Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, UK.
J Clin Nurs. 2020 Nov;29(21-22):4387-4402. doi: 10.1111/jocn.15485. Epub 2020 Sep 13.
To explore older people's initial experience of household isolation, social distancing and shielding, and the plans they constructed to support them through the COVID-19 pandemic.
Public health guidance for those aged 70 or older was predominantly to undertake stringent social distancing within their household. Little is known about older people's experience of these measures. This paper explores changes experienced by those over the age of 70 during the first two weeks of household isolation, social distancing and shielding in the UK and the Republic of Ireland, and their early perceptions and plans to support them through the pandemic.
An inductive phenomenological study. University staff posted the study invitation flyer on social media, such as WhatsApp neighbourhood groups, the Nextdoor App and Twitter. Qualitative semi-structured interviews were undertaken with 19 participants and repeated at 2-week intervals for 10 weeks; further data collection is still in progress. This paper presents the findings from the baseline interviews, which showed older peoples' early responses. The COREQ (COnsolidated criteria for REporting Qualitative research) checklist was adhered to in the reporting of this study.
Three themes emerged from older people's early experiences of social distancing: protective measures; current and future plans; and acceptance of a good life, but still a life to live.
People over 70 adapted to household isolation, social distancing and shielding, by using social media and neighbourhood resources. Nurses and other professionals can develop holistic care for older people by listening to their experiences of what works for them, helping them link to local and distant supports. Understanding the holistic life view of older people, including death anxiety, is an important element of care planning; to help older people access the protective resources, they need to reduce the serious risks associated with coronavirus.
Older people engage with social media, and during the current pandemic and beyond nurses can engage with this medium to communicate with older people. The importance of nurses to understand some older people consider quality of life to be more important than longevity, which may impact on their adherence to health advice.
探索老年人在 COVID-19 大流行期间对家庭隔离、社交距离和屏蔽的最初体验，以及他们构建的支持他们度过这一时期的计划。
针对 70 岁或以上人群的公共卫生指南主要是在其家庭内严格执行社交距离措施。对于老年人对这些措施的体验，人们知之甚少。本文探讨了英国和爱尔兰共和国 70 岁以上人群在家庭隔离、社交距离和屏蔽的头两周内所经历的变化，以及他们对大流行的早期看法和支持他们度过这一时期的计划。
一项归纳现象学研究。大学工作人员将研究邀请传单张贴在社交媒体上，如 WhatsApp 邻里群组、Nextdoor App 和 Twitter。对 19 名参与者进行了定性半结构化访谈，并在 10 周内每两周重复一次；数据收集仍在进行中。本文介绍了基线访谈中显示老年人早期反应的结果。本研究报告遵循了 COREQ（定性研究报告的统一标准）检查表。
老年人对社交距离的早期体验中出现了三个主题：保护措施；当前和未来计划；以及接受美好生活，但仍然是有生命的生活。
70 岁以上的人通过使用社交媒体和邻里资源来适应家庭隔离、社交距离和屏蔽。护士和其他专业人员可以通过倾听他们对自己有效的体验，帮助他们与当地和远程支持联系起来，为老年人提供全面的护理。了解老年人的整体生活观，包括死亡焦虑，是护理计划的一个重要组成部分；为了帮助老年人获得所需的保护资源，他们需要减少与冠状病毒相关的严重风险。
老年人使用社交媒体，在当前大流行期间及以后，护士可以通过这种媒介与老年人进行沟通。护士必须理解一些老年人认为生活质量比寿命更重要，这可能会影响他们对健康建议的遵守。
