Coping During the COVID-19 Pandemic: A Qualitative Study of Older Adults Across the United States.
Coping During the COVID-19 Pandemic: A Qualitative Study of Older Adults Across the United States.
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DOI：
10.3389/fpubh.2021.643807
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发表时间：
2021
影响因子：
5.2
通讯作者：
Kobayashi LC
中科院分区：
文献类型：
--
作者：
Finlay JM;Kler JS;O'Shea BQ;Eastman MR;Vinson YR;Kobayashi LC
目的：老年人可能面临与2019冠状病毒病（COVID-19）大流行相关的压力和日常生活挑战。然而，他们也可能利用情绪和行为应对策略。这篇定性论文旨在从美国老年人的角度确定应对大流行期间担忧和压力的方法。方法：2019冠状病毒应对研究于2020年4月2日至5月31日通过在线多帧抽样在美国所有50个州、哥伦比亚特区和波多黎各招募了6938名年龄≥55岁的成年人。在线问卷主要关注COVID-19对日常生活、心理健康和福祉的影响。其中包括一个关于参与者应对策略的开放式问题。我们使用定性内容分析来识别和编码不同的应对策略。我们的一般归纳方法使研究结果从原始数据中最常见和最主要的主题中浮现出来。结果：共有5180名成年人（占总样本的74%）；平均年龄67.3岁（SD 7.9）；（63.8%女性）回答了有关使用策略应对COVID-19大流行的问题。经常报告的策略包括锻炼和户外活动，改变日常生活，遵循公共卫生指南，调整态度以及保持社会联系。一些应对策略是健康限制（例如，暴饮暴食），而大多数策略鼓励自我完善，积极调整和健康。结论：本研究为COVID-19大流行早期老年人的应对策略提供了新的定性证据。研究结果可以为社区和临床干预提供信息，以支持老年人利用积极的应对策略（如锻炼、调整日常习惯和社会策略）来改善身心健康，促进社会支持，并鼓励在压力和创伤时期进行有意义的日常活动。
Objective: Older adults may struggle with stresses and daily life challenges associated with the Coronavirus Disease 2019 (COVID-19) pandemic. Yet they may also utilize emotional and behavioral coping strategies. This qualitative paper aims to identify ways of coping with worries and stress during the pandemic from the perspectives of older adults in the United States. Methods: The COVID-19 Coping Study recruited 6,938 adults aged ≥55 through online multi-frame sampling from April 2-May 31, 2020 across all 50 US states, the District of Columbia, and Puerto Rico. The online questionnaire focused on the effects of COVID-19 on daily life, mental health, and well-being. This included an open-ended question regarding participants' coping strategies. We used qualitative content analysis to identify and code diverse coping strategies. Our general inductive approach enabled findings to emerge from the most frequent and dominant themes in the raw data. Results: A total of 5,180 adults [74% of the total sample; mean age 67.3 (SD 7.9); 63.8% female] responded to the question about using strategies to cope with living through the COVID-19 pandemic. Frequently-reported strategies included exercising and going outdoors, modifying routines, following public health guidelines, adjusting attitudes, and staying socially connected. Some coping strategies were health-limiting (e.g., overeating), while most strategies encouraged self-improvement, positive adjustment, and wellness. Conclusions: This study provides novel qualitative evidence on coping strategies of older adults early in the COVID-19 pandemic. Findings can inform community and clinical interventions to support older adults that harness positive coping strategies such as exercise, modified routines, and social strategies to improve physical and mental health, foster social support, and encourage meaningful daily activities during times of stress and trauma.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
5.2
作者：
Chaudhury P;Banerjee D
通讯作者：
Banerjee D
影响因子：
5
作者：
FOLKMAN, S;LAZARUS, RS
通讯作者：
LAZARUS, RS
影响因子：
9.1
作者：
Nesbitt, Lorien;Meitner, Michael J.;Lu, Yuhao
通讯作者：
Lu, Yuhao
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi