Data_Sheet_1_National cross-sectional survey on psychological impact on French nursing homes of the first lockdown during the COVID-19 pandemic as observed by psychologists, psychomotor, and occupational therapists.PDF

ObjectivesThe main objective was to explore the psychological impact of the French lockdown during the first wave of the COVID-19 pandemic on nursing home residents, their relatives, and healthcare teams, as observed by mental health professionals.
DesignA national online cross-sectional survey was conducted from May 11 to June 9, 2020.
Setting and participantsRespondents were psychologists, psychomotor therapists, and occupational therapists (mental health professionals).
ResultsA total of 1,062 participants responded to the survey, encompassing 59.8% psychologists, 29.2% occupational therapists, and 11% psychomotor therapists. All mental health professionals felt fear (76.1%), fatigue and exhaustion (84.5%), and inability to manage the emotional burden (78.4%). In nursing homes with COVID-19 cases, residents felt significantly sadder (83.2%), more anxious (65.0%), experienced more anorexia (53.6%), resurgence of traumatic war memories (40.2%), and were more often disoriented (75.7%). The suffering of relatives did not vary between nursing homes with and without COVID-19 cases. The nursing staff was heavily impacted emotionally and was in need of psychological support particularly when working in nursing homes in a low COVID-19 spread zone with COVID-19 cases (41.8 vs. 34.6%).
Conclusion and implicationsPrimary prevention must be implemented to limit the psychological consequences in the event of a new crisis and to prevent the risk of psychological decompensation of residents and teams in nursing homes.

研究目标：本研究核心目标为探究新冠疫情第一波期间法国封控措施对养老院居民、家属及医护团队所产生的心理影响，该观察由精神卫生专业人员开展实施。
研究设计：于2020年5月11日至6月9日期间开展一项全国性线上横断面调查（cross-sectional survey）。
研究场景与研究对象：受访人群为心理学家、精神运动治疗师及职业治疗师，均属于精神卫生专业人员。
研究结果：本次调查共回收1062份有效问卷，其中心理学家占比59.8%，职业治疗师占比29.2%，精神运动治疗师占比11.0%。所有受访精神卫生专业人员均出现恐惧情绪（76.1%）、疲劳与倦怠状态（84.5%），且无法妥善应对情绪负担（78.4%）。在存在新冠病例的养老院中，居民的悲伤情绪显著加重（83.2%）、焦虑水平升高（65.0%），同时伴随食欲减退（53.6%）、创伤性战争记忆复现（40.2%），定向障碍发生率更高（75.7%）。家属的痛苦程度在有新冠病例与无新冠病例的养老院之间无显著差异。护理人员受到严重情绪冲击，尤其在新冠低传播但存在病例的养老院工作的护理人员，其心理支持需求更为迫切（41.8% vs 34.6%）。
结论与实践启示：需实施一级预防措施，以在未来发生类似危机时限制心理不良后果，并预防养老院居民及医护团队出现心理失代偿风险。