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[社会隔离对健康的影响:一项关于新冠疫情期间老年人心理社会压力与资源的定性研究]

[Health-related consequences of social isolation: a qualitative study on psychosocial stress and resources among older adults in the COVID-19 pandemic].

作者信息

Welzel Franziska D, Schladitz Katja, Förster Franziska, Löbner Margrit, Riedel-Heller Steffi G

机构信息

Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Mar;64(3):334-341. doi: 10.1007/s00103-021-03281-5. Epub 2021 Feb 2.

Abstract

BACKGROUND

The SARS-CoV-2 pandemic led to a general uncertainty about risk and consequences of the disease. Older adults are specifically vulnerable with regard to severe courses of the disease and have been particularly encouraged to self-isolate during the pandemic. Subsequently, expressions of concern have been raised regarding the negative impact of disease risk and quarantine on the mental health of older people.

OBJECTIVES

Assessment of psychosocial stress, coping strategies, need for support, and sense of coherence of older people during the COVID-19 pandemic.

MATERIALS AND METHODS

The study follows a qualitative research design. Between May and June 2020 N = 11 guided telephone interviews were conducted with older adults (70+ years). Telephone interviews were recorded by audio tape and fully transcribed. A qualitative content analysis was performed according to Mayring and Fenzl (2019) using MAXQDA.

RESULTS

Participants were 74.8 years old on average. Participants showed predominantly good psychosocial health and functional coping strategies. Life experience, an optimistic attitude, understanding of the necessity of restrictions, and previous crises that have been mastered were the most important resources during the COVID-19 pandemic for older adults. Offers of support were rarely used. Participants were critical of the closing of centers or meeting points for older people.

CONCLUSION

Older adults appear to be able to preserve their mental wellbeing during the COVID-19 pandemic. The relevance of mental resources of older adults for supporting younger generations seems to be unrecognized.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行引发了人们对该疾病风险和后果的普遍不确定性。老年人在罹患该疾病的严重病程方面特别脆弱,并且在大流行期间被特别鼓励进行自我隔离。随后,人们对疾病风险和隔离对老年人心理健康的负面影响表示担忧。

目的

评估老年人在2019冠状病毒病(COVID-19)大流行期间的心理社会压力、应对策略、支持需求和连贯感。

材料与方法

本研究采用定性研究设计。2020年5月至6月期间,对11名70岁及以上的老年人进行了有引导的电话访谈。电话访谈通过录音并全文转录。根据迈林和芬兹尔(2019年)的方法,使用MAXQDA进行定性内容分析。

结果

参与者的平均年龄为74.8岁。参与者大多表现出良好的心理社会健康状况和有效的应对策略。生活经验、乐观的态度、对限制必要性的理解以及之前克服的危机是老年人在COVID-19大流行期间最重要的资源。很少有人使用提供的支持。参与者对关闭老年人活动中心或聚会场所持批评态度。

结论

在COVID-19大流行期间,老年人似乎能够保持其心理健康。老年人心理资源对支持年轻一代的相关性似乎未得到认可。

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COVID-19 and the consequences of isolating the elderly.新冠疫情与老年人隔离的后果。
Lancet Public Health. 2020 May;5(5):e256. doi: 10.1016/S2468-2667(20)30061-X. Epub 2020 Mar 20.

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