Repercussões do isolamento social em pessoas idosas durante a pandemia da COVID-19
DOI:
https://doi.org/10.17267/2317-3378rec.2023.e4795Palavras-chave:
Infecções por coronavírus, Idoso, Isolamento SocialResumo
OBJETIVO: Identificar na literatura científica as repercussões do isolamento social em pessoas idosas durante a pandemia da COVID-19. MÉTODO: Revisão integrativa de literatura desenvolvida no período de fevereiro a março de 2021 nas bases de dados Scielo, LILACS, MEDILNE, PubMed, CINAHL e Web Of Science. O processo de filtragem obedeceu ao modelo PRISMA. Foram incluídos somente estudos primários que investigaram o objeto em questão. Os resultados foram categorizados e analisados conforme a análise de conteúdo de Bardin. RESULTADOS: A partir da análise e síntese dos artigos incluídos foi possível delinear quatro categorias, a saber: Impactos negativos na saúde mental; Mudanças no estilo de vida; Crise econômica; e Desafios em buscar suporte médico. O isolamento social gerou consequências psicossociais negativas em pessoas idosas, sendo solidão, ansiedade e depressão as principais repercussões. Outros impactos foram estresse e insônia, mudanças no estilo de vida que provocaram comportamento sedentário e alterações alimentares, preocupação com o bem-estar econômico, assim como no desafio em buscar suporte médico. CONCLUSÃO: O isolamento social durante a pandemia causou impactos negativos na saúde mental e qualidade de vida das pessoas idosas. Aponta-se a necessidade de estudos que tratem dessas repercussões a longo prazo, bem como estratégias de enfrentamento.
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(1) Cavalcante JR, Cardoso-dos-Santos AC, Bremm JM, Lobo ADP, Macário EM, Oliveira WKD. COVID-19 in Brazil: evolution of the epidemic up until epidemiological week 20 of 2020. Epidemiol Serv Saude. 2020;29(4):e2020376. https://doi.org/10.5123/S1679-49742020000400010
(2) Word Health Organization. Coronavirus Disease (COVID-19) Dashboard [Internet]. Genebra: WHO; 2021. Available from: https://covid19.who.int/table
(3) Hammerschmidt KSDA, Santana RF. Health of the older adults in times of the COVID-19 pandemic. Cogitare enfermagem. 2020;25:e72849. http://dx.doi.org/10.5380/ce.v25i0.72849
(4) Granda EC, Cunha SGS, Silva MFD, Campos KFC. COVID-19 in elderly: why are they more vulnerable to the new coronavirus? Brazilian Journal of Development [Internet]. 2021;7(4):42572-42581. Available from: https://www.brazilianjournals.com/index.php/BRJD/article/view/28934/2286
(5) United Nations (UN). Policy Brief: The Impactof COVID-19 on older persons [Internet]. New York: UN; 2020. Available from: https://www.un.org/development/desa/ageing/wp-content/uploads/sites/24/2020/05/COVID-Older-persons.pdf
(6) Campos MR, Schramm JMDA, Emmerick ICM, Rodrigues JM, Avelar FGD, Pimentel TG. Burden of disease from COVID-19 and its acute and chronic complications: reflections on measurement (DALYs) and prospects for the Brazilian Unified National Health System. Cad Saude Publica [Internet]. 2020;36(11):e00148920. Available from: https://www.scielo.br/j/csp/a/bHbdPzJBQxfwkwKWYnhccNH/?lang=pt&format=pdf
(7) Aydogdu ALF. Novo coronavírus e os riscos do isolamento social para os idosos: revisão integrativa. Revista de Enfermagem da UFJF. 2019;5(2):1-13. https://doi.org/10.34019/2446-5739.2019.v5.30691
(8) Moraes CLD, Marques ES, Ribeiro AP, Souza ERD. Contributions to address violence against older adults during the Covid-19 pandemic in Brazil. Cien Saude Colet. 2020;25(supl. 2):4177-4184. https://doi.org/10.1590/1413-812320202510.2.27662020.
(9) Halaweh H, Dahlin-Ivanoff S, Svantesson U, Willén C. Perspectives of Older Adults on Aging Well: A Focus Group Study. J Aging Res. 2018; 4:9858252. https://doi.org/10.1155/2018/9858252
(10) Mendes KDS, Silveira CDCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto & contexto-enfermagem. 2008;17:758-764. https://doi.org/10.1590/S0104-07072008000400018
(11) Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. https://doi.org/10.1111/j.1365-2648.2005.03621.x
(12) Cardoso V, Trevisan I, Cicolella DDA, Waterkemper R. Systematic review of mixed methods: method of research for the incorporation of evidence in nursing. Texto & Contexto Enfermagem. 2019;28:e20170279. https://dx.doi.org/10.1590/1980-265X-TCE-2017-0279
(13) Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097
(14) Bardin L. Análise de Conteúdo. Lisboa: Edições 70; 2016.
(15) Emerson KG. Coping with being cooped up: Social distancing during COVID-19 among 60+ in the United States. Rev Panam Salud Publica. 2020;44: e81. https://doi.org/10.26633%2FRPSP.2020.81
(16) Barker E, Clark LL. Biopsychopharmacosocial approach to assess impact of social distancing and isolation on mental health in older adults. Br J Community Nurs. 2020;25(5):231-238. https://doi.org/10.12968/bjcn.2020.25.5.231
(17) Wong SYS, Zhang D, Sit RWS, Yip BHK, Chung RY, Wong CKM, et al. Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care. Br J Gen Pract. 2020;70(700):e817-e824. https://doi.org/10.3399%2Fbjgp20X713021
(18) Röhr S, Reininghaus U, Riedel-Heller SG. Mental wellbeing in the German old age population largely unaltered during COVID-19 lockdown: results of a representative survey. BMC geriatrics. 2020;20(1):1-12. https://doi.org/10.1186/s12877-020-01889-x
(19) Gustavsson J, Beckman L. Compliance to Recommendations and Mental Health Consequences among Elderly in Sweden during the Initial Phase of the COVID-19 Pandemic - A Cross Sectional Online Survey. Int J Environ Res Public Health. 2020;17(15):5380. https://doi.org/10.3390/ijerph17155380
(20) Bobes-Bascaran T, Sáiz PA, Velasco A, Martínez-Cao C, Pedrosa C, Portilla A, et al. Early Psychological Correlates Associated With COVID-19 in A Spanish Older Adult Sample. Am J Geriatr Psychiatry. 2020;28(12):1287-1298. https://doi.org/10.1016/j.jagp.2020.09.005
(21) Ekoh PC, Agbawodikeizu PU, Ejimkararonye C, George EO, Ezulike CD, Nnebe I. COVID-19 in Rural Nigeria: Diminishing Social Support for Older People in Nigeria. Gerontology and Geriatric Medicine. 2020;6:1-7. https://doi.org/10.1177/2333721420986301
(22) Eiguren A, Idoiaga N, Berasategi N, Picaza M. Exploring the Social and Emotional Representations Used by the Elderly to Deal With the COVID-19 Pandemic. Frontiers in Psychology. 2021;11:586560. https://doi.org/10.3389%2Ffpsyg.2020.586560
(23) Suzuki Y, Maeda N, Hirado D, Shirakawa T, Urabe Y. Physical Activity Changes and Its Risk Factors among Community-Dwelling Japanese Older Adults during the COVID-19 Epidemic: Associations with Subjective Well-Being and Health-Related Quality of Life. Int J Environ Res Public Health. 2020;17(18):6591. https://doi.org/10.3390/ijerph17186591
(24) Schorr AV, Yehuda I, Tamir S. Loneliness, Malnutrition and Change in Subjective Age among Older Adults during COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(1):106. https://doi.org/10.3390%2Fijerph18010106
(25) Marrocos EM, Freitas ASF de, Carneiro GM, Pitombeira MGV. Elderly perception of the repercussions of the COVID-19 pandemic on their health. Research, Society and Development. 2021;10(9):e41010918067. https://doi.org/10.33448/rsd-v10i9.18067
(26) Santini ZI, Jose PE, Cornwell EY, Koyanagi A, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020;5(1):e62-e70. https://doi.org/10.1016/S2468-2667(19)30230-0
(27) Oliveira JT, Lira TB, Abreu CRC. Mental health of the elderly in times of pandemics-COVID-19. Rev Coleta Científica. 2021;5(9):20-30. https://doi.org/10.5281/zenodo.5034787
(28) Meng H, Xu Y, Dai J, Zhang Y, Liu B, Yang H. Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Research. 2020;289:112983. https://doi.org/10.1016/j.psychres.2020.112983
(29) Fhon JRS, Püschel VAAP, Cavalcante RB, Cruz FV, Gonçalves LN, Li W, et al. Infodemic of covid-19 and repercussions on the mental health of the elderly from São Paulo. Rev Esc Enferm USP. 2022;56:e20210421. https://doi.org/10.1590/1980-220X-REEUSP-2021-0421en
(30) Freitas AVS, Menezes TMO, Pedreira LC, Amaral JB. Repercussions of social isolation of elderly people during the COVID-19 pandemic. Rev baiana enferm. 2022;36:e37598. https://doi.org/10.18471/rbe.v36.37598
(31) Romero DE, Muzy J, Damacena GN, Souza NAD, Almeida WDSD, Szwarcwald CL, et al. Older adults in the context of the COVID-19 pandemic in Brazil: effects on health, income and work. Cad Saude Publica. 2021;37:e00216620. https://doi.org/10.1590/0102-311X00216620
(32) Bezerra PA, Nunes JW, Moura LB. Envelhecimento e isolamento social: uma revisão integrativa. Acta Paulista de Enfermagem. 2021;34:eAPE02661. http://dx.doi.org/10.37689/acta-ape/2021AR02661
(33) Gomes LDO, Costa ALPF, Ferreira WASL, Costa ACC, Rodrigues GDM, Pedra ECDP, et al. Qualidade de vida de idosos antes e durante a pandemia da COVID-19 e expectativa na pós-pandemia. Rev Kairos. 2020;23(28):9-28. https://doi.org/10.23925/2176-901X.2020v23i0p09-28
(34) Vrach IT, Tomar R. Mental health impacts of social isolation in older people during COVID pandemic. Progress in Neurology and Psychiatry. 2020;24:25-29. https://doi.org/10.1002/pnp.684
(35) Pereira-Ávila FMV, Lam SC, Goulart MDCL, Góes FGB, Pereira-Caldeira NMV, Gir E. Factors associated with symptoms of depression among older adults during the COVID-19 pandemic. Texto & Contexto-Enfermagem. 2021;30:e20200380. https://doi.org/10.1590/1980-265X-TCE-2020-0380
(36) Moreira EMDF, Sousa MNAD. Olhares sobre o impacto do isolamento social à saúde mental do idoso. Journal of Medicine and Health Promotion [Internet]. 2021;6:234-244. Available from: https://jmhp.unifip.edu.br/index.php/jmhp/article/view/140
(37) Duarte YAO, Niwa LMS, Lucas PCC, Afonso SR, Damaceno DG, Ciosak SI. Distanciamento social e idosos que residem sozinhos em grandes centros urbanos. In: Santana RF. Enfermagem gerontológica no cuidado do idoso em tempos da COVID 19. 2.ed.rev. Brasília: Editora ABEn; 2020. p 14-19. (Série Enfermagem e Pandemias, 2). https://doi.org/10.51234/aben.20.e02.c02
(38) Brech GC, Silva KRD, Silva APD, Cavalcante TCB, Montiel JM, Lima AMSD, et al. O distanciamento social na pandemia do COVID-19 na saúde mental, nos hábitos alimentares e na capacidade física em idosos: ensaio reflexivo. Rev Kairos. 2020;23(28):265-285. https://doi.org/10.23925/2176-901X.2020v23i0p265-285
(39) Pinheiro JDS, Demartini k, Garcia GS, Rossa DT, Jorge MSG, Wibelinger LM. Physical exercise in the health of the elderly during the COVID-19 pandemic: an integrative literature review. Temas em Saúde [Internet]. 2020;(1):25-38. Available from: https://temasemsaude.com/wp-content/uploads/2020/08/20covid2.pdf
(40) Pant S, Subedi M. Impact of COVID-19 on the elderly. Journal of Patan Academy of Health Sciences. 2020;7(2):32-38. http://dx.doi.org/10.3126/jpahs.v7i2.31104
(41) Lise F, Neves JDL, Oliveira NPD, Senna LR, Schwartz E, Spagnolo LMDL. Abordagem da enfermagem às famílias no enfrentamento do distanciamento social e do novo coronavírus. Enferm Foco [Internet]. 2020;11(2):207-212. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/3761/1009
(42) Morais YJ, Coelho WV, Barbosa KT, Leal NP, Oliveira FM. Prevalência e fatores associados à fragilidade em idosos. Enferm Foco. 2021;12(5):860-5. https://doi.org/10.21675/2357-707X.2021.v12.n5.3752
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Copyright (c) 2023 Raina Sasaki, Aline Cristiane de Sousa Azevedo Aguiar, Lucas Amaral Martins
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Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
