Erfahrungen und Sichtweisen von Pflegeheimbewohnenden mit depressiver Symptomatik während der COVID-19-Pandemie: eine qualitative Studie

Schweighart, Roxana; Klemmt, Malte; Neuderth, Silke; Teti, Andrea

doi:10.1007/s00391-021-01926-3

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…Importantly, studies analyzing data collected at different times during the pandemic showed that depressive symptoms fluctuated with a high prevalence after the onset of social isolation and a subsequent decrease when visiting restrictions were relaxed (Angevaare et al 2022 ; Górski et al 2022a , b ; Górski, Garbicz, et al, 2022 ; Levere et al 2021 ; Plangger et al 2022 ). Interviews with residents conducted during later phases of the pandemic confirm little psychological impact at that time (Schweighart et al 2021 ; Thomas et al 2022 ).…”

Section: Resultsmentioning

confidence: 99%

“…Estimates regarding cognitively impaired residents diverged, with Elderly Care Physicians (ECP) highlighting the difficulties these residents face when using video calls (Sizoo et al 2020 ), while proxies in two studies estimated the impact on the quality of life of cognitively impaired residents to be less severe (Paananen et al 2021 ; Wammes et al 2020 ). In December 2020, residents of a German LTCF found that visiting restrictions had little impact on their quality of life, while they complained about a lack of activities and boredom (Schweighart et al 2021 ).…”

Section: Resultsmentioning

confidence: 99%

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

Benzinger,

Wahl,

Bauer

et al. 2023

Eur J Ageing

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Benzinger,

Wahl,

Bauer

et al. 2023

Eur J Ageing

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“…Deutlich wird allerdings auch, dass dieses Dilemma in vielerlei Hinsicht auch schon den vorpandemischen Alltag geprägt hat. Kontakteinschränkende Maßnahmen werden daher weitgehend unaufgeregt hingenommen [17,18]. Als große Belastung wird hingegen die Maßnahme der Zimmerquarantäne geschildert.…”

Section: Diskussionunclassified

“…Erste qualitative Studien zum Erleben der Pandemie weisen jedoch zunächst auf ein großes Ausmaß an Adaption und Akzeptanz durch die Pflegebedürftigen hin. Diese erleben zwar viele der Maßnahmen als Einschränkung [16,17], es lassen sich aber auch Mechanismen identifizieren, die auf eine hohe Resilienz schließen lassen [18].…”

Section: Introductionunclassified

„…nicht mal auf den Gang!“ – Das subjektive Empfinden institutioneller Maßnahmen während der Covid-19 Pandemie von Pflegeheimbewohnern. Eine qualitative Studie.

Sanftenberg,

Hoerger,

Mayr

et al. 2024

Gesundheitswesen

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Zusammenfassung Einleitung Im Rahmen der Covid-19 Pandemie wurden zum Infektionsschutz von Pflegeheimbewohner*innen institutionelle Maßnahmen angeordnet. Diese wurden im Hinblick auf ihre Angemessenheit kontrovers diskutiert. Ziel dieser Arbeit war es, das subjektive Erleben institutioneller Maßnahmen zum Zwecke des Infektionsschutzes während der Covid-19 Pandemie von Pflegeheimbewohner*innen in Bayern besser zu verstehen und die Rolle des Pflegefachpersonals und der Hausärzt*innen für die Bewältigung der Krisensituation zu beleuchten. Methodik Es wurden semistrukturierte Interviews mit Bewohner*innen der stationären Langzeitpflege geführt. Die Datenanalyse erfolgte mittels inhaltlich-strukturierender Inhaltsanalyse nach Kuckartz. Ergebnisse Insgesamt wurden in fünf Pflegeheimen zehn Pflegeheimbewohner*innen mit verschiedenen Pflegegraden befragt, von denen zum Befragungszeitpunkt fünf bereits eine Covid-19 Infektion durchgemacht hatte. Die Befragten berichteten einerseits von ihrer Schutzbedürftigkeit, andererseits von der erlebten Isolation während der Pandemie. Betont wurde das Vertrauen in die Fürsorge durch die Pflegefachpersonen. Ein verlässlicher persönlicher Kontakt zu bereits bekannten Hausärzt*innen wurde hingegen vermisst. Schlussfolgerung Die Rolle des Pflegefachpersonals und der Hausärzt*innen verdient mehr Aufmerksamkeit und ist möglicherweise ein Schlüssel für die bessere Akzeptanz und Bewältigung solcher Krisensituationen.

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“…In particular, people who indicated that they had lived their life and are ready to die reported no additional mental stress because of COVID-19 or the fear of a possible infection. Other respondents were more stressed by their concern for relatives, loneliness and generally increased anxiety [ 27 ]. In a survey by Wammes et al 2020, relatives of residents of Dutch nursing homes particularly reported increased loneliness (73%) and fear (26%) [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 pandemic on hospice and palliative care in nursing homes—A qualitative study from a multiperspective view

Bußmann,

Pomorin,

Gerling

et al. 2023

PLoS ONE

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In Germany, nursing homes are characterised by challenging conditions for adequately supporting residents at their end of life, which have even amplified due to the COVID-19 pandemic. This article therefore analyses how hospice and palliative care in nursing homes has changed due to the COVID-19 pandemic and how the pandemic has affected residents, relatives and employees. Semi-structured interviews with employees, residents and relatives were conducted before and during the COVID-19 pandemic in two nursing homes in North Rhine-Westphalia, Germany. In a pre-post comparison, data were qualitatively evaluated using content analysis according to Mayring. Shifts, congruities and discrepancies in challenges in hospice and palliative care were identified between T0 and T1. Due to contact restrictions, important parts of end-of-life care were missing, and the roles of individuals providing hospice and palliative care were redefined. The interviewed groups experienced changes differently and contradictory statements on satisfaction and expectations about hospice and palliative care were reported. Employees and relatives predominantly perceived the pandemic to be very stressful, while residents endured this period more composedly. Employees stated that, despite the pandemic, they were mostly able to meet residents’ requests. However, relatives and residents expressed that minor requests were not reliably fulfilled, neither at T0 nor at T1. Drawing together the different perspectives from employees, residents and relatives offers a bigger picture of challenges in hospice and palliative care in nursing homes and the pandemic effects. Stronger communication of requests and needs as well as greater collaboration, especially under crisis conditions, are essential for a better quality of end-of-life care. There is an urgent need to break down the taboos around the topics of dying and death in nursing homes.

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Erfahrungen und Sichtweisen von Pflegeheimbewohnenden mit depressiver Symptomatik während der COVID-19-Pandemie: eine qualitative Studie

Cited by 7 publications

References 16 publications

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

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

„…nicht mal auf den Gang!“ – Das subjektive Empfinden institutioneller Maßnahmen während der Covid-19 Pandemie von Pflegeheimbewohnern. Eine qualitative Studie.

Effects of the COVID-19 pandemic on hospice and palliative care in nursing homes—A qualitative study from a multiperspective view

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