COVID-19疫情下社區失智據點防疫模式初探：以中國醫藥大學北港附設醫院四個據點為例

研究背景：2019年新冠肺炎爆發，導致人們生活形態與互動方式受到影響，以社區照顧關懷據點為例，2021年5月全國疫情進入三級警戒，使得社區服務據點紛紛暫停服務，並採取相關對應措施。新冠肺炎對於個人產生的影響不僅是生理健康的危害，更可能對心理與社會建康產生一定程度的影響，因此社區照顧據點的服務須立即性因應疫情變化改變服務模式。本研究旨於探討參與社區失智據點服務的長者，其睡眠狀況、憂鬱狀況以及主觀幸福感狀況是否因應據點防疫模式的變化而有所差異。研究方法：研究方法採問卷方式，針對中國醫藥大學北港附設醫院四個失智據點，來進行資料蒐集。研究結果：研究結果發現，參與社區據點的長者在疫情期間的睡眠品質與憂鬱狀況並沒有明顯差異變化，而幸福感部分，則有顯示差異變化。透過統計分析，進一步探究幸福感變化原因發現，疫情升級導致長者中止參與據點實體活動，為影響幸福感變化的主要原因。結論：本研究建議若要維持長者在疫情期間的生理、心理與社會健康，需透過視訊互動關懷、關懷家屬與長者之間的互動關係等多元管道，持續提供據點服務，以期維持長者整體健康狀況與功能。

關鍵字

新冠肺炎；社區工作；社區失智據點；社會支持；創新服務

並列摘要

Background: In December 2019, the outbreak of the COVID-19 pandemic sparked considerable uncertainty and has affected people's lives and social interactions in Taiwan. Following an escalation of COVID-19 cases in May 2021, the Central Epidemic Command Center raised the nationwide epidemic alert level to Level 3 and consequently, the community service centers in Taiwan suspended their services and implemented relevant preventive measures. The impact of COVID-19 on individuals is not only a hazard to physical health, but also has a certain degree of impact on psychological and social health. Therefore, the community service stations must immediately modify the service model in response to changes during the epidemic situation. This study aimed to investigate whether depression, sleep status, and the sense of well-being among older adults who participated in community services were affected by the modification of service models due to the COVID-19 pandemic. Methods: A questionnaire was applied to collect data from four community service stations operated by Beigang Hospital of China Medical University. Results: According to the findings, there were no significant differences in depression or sleep quality during the national Level 3 alert for COVID-19 but there were statistically significant differences in terms of subjective well-being. When we explored further the main factor, it was because community station services were suspended due to the nationwide Level 3 alert for COVID-19. Conclusion: This study suggested that in order to maintain the physical, mental and social health of older adults during the epidemic, it was necessary to continue providing community station services via different ways such as providing video interactive care, caring for the interactive relationship between family members and older adults. By doing so may help to maintain the holistic health of older adults during the pandemic.

並列關鍵字

COVID-19 ； community work ； dementia care bases ； social support ； innovative services

參考文獻

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