Impact of the COVID-19 pandemic on community-dwelling older adults: A longitudinal qualitative study of participants from the Hertfordshire Cohort Study.
Impact of the COVID-19 pandemic on community-dwelling older adults: A longitudinal qualitative study of participants from the Hertfordshire Cohort Study.
复制标题
DOI：
10.1371/journal.pone.0275486
复制
发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Dennison, Elaine M.
中科院分区：
文献类型：
--
作者：
Bloom, Ilse;Zhang, Jean;Hammond, Julia;Bevilacqua, Gregorio;Lawrence, Wendy;Ward, Kate A.;Cooper, Cyrus;Dennison, Elaine M.
老年人尤其容易受到新冠肺炎疫情的不利影响，包括更高的死亡率和更严重的疾病并发症。与此同时，社会孤立、营养不良和缺乏运动是老年人的严重关切。大流行和相关限制可能会加剧这些问题，给身心健康带来更大的风险。这项定性研究的目的是：i)探索英国社区生活的老年人如何经历新冠肺炎大流行的第一波，特别是它如何影响他们的福祉和相关的健康行为；ii)探索老年人的经历和行为在第一波疫情中如何随着时间的推移而变化。定性数据是通过进行一系列电话访谈收集的，每隔大约三个月。参与者来自赫特福德郡队列研究，年龄都在80岁以上。讨论被录音，与新冠肺炎大流行有关的信息被逐字转录，文字记录被按主题分析。采访于2020年3月至10月进行。共35次访谈的12名参与者(7名男性和5名女性)的数据被使用，每个参与者包括两到三个时间点。分析确定了五个主要主题：1)购物策略和食物可获得性，2)活动和外出的限制，3)对医疗保健的破坏，4)社会和心理影响，以及5)应对策略。调查结果突显了由于与大流行相关的限制，与进入商店、医疗保健和日常活动相关的挑战。纵向研究结果显示，对一些人来说，随着时间的推移，持续的流行病和相关限制似乎加剧了精神健康问题(情绪低落、焦虑)，以及更多的孤立感或孤独感、活动减少和功能限制；尽管后来限制有所放松，但情况仍是如此。参与者使用的应对策略包括找到保持忙碌和安全进行身体活动的方法，远程保持社交联系，以及保持乐观或积极的态度，即做你能做的事情的态度。在新冠肺炎大流行之后，可能需要采取干预措施来支持健康行为，例如增加体力活动、社会参与和改善社区老年人的心理健康。
Older adults have been especially vulnerable to adverse effects from the COVID-19 pandemic including higher mortality and more severe disease complications. At the same time, social isolation, malnutrition and physical inactivity are serious concerns among older adults. The pandemic and associated restrictions may serve to exacerbate these issues, presenting increased risks to physical and mental health. The aims of this qualitative study were: i) to explore how community-living older people in the UK experienced the first wave of the COVID-19 pandemic, specifically how it impacted their well-being and associated health behaviours; ii) to explore how older people’s experiences and behaviours changed over time throughout the first wave. Qualitative data were collected by conducting serial telephone interviews, with an interval of approximately three months. Participants were from the Hertfordshire Cohort Study, all aged over 80 years. Discussions were audio-recorded, information related to the COVID-19 pandemic was transcribed verbatim and transcripts analysed thematically. Interviews were conducted from March to October 2020. Data for twelve participants (7 men and 5 women) from a total of 35 interviews were used, comprising two or three timepoints per participant. Analysis identified five overarching themes: 1) shopping strategies and food accessibility, 2) limitations on activities and going out, 3) disruption to healthcare, 4) social and psychological repercussions, and 5) coping strategies. Findings highlight challenges associated with accessing shops, healthcare, and usual activities due to pandemic-related restrictions. Longitudinal findings showed that for some, the ongoing pandemic and related restrictions appeared to aggravate mental health issues (low mood, anxiety) over time, as well as greater feelings of isolation or loneliness, reduced activity and functional limitations; this was despite some relaxation of restrictions later on. Coping strategies used by participants included finding ways to keep busy and to do physical activity safely, maintaining social contact remotely, and having an optimistic or positive outlook, a ‘do what you can’ attitude. Interventions are likely to be needed in the wake of the COVID-19 pandemic to support health behaviours, such as increasing physical activity, social engagement and improving mental health among community-living older adults.
登录
查看更多内容
孤立时期的对话：探索加拿大曼尼托巴省的19日大流行期间，探索居住在农村的老年人孤立和孤独的经历。
DOI：
10.3390/ijerph18063028
发表时间：
2021-03-15
影响因子：
--
作者：
Herron RV;Newall NEG;Lawrence BC;Ramsey D;Waddell CM;Dauphinais J
通讯作者：
Dauphinais J
影响因子：
4.1
作者：
McKinlay AR;Fancourt D;Burton A
通讯作者：
Burton A
影响因子：
1.8
作者：
Grossoehme, Daniel;Lipstein, Ellen
通讯作者：
Lipstein, Ellen
影响因子：
5.2
作者：
Goins RT;Anderson E;Minick H;Daniels H
通讯作者：
Daniels H
影响因子：
15.8
作者：
Holt-Lunstad J;Smith TB;Layton JB
通讯作者：
Layton JB