Consequences of contact restrictions for long-term care residents during the first months of COVID-19 pandemic: a scoping review.

Autor: Benzinger P; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany. petra.benzinger@agaplesion.de.; Institute of Health and Generations, University of Applied Sciences Kempten, Bahnhofstrasse 61, 87435, Kempten, Germany. petra.benzinger@agaplesion.de., Wahl HW; Network Aging Research (NAR), Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany., Bauer JM; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany.; Network Aging Research (NAR), Heidelberg University, Bergheimer Str. 20, 69115, Heidelberg, Germany., Keilhauer A; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany., Dutzi I; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany., Maier S; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany., Hölzer N; Center for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Krankenhaus Heidelberg, Rohrbacher Strasse 149, 69126, Heidelberg, Germany., Achterberg WP; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands., Denninger NE; Centre for Research, Development and Technology Transfer, Technical University of Applied Sciences Rosenheim, Hochschulstraße 1, 83024, Rosenheim, Germany.; Medical Faculty, Institute for Health and Nursing Science, International Graduate Academy, Martin-Luther-University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany.; Medical Faculty Heidelberg, Department of General Practice and Health Services Research, Nursing Science and Interprofessional Care, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Jazyk: angličtina
Zdroj: European journal of ageing [Eur J Ageing] 2023 Oct 17; Vol. 20 (1), pp. 39. Date of Electronic Publication: 2023 Oct 17.
DOI: 10.1007/s10433-023-00787-6
Abstrakt: During the early stages of the COVID-19 pandemic, stringent measures were implemented in most countries to limit social contact between residents of long-term care facilities (LTCF) and visitors. The objective of this scoping review was to identify and map evidence of direct and indirect consequences of contact restrictions, guided by three conceptual perspectives: (1) stress and learned helplessness (i.e., failure to use coping behaviors even when they are available and actionalble); (2) social contact loss; and (3) 'total institution' (i.e., a facility operates following a fixed plan due to spelled-out rules and norms, controlled by institutional representatives). We used the framework for conducting a scoping review by Arksey and O'Malley; included were peer-reviewed manuscripts reporting on the outcomes of contact restrictions from the beginning of the pandemic until the end of 2020. After removing duplicates, 6,656 records were screened and 62 manuscripts included. Results pertaining to the stress and learned helplessness perspective primarily focused on depressive symptoms, showing substantial increases compared to the pre-pandemic period. Studies examining cognitive and functional decline, as well as non-COVID-19 related mortality, were limited in number and presented mixed findings. The majority of study outcomes related to the social contact loss perspective focused on loneliness, but the study designs did not adequately allow for comparisons with the pre-pandemic status. The evidence concerning outcomes related to the 'total Institution' perspective was inconclusive. Although detrimental effects of social isolation in the long-term care context found support particularly in the negative affect domain, other outcome areas did not allow for definitive conclusions due to considerable variations in findings and, in some cases, insufficient statistical power.
(© 2023. Springer Nature B.V.)
Databáze: MEDLINE
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