新冠肺炎第一波大流行期间,印度中部三级医疗中心老年患者的健康相关生活质量(HRQoL):一项前瞻性观察研究

Y. Keche, Preetam Wasneek, K. Nagpure, N. Gaikwad, S. Dhaneria, S. Siddiqui, Apoorva Joshi
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摘要

新冠肺炎大流行实施了城市级隔离、地方封锁和边境关闭,以进行患者级隔离,以控制病毒传播。在新冠肺炎期间,缺乏对印度等国家老年人健康相关生活质量(HRQoL)的研究。在获得老年患者的书面知情同意后,将数据记录在病例记录表和问卷中。生活质量是在疾病控制和预防中心(CDC)HRQoL-14措施的帮助下进行评估的,这些措施基于总体健康改善、身心健康及其对日常活动的影响,如自我护理、工作或玩耍、悲伤、抑郁、担忧、紧张或焦虑以及休息或睡眠。共有331名患者接受了筛查,234名患者参与了这项研究,220名患者完成了随访。其中,退休老人占55.43%,失业人员占31.82%,独居人员占21.36%。一个月后,49名患者的身体健康状况不佳,明显低于基线水平(70名患者)。与招募时相比,更多的患者在前15天的心理健康状况不佳。在1个月结束时,11名患者的自我护理、工作和娱乐活动受到影响,21名患者的情况比基线显著减少。老年患者在前7天感到悲伤和抑郁,睡眠不足,在最初的15天感到担忧、紧张和焦虑,1个月后情况有所改善。1个月底,由于新冠肺炎大流行,大量患者的活动限制有所改善。新冠肺炎大流行对身心健康产生了重大影响。应建立一个在隔离期间为老年人提供心理和心理健康支持的系统。在这方面,通过应用程序让老年人参与刺激认知的心理锻炼,限制社交媒体的曝光,并为老年人设立帮助热线可能会有所帮助。
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Health-Related Quality of Life (HRQoL) in Elderly Patients Attending at Tertiary Health Care Centre in Central India During 1st Wave of COVID-19 Pandemic: A Prospective Observational Study
The COVID-19 pandemic had imposed a city-level quarantine, local lockdown, and border closures for patient-level isolation to control virus spread. There is a lack of studies on the health-related quality of life (HRQoL) in the elderly in countries like India during COVID-19. After obtaining written informed consent from the elderly patients, data was recorded in the case record form-cum-questionnaire. The quality of life was assessed with the help of Centers for disease control and prevention (CDC) HRQoL-14 measures, which are based on general health improvement, physical and mental health, and its effect on usual activities like self-care, work, or play, sadness, depression, worry, tension, or anxiety, and rest or sleep. A total of 331 patients were screened and 234 were enrolled in this study, with 220 patients completing their follow-up. Among them, 55.43% were retired elderly, 31.82% were unemployed and 21.36% were living alone. After one month, 49 patients had days of poor physical health which was significantly below baseline (70 patients). More patients had poor mental health in the first 15 days as compared to the time of recruitment. At end of 1 month, self-care, work, and recreational activities were affected in 11 patients, with a significant reduction from baseline in 21 patients. Elderly patients felt sad and depressed and did not get enough sleep in the first 7 days and were worried, tense and anxious in the initial 15 days, which improved after 1 month. A significant number of patients had improved activity limitations because of the COVID-19 pandemic at the end of 1 month. The COVID-19 pandemic had made a significant impact on physical and mental health. A system of mental and psychological health support for the elderly during isolation should be developed. Engaging the elderly in cognitively stimulating mental exercises through apps, limiting exposure to social media, and setting up helplines for the elderly may be helpful in this regard.
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