Mental Health and Quality & Safety of Care in Czech Residential Institutions during the COVID-19 Pandemic: A Mixed-Methods Study

Abstract

Long-stay institutions have been considerably affected by the COVID-19 pandemic. We aimed to assess the mental health of clients and staff as well as quality and safety of care in long-stay institutions during the state-of-emergency in the Czech Republic in response to COVID-19 pandemic. We found a high prevalence of poor mental health outcomes in clients (46% poor well-being, 58% depression, 45% anxiety) and staff (17% poor well-being, 22% depression, 14% anxiety). In clients, COVID-19 health-related and economic worries were associated with depression (1.79, 95% CI = 1.14; 2.8 and 2.28, 95% CI = 1.27; 4.08 respectively) and anxiety (1.63, 95% CI = 1.11; 2.4 and 1.85, 95% CI = 1.2; 2.85 respectively) and in staff with any mental health outcome (1.92, 95% CI = 1.33; 2.77 and 1.75, 95% CI = 1.15; 2.66 respectively). Lack of information and communication from authorities, lack of protective equipment and logistic difficulties were reported as challenges. Delivery of care was mostly disrupted as well as admission and discharge processes. Other reported issues included lack of staff, lack of activities for patients or an increase in usage of restrictive measures. Best practices and key future measures were identified by each institution, a summary of which is presented in the article. Supplementary Information The online version contains supplementary material available at 10.1007/s11126-021-09912-z.

Aspectos Biológicos E Tecnológicos Do Processo De Envelhecimento Humano

“…Essa ferramenta possibilita o conhecimento de dados interessantes. Por exemplo: foi visto que indivíduos que expressaram preocupações de saúde ou com sua situação econômica, em relação ao impacto da pandemia de Covid-19 exibiram chances significativamente maiores de ter pelo menos um problema de saúde mental relacionado a depressão e ansiedade (GUERRERO, 2021).…”

“…O Brasil, por sua vez, possui a segunda maior prevalência de depressão entre os países da América do Sul, com 5,8%. Nesse contexto, a população idosa se destaca, uma vez que, segundo dados do Instituto Brasileiro de Geografia e Estatística (IBGE), 11,1% dos idosos brasileiros possuem essa doença (IBGE, 2019;OPAS, 2018).…”

Alternative Communication Tools For the elderly in Times of Restricted Social contacts

“…Residents of NH suffered mentally, physically and socially by the applied restrictive measures. (4)(5)(6)(7)(8). The mandated isolation of residents of NH was also inconsistent with the theories on self-determination and aging (9)(10)(11)(12) and reflected forced and involuntary lack of personal communication with relatives and close ones of the elder people (NH residents).…”