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《COVID-19 时期的老年人应对方式:荷兰老年人对暂时性的思考》。

Coping of Older Adults in Times of COVID-19: Considerations of Temporality Among Dutch Older Adults.

机构信息

Leyden Academy on Vitality and Ageing, Leiden, The Netherlands.

Department of Public Health and Primary Care, Leiden University Medical Center, The Netherlands.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Aug 13;76(7):e290-e299. doi: 10.1093/geronb/gbab008.

Abstract

OBJECTIVES

Globally, mitigation measures during the coronavirus disease 2019 (COVID-19) pandemic have focused on protecting older adults. Earlier disaster studies have shown the importance of including older peoples' voices to prevent secondary stressors, yet these voices have received little attention during this pandemic. Here, we explore how Dutch older adults view this crisis and cope with measures to contribute to our understanding of coping of older adults in general and during disaster situations more specifically.

METHOD

Qualitative study using semistructured telephone interviews with 59 diverse older adults aged 54-95 throughout the Netherlands.

RESULTS

Older adults typify this crisis as ungraspable, disrupting their daily and social lives. Despite filling their lives with activities, they experience loss or lack of purpose. They try to follow measures to decrease infection risk and gain control, and use problem- and emotion-focused coping strategies. Emotion-focused strategies used were interpreting their personal vulnerability, self-enhancing comparisons, acceptance, and distraction. In the latter 2 strategies, the temporary nature of measures was emphasized.

DISCUSSION

Older adults describe this crisis consistently with earlier findings from disaster studies. They use known coping strategies, but emphasize the duration in relation to their expectation of temporality. This underscores a dynamic, processual approach toward coping that incorporates temporal dimensions such as duration and order. Our findings stress the importance of acknowledging heterogeneity among older adults and adjusting communication about mitigation measures to decrease insecurity and increase resonance. This may make COVID-19 mitigation measures more manageable and age-responsible and allow older adults to start living again.

摘要

目的

在全球范围内,针对 2019 年冠状病毒病(COVID-19)大流行的缓解措施侧重于保护老年人。早期的灾害研究表明,必须倾听老年人的意见,以防止次生压力源,但在这场大流行中,这些意见几乎没有受到关注。在这里,我们探讨了荷兰老年人如何看待这场危机以及如何应对这些措施,以增进我们对老年人一般应对方式的理解,更具体地说,是在灾难情况下的应对方式。

方法

采用半结构式电话访谈的定性研究,对荷兰各地 54-95 岁的 59 名不同的老年人进行了访谈。

结果

老年人将这场危机描述为难以理解的,扰乱了他们的日常生活和社交生活。尽管他们的生活充满了各种活动,但他们还是感到失落或缺乏目标。他们试图遵守降低感染风险和获得控制的措施,并使用问题和情绪焦点的应对策略。情绪焦点策略包括解释个人脆弱性、自我增强比较、接受和分散注意力。在后两种策略中,强调了措施的临时性。

讨论

老年人对这场危机的描述与早期灾害研究的结果一致。他们使用了已知的应对策略,但强调了与他们对暂时性的期望有关的持续时间。这强调了一种动态的、过程性的应对方式,将时间维度纳入其中,如持续时间和顺序。我们的研究结果强调了承认老年人之间存在异质性的重要性,并调整关于缓解措施的沟通,以减少不安全感并提高共鸣。这可能会使 COVID-19 缓解措施更具可管理性和年龄责任性,并使老年人重新开始生活。

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