adults between prepandemic and pandemic lockdown of 2020-2021. DESIGN AND METHODS This review followed the procedures for scoping review reporting as stated by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews (PRISMA-ScR). In collaboration with an expert scientific information specialist assigned to the college of nursing, the literature was queried through MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review & Other Non-Indexed Citations and Daily 1946 to September 02, 2021; APA PsycInfo 1806 to August Week 5 2021; and Embase Classic+Embase 1947 to 2021 September 02. Search terms included social isolation; nursing home; home for the aged; long-term care; old age homes or convalescent home or nursing home; long-term care, or long-term care; aged or elders or seniors, dementia, Alzheimer's or dementia; osteoporosis; and fragility fracture. FINDINGS Quantitative data informed outcomes through increased depression and anxiety, higher rates of depression during the pandemic than prepandemic, and increased symptomology in neuropsychiatric profiles. Further, COVID19-related restrictions, including impaired communication streams, seemed to be the origin of stress-related cognitive changes and symptomology. Communication challenges in residents with dementia may lead to feelings of social isolation. Qualitative evidence supports that dementia has a social, psychological, material, and socio-demographic impact. Further, the lockdown disrupted the existing flow of communication between all stakeholders and residents, resulting in heightened perceptions of SI and a profound sense of loss. PRACTICE IMPLICATIONS The results include a diverse and complex characterization of negative outcomes. Further, strong evidence indicates that communication and human contact can ameliorate negative outcomes.
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来源期刊
CiteScore
5.00
自引率
4.30%
发文量
139
审稿时长
>12 weeks
期刊介绍: Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.
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