自我保健、心理健康与covid-19:大流行期间自闭症患者照料者应对策略的探索性研究(印度海得拉巴)

Triveni Goswami Vernal
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引用次数: 1

摘要

COVID-19(冠状病毒病-19)是一种传染性疾病,于2019年12月在中国武汉首次发现。它导致了一场世界性的流行病,数百万人受到影响——不仅是健康方面,而且在经济和心理上也受到影响。与之相关的不确定性给世界各地的人们带来了巨大的焦虑、压力和创伤。印度对COVID-19的应对包括一系列阶段的封锁和随后的解锁。3月中旬,印度宣布在全国范围内实施封锁,导致教育机构、工厂、工作场所、交通工具、电影院、酒店、商场等关闭。封锁期间唯一开放的地方是基本服务场所。在接下来的几个月里,印度进入了“解锁”阶段,大多数服务都将对外开放。封锁和随后的解锁阶段对普通人的生活产生了巨大影响,他们被限制在自己的房子里,或者在某种程度上被限制在封闭的社区里。在这样的背景下,研究人员试图了解自闭症患者的照顾者如何应对COVID-19带来的变化,它如何影响他们的自我照顾和心理健康,以及他们采取的创造性策略,以保持自闭症儿童的参与。为此,采用了定性方法,并通过有目的抽样,在印度南部的海得拉巴市选择了五(5)名父母照顾者的小样本。护理者自我评估清单(由帕金森基金会开发)被给予参与者。设计了开放式问卷,并对参与者进行了电话访谈。然后对详细的访谈进行主题分析。该研究揭示了以下几点:首先,大流行和封锁会导致压力(并对护理人员及其家人产生深远影响)。其次,尽管被压力源困住了,但照顾者还是把注意力集中在了这种情况带来的积极方面。第三,即使在手头资源有限的情况下,照顾者也超越了创造性地与孩子互动。第四,照顾者积极参与自我照顾活动,改善心理健康状况。第五,护理人员评估清单上的得分介于“照顾自己的出色工作”和“改进空间”之间。第六,护理人员认为,在大流行期间,技术提供了重要的联系感。
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SELF CARE, MENTAL HEALTH AND COVID-19: AN EXPLORATORY STUDY OF THE COPING STRATEGIES OF CAREGIVERS OF INDIVIDUALS WITH AUTISM DURING THE PANDEMIC (IN HYDERABAD, INDIA)
COVID-19 (Coronavirus Disease-19), an infectious condition was first identified in December 2019, in Wuhan, in China. It has led to a worldwide pandemic with millions of people affected—not just health wise, but also economically and psychologically. The uncertainty associated with it, has caused immense anxiety, stress and trauma to people all over the world. India’s response to COVID-19 has comprised of a series of phases of Lockdown and subsequent Unlock. In mid-March, India announced a nationwide Lockdown, that led to the closure of educational institutions, factories, work places, transport, cinema halls, hotels, malls etc. The only places that were open during the Lockdown were essential services. Over the next few months, India has entered the Unlock phase, with most services opening to business. The Lockdown and the subsequent Unlock phases had an immense impact on the lives of the common people, who were confined within their houses, or with some flexibility, within their gated communities. In such a context, the researcher made an attempt to understand how caregivers of individuals with Autism coped with the changes brought on by COVID-19, how it impacted on their self-care and mental health and the creative strategies adopted by them to keep their children on the Autism spectrum, engaged. To this end, a Qualitative approach was adopted and a small sample of five (5) parent caregivers, were selected through Purposive Sampling, in the city of Hyderabad, in south India. A Caregiver Self-Assessment Checklist (developed by the Parkinson’s Foundation) was administered to the participants. An openended questionnaire was constructed and telephonic interviews were conducted with the participants. The detailed interviews were then thematically analysed. The study revealed the following—First, the pandemic and the Lockdown was stress inducing (and had far reaching impacts on the caregivers and their families). Secondly, although bogged down by the stressors, the caregivers focused on the positives that the situation brought. Thirdly, the caregivers went above and beyond to creatively engage with their children, even with limited resources at hand. Fourthly, the caregivers tried to engage in self-care activities to improve their mental-health. Fifthly, the scores on the Caregiver Assessment Checklist ranged between ‘Excellent job at taking care of yourself’ and ‘Room for Improvement’ and Sixthly, the caregivers believed that technology provided an important sense of connectedness during the pandemic.
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