"They're Going to Zoom It": A Qualitative Investigation of Impacts and Coping Strategies During the COVID-19 Pandemic Among Older Adults.

"They're Going to Zoom It": A Qualitative Investigation of Impacts and Coping Strategies During the COVID-19 Pandemic Among Older Adults.
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DOI:
10.3389/fpubh.2021.679976
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发表时间:
2021
影响因子:
5.2
通讯作者:
Rosenberg DE
Rosenberg DE
中科院分区:
医学3区
文献类型:
--
作者:
Greenwood-Hickman MA;Dahlquist J;Cooper J;Holden E;McClure JB;Mettert KD;Perry SR;Rosenberg DE

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简介:老年人已经存在较高程度的社会隔离、孤独感和久坐行为,他们特别容易受到旨在控制 COVID-19 传播的社会疏远规定的负面影响。我们试图探讨这一流行病对老年人的身体、心理和社会健康的影响及其应对技巧。材料和方法:我们对正在进行的久坐行为减少干预措施的参与者子样本进行了 25 次半结构化访谈。采访被记录和转录,并使用迭代编码来提取关键主题。结果:大多数参与者报告说,由于离开家的限制以及追求坐着的爱好(例如阅读、编织、看电视)的空闲时间增加,久坐行为有所增加。然而,许多参与者还报告说,有意识的体力活动和锻炼水平有所增加,尤其是户外或在线锻炼。参与者还报告称,他们的压力很大,人际社交联系也大幅减少。通过电话和视频与他人进行虚拟联系通常用于与朋友和家人保持联系,参与社区团体和活动,以及应对压力和社会孤立。对于许多参与者来说,保持从过去的困难中获得的积极态度和观点也是一个重要的应对策略。讨论:COVID-19 大流行和相关的社交距离措施影响了老年人的活动、压力和社交孤立程度,但许多人利用技术和以前的生活经历来应对。这些主题可以为未来针对应对慢性压力和孤立的老年人的干预措施提供参考。
Introduction: Older adults, who already have higher levels of social isolation, loneliness, and sedentary behavior, are particularly susceptible to negative impacts from social distancing mandates meant to control the spread of COVID-19. We sought to explore the physical, mental, and social health impacts of the pandemic on older adults and their coping techniques. Materials and Methods: We conducted 25 semi-structured interviews with a sub-sample of participants in an ongoing sedentary behavior reduction intervention. Interviews were recorded and transcribed, and iterative coding was used to extract key themes. Results: Most participants reported an increase in sedentary behavior due to limitations on leaving their home and increased free time to pursue seated hobbies (e.g., reading, knitting, tv). However, many participants also reported increased levels of intentional physical activity and exercise, particularly outdoors or online. Participants also reported high levels of stress and a large decrease in in-person social connection. Virtual connection with others through phone and video was commonly used to stay connected with friends and family, engage in community groups and activities, and cope with stress and social isolation. Maintenance of a positive attitude and perspective gained from past hardships was also an important coping strategy for many participants. Discussion: The COVID-19 pandemic and associated social distancing measures have impacted older adults' perceived levels of activity, stress, and social isolation, but many leveraged technology and prior life experiences to cope. These themes could inform future interventions for older adults dealing with chronic stress and isolation.
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DOI: 10.1093/geront/gnaa170
发表时间: 2021-02-01
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影响因子: 5.7
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发表时间: 2018-08
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