H Gotheridge,F J R Eccles,C Murray,R Henderson,J Simpson
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引用次数: 0
摘要
目的因 COVID-19 大流行而采取的封锁和社会疏远措施影响了帕金森病患者参与正常健康管理实践的能力。这导致了有记录的心理健康下降。本综述旨在确定大流行急性期与帕金森病患者心理健康相关的因素。材料和方法检索了五个学术数据库(PsycINFO、MEDLINE、Embase、CINAHL 和 Web of Science),并使用预先定义的纳入和排除标准确定了 23 篇文章。结果运动症状恶化、与运动相关的日常生活体验不佳、"休息时间"(抑制症状的药物失效时)的运动症状以及运动量减少是导致心理健康恶化或变差的最一致的风险因素。本综述的意义不仅限于为未来的大流行病做准备,还可应用于具有相似背景特征的更常见问题,如每年的流感爆发、社会隔离和经济不确定性。
A systematic review of the factors associated with the psychological wellbeing of people with Parkinson's in the COVID-19 pandemic.
PURPOSE
The lockdown and social distancing measures introduced as a result of the COVID-19 pandemic impacted the ability of people with Parkinson's to engage in normal health management practices. This led to documented reductions in psychological wellbeing. The aim of the present review was to identify factors associated with the psychological wellbeing of people with Parkinson's during the acute stage of the pandemic.
MATERIALS AND METHODS
Five academic databases (PsycINFO, MEDLINE, Embase, CINAHL, and Web of Science) were searched and 23 articles were identified using pre-defined inclusion and exclusion criteria. The findings are stratified by risk factor and analysed using a narrative synthesis.
RESULTS
Worsening of motor symptoms, poor motor-related daily living experiences and motor symptoms during "off time" (when symptom suppressing medication has worn off) as well as less physical activity emerged as the most consistent risk factors of worsened or poorer psychological wellbeing. A deviation from pre-pandemic risk factors was identified, with age and gender not identified as consistent risk factors.
CONCLUSIONS
The implications of this review are not limited to preparing for future pandemics but can also be applied to more common concerns with comparable contextual characteristics such as yearly flu outbreaks, social isolation, and economic uncertainty.
期刊介绍:
Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.