Abstract：
OBJECTIVE: The COVID-19 pandemic magnified pre-existing socioeconomic, operational, and structural challenges in long-term care across the world. In Canada, the long-term care sector\'s dependence on caregivers as a supplement to care workers became apparent once restrictive visitation policies were employed. We conducted a scoping review to better understand the associations between caregiving and resident, formal and informal caregiver health in long-term care before and during the COVID-19 pandemic.
METHODS: A literature search was performed using MEDLINE, AgeLine, Google Advanced, ArXiv, PROSPERO, and OSF. Pairs of independent reviewers screened titles and abstracts followed by a review of full texts. Studies were included if they reported biological, psychological, or social health outcomes associated with caregiving (or lack thereof).
RESULTS: After screening and reviewing 252 records identified by the search strategy, a total of 20 full-text records were eligible and included in this review. According to our results, research on caregiving increased during the pandemic, and researchers noted restrictive visitation policies had an adverse impact on health outcomes for residents and formal and informal caregivers. In comparison, caregiving in long-term care prior to the pandemic, and once visitation policies became less restrictive, led to mostly beneficial health outcomes.
CONCLUSIONS: Caregiver interventions, for the most part, appear to promote better health outcomes for long-term care residents and formal and informal caregivers. Suggestions to better support caregiving in long-term care settings are offered.
METHODS: A literature search was performed using MEDLINE, AgeLine, Google Advanced, ArXiv, PROSPERO, and OSF. Pairs of independent reviewers screened titles and abstracts followed by a review of full texts. Studies were included if they reported biological, psychological, or social health outcomes associated with caregiving (or lack thereof).
RESULTS: After screening and reviewing 252 records identified by the search strategy, a total of 20 full-text records were eligible and included in this review. According to our results, research on caregiving increased during the pandemic, and researchers noted restrictive visitation policies had an adverse impact on health outcomes for residents and formal and informal caregivers. In comparison, caregiving in long-term care prior to the pandemic, and once visitation policies became less restrictive, led to mostly beneficial health outcomes.
CONCLUSIONS: Caregiver interventions, for the most part, appear to promote better health outcomes for long-term care residents and formal and informal caregivers. Suggestions to better support caregiving in long-term care settings are offered.
摘要：
目标：COVID-19大流行放大了先前存在的社会经济，操作,以及世界各地长期护理的结构性挑战。在加拿大,一旦采用了限制性探视政策，长期护理部门对护理人员的依赖就会变得明显。我们进行了范围审查，以更好地了解护理和居民之间的关联，在COVID-19大流行之前和期间，长期护理中的正式和非正式护理人员健康。
方法：使用MEDLINE进行文献检索，AgeLine,GoogleAdvanced,ArXiv,PROSPERO,OSF。成对的独立审稿人筛选了标题和摘要，然后审查了全文。如果研究报告生物学，心理,或与护理相关的社会健康结果(或缺乏护理)。
结果：在筛选和审查搜索策略确定的252条记录之后，共有20条全文记录符合资格,并纳入本审查.根据我们的结果,在大流行期间，关于护理的研究有所增加，研究人员指出,限制性探视政策对居民以及正式和非正式护理人员的健康结果产生不利影响.相比之下,大流行前的长期护理，一旦访问政策变得不那么严格，导致大部分有益的健康结果。
结论：照顾者干预措施，在大多数情况下，似乎可以促进长期护理居民以及正式和非正式护理人员的更好的健康结果。提供了在长期护理环境中更好地支持护理的建议。
方法：使用MEDLINE进行文献检索，AgeLine,GoogleAdvanced,ArXiv,PROSPERO,OSF。成对的独立审稿人筛选了标题和摘要，然后审查了全文。如果研究报告生物学，心理,或与护理相关的社会健康结果(或缺乏护理)。
结果：在筛选和审查搜索策略确定的252条记录之后，共有20条全文记录符合资格,并纳入本审查.根据我们的结果,在大流行期间，关于护理的研究有所增加，研究人员指出,限制性探视政策对居民以及正式和非正式护理人员的健康结果产生不利影响.相比之下,大流行前的长期护理，一旦访问政策变得不那么严格，导致大部分有益的健康结果。
结论：照顾者干预措施，在大多数情况下，似乎可以促进长期护理居民以及正式和非正式护理人员的更好的健康结果。提供了在长期护理环境中更好地支持护理的建议。
