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韧性的启示:COVID-19 大流行期间老年人的初步应对。

Lessons in Resilience: Initial Coping Among Older Adults During the COVID-19 Pandemic.

机构信息

Department of Human Development and Family Science, North Dakota State University, Fargo, USA.

Department of Public Health, North Dakota State University, Fargo, USA.

出版信息

Gerontologist. 2021 Jan 21;61(1):114-125. doi: 10.1093/geront/gnaa170.

Abstract

BACKGROUND AND OBJECTIVES

In addition to increased physical health risks, older adults may also experience risks to their mental health and social well-being due to coronavirus disease 2019 (COVID-19). Yet, older adults may be uniquely able to cope given their life experiences and coping mechanisms. This study explores older adults' coping experiences and strategies during the initial weeks of the COVID-19 pandemic.

RESEARCH DESIGN AND METHODS

A Midwestern sample of 76 older adults aged 70-97 years completed a phone interview about their experiences with social distancing due to COVID-19. Interviews were conducted during the early weeks of regional social distancing (March 28-April 20, 2020). Participants rated their level of perceived coping and responded to open-ended questions about their daily life and coping.

RESULTS

Mean perceived coping level (on a scale from 1 to 10) was 7.9, with 87% of participants rating their coping positively. Primary themes that emerged included (a) staying busy, (b) seeking social support, and (c) having a positive mindset. These emotion-focused coping strategies appeared adaptive in the early weeks of the pandemic for most older adults.

DISCUSSION AND IMPLICATIONS

Contrary to predominant messaging about the vulnerability of older adults, these findings highlight the resilient nature of older adults in terms of their psychological coping and adaptability during COVID-19. Future research should build upon these findings to better understand and promote late-life coping during crises. Practitioners should seek to support older adults' engagement in such proactive coping, and social policies should be developed to acknowledge the variable needs of older adults.

摘要

背景与目的

除了身体健康风险增加之外,由于 2019 年冠状病毒病(COVID-19),老年人的心理健康和社会福祉也可能面临风险。然而,鉴于老年人的生活经历和应对机制,他们可能具有独特的应对能力。本研究探讨了 COVID-19 大流行初期老年人的应对经验和策略。

研究设计和方法

中西部地区的 76 名年龄在 70-97 岁的老年人参加了一项电话访谈,内容是他们在 COVID-19 期间因社交隔离而产生的经历。访谈于区域社交隔离的早期进行(2020 年 3 月 28 日至 4 月 20 日)。参与者对他们的感知应对能力进行评分,并对日常生活和应对策略的开放性问题进行回答。

结果

感知应对能力的平均评分(从 1 到 10)为 7.9,87%的参与者对自己的应对能力评价积极。出现的主要主题包括(a)保持忙碌,(b)寻求社会支持,和(c)保持积极心态。对于大多数老年人来说,这些情绪聚焦的应对策略在 COVID-19 大流行的早期是适应性的。

讨论与意义

与老年人脆弱性的主流信息相反,这些发现突出了老年人在 COVID-19 期间的心理应对和适应性方面的韧性。未来的研究应在此基础上进一步探讨,以更好地理解和促进危机期间的晚年应对。从业者应寻求支持老年人积极应对,制定社会政策以承认老年人的需求具有可变性。

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