Abstract: COVID-19 pandemic significantly threatens the health and well-being of older adults. Aging-related changes, including multimorbidity, weakened immunity and frailty, may make older people more susceptible to severe infection and place them at higher risk of morbidity and mortality from COVID-19. Various quarantine measures have been implemented to control the spread of COVID-19. Nevertheless, such social distancing has disrupted routine health care practices, such as accessibility of medical services and long-term continuous care services. The medical management of older adults with multimorbidity is significantly afflicted by COVID-19. Older persons with frailty or multiple chronic disease may poorly adapt to the altered health care system, having detrimental consequences on their physical and mental health. COVID-19 pandemic has posed great challenges to the health of older adults. We highlighted the difficulties and obstacles of older adults during this unprecedented time. Also, we provided potential strategies and recommendations for actions to mitigate the COVID-19 pandemic threats. Certain strategies like community primary health care, medication delivery and home care support are adopted by many health facilities and caregivers, whereas other services such as internet hospital and virtual medical care are promoted to be accessible in many regions. However, guidelines and policies based on high-quality data are still needed for better health promotion of older groups with increasing resilience during the COVID-19 pandemic.

Keywords: COVID-19, older adults, health care promotion, chronic diseases, primary health care, telemedicine


中文翻译：

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COVID-19 大流行期间的老年保健：管理健康危机

摘要：COVID-19 大流行严重威胁着老年人的健康和福祉。与衰老相关的变化，包括多发病、免疫力下降和虚弱，可能使老年人更容易受到严重感染，并使他们面临更高的 COVID-19 发病和死亡风险。已实施各种隔离措施以控制 COVID-19 的传播。然而，这种社交距离扰乱了常规的医疗保健实践，例如医疗服务的可及性和长期持续护理服务。患有多种疾病的老年人的医疗管理受到 COVID-19 的严重影响。身体虚弱或患有多种慢性疾病的老年人可能无法适应改变后的医疗保健系统，对他们的身心健康产生不利影响。COVID-19 大流行对老年人的健康构成了巨大挑战。在这个前所未有的时期，我们强调了老年人的困难和障碍。此外，我们还为减轻 COVID-19 大流行威胁的行动提供了潜在的策略和建议。许多医疗机构和护理人员采用了社区初级卫生保健、药物输送和家庭护理支持等某些策略，而互联网医院和虚拟医疗等其他服务则在许多地区推广。但是，仍然需要基于高质量数据的指导方针和政策，以便在 COVID-19 大流行期间更好地促进老年人群的健康，并增强其抵御能力。在这个前所未有的时期，我们强调了老年人的困难和障碍。此外，我们还为减轻 COVID-19 大流行威胁的行动提供了潜在的策略和建议。许多医疗机构和护理人员采用了社区初级卫生保健、药物输送和家庭护理支持等某些策略，而互联网医院和虚拟医疗等其他服务则在许多地区推广。但是，仍然需要基于高质量数据的指导方针和政策，以便在 COVID-19 大流行期间更好地促进老年人群的健康，并增强其抵御能力。在这个前所未有的时期，我们强调了老年人的困难和障碍。此外，我们还为减轻 COVID-19 大流行威胁的行动提供了潜在的策略和建议。许多医疗机构和护理人员采用了社区初级卫生保健、药物输送和家庭护理支持等某些策略，而互联网医院和虚拟医疗等其他服务则在许多地区推广。但是，仍然需要基于高质量数据的指导方针和政策，以便在 COVID-19 大流行期间更好地促进老年人群的健康，并增强其抵御能力。许多医疗机构和护理人员采用了药物递送和家庭护理支持，而互联网医院和虚拟医疗等其他服务在许多地区得到推广。但是，仍然需要基于高质量数据的指导方针和政策，以便在 COVID-19 大流行期间更好地促进老年人群的健康，并增强其抵御能力。许多医疗机构和护理人员采用了药物递送和家庭护理支持，而互联网医院和虚拟医疗等其他服务在许多地区得到推广。但是，仍然需要基于高质量数据的指导方针和政策，以便在 COVID-19 大流行期间更好地促进老年人群的健康，并增强其抵御能力。

关键词： COVID-19、老年人、卫生保健促进、慢性病、初级卫生保健、远程医疗