4.2 Review

A scoping review of COVID-19 experiences of people living with dementia

出版社

SPRINGER INT PUBL AG
DOI: 10.17269/s41997-021-00500-z

关键词

Coronavirus; COVID-19; Dementia; Alzheimer’ s disease; Synthesis

资金

  1. Canadian Institutes of Health Research
  2. Saskatchewan Health Research Foundation
  3. Centre for Aging and Brain Health
  4. Alzheimer Society of Canada (ASC)
  5. Team 15 in the Canadian Consortium on Neurodegeneration in Aging (CCNA)

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People living with dementia and their care partners have been significantly impacted by the COVID-19 pandemic, facing challenges such as caregiver fatigue, lack of access to services, and worsening symptoms. Urgent action and collaboration are needed to support individuals with dementia during this crisis. More evidence-informed research is essential to reduce mortality and improve care for dementia patients during the pandemic.
Objectives Compared with the general population, people living with dementia have been unequivocally affected by the COVID-19 pandemic. However, there is a paucity of knowledge on the COVID-19 impact on people with dementia and their care partners. The objective of this scoping review was to synthesize the existing literature on the COVID-19 experiences of people with dementia and their care partners. Methods Following Arksey and O'Malley's scoping review framework, we searched five electronic databases (Scopus, PubMed, CINAHL, EMBASE, and Web of Science) and an online search engine (Google Scholar). Inclusion criteria consisted of English-language articles focusing on the COVID-19 experiences of people with dementia and their care partners. Synthesis Twenty-one articles met our inclusion criteria: six letters to the editor, seven commentaries, and eight original research studies. In the literature, five main themes were identified: (i) care partner fatigue and burnout; (ii) lack of access to services and supports; (iii) worsening neuropsychiatric symptoms and cognitive function; (iv) coping with COVID-19; and (v) the need for more evidence-informed research. Factors such as living alone, having advanced dementia, and the length of confinement were found to exacerbate the impact of COVID-19. Conclusion Urgent action is needed to support people living with dementia and their care partners in the pandemic. With little access to supports and services, people with dementia and their care partners are currently at a point of crisis. Collaboration and more evidence-informed research are critical to reducing mortality and supporting people with dementia during the pandemic.

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