Nethersole School of Nursing, Faculty of Medicine, 71024The Chinese University of Hong Kong, Shatin, Hong Kong.
School of Nursing, 261919Tung Wah College, Kowloon, Hong Kong.
Qual Health Res. 2022 Jan;32(2):279-290. doi: 10.1177/10497323211050910. Epub 2021 Dec 2.
With little understandings on the loneliness of older adults in residential care homes structured by social contact restrictions, the provision of person-centered care was jeopardized during the pandemic. This study employed hermeneutic phenomenology to explore the lived experiences of loneliness of this population during a 5-month period of the COVID-19 pandemic. We conducted unstructured face-to-face interviews with 15 older adults living in seven residential care homes. Thematic analysis was guided by Van Manen's approach. The essence of loneliness was uncovered as "A deprived sense of self-significance in a familiar world contributes to older adult's disconnection with prior commitments." A sub-theme "From collapse to dissolution of self-understanding" revealed how COVID-19 structured their loneliness. Another sub-theme, "Restoring meanings by establishing connections with entities" illustrated the ways to mitigate loneliness during the pandemic. Activities fostering alternative self-interpretation are important to protect older adults against loneliness.
由于对社交接触限制所构建的养老院中老年人孤独感了解甚少,在疫情期间,以患者为中心的护理受到了威胁。本研究采用解释学现象学方法,在 COVID-19 大流行的 5 个月期间,探索了这一人群的孤独感的生活体验。我们对居住在 7 家养老院的 15 位老年人进行了非结构化的面对面访谈。主题分析以范梅南的方法为指导。孤独的本质被揭示为“在熟悉的世界中失去自我重要感会导致老年人与先前的承诺脱节”。一个子主题“自我理解的崩溃和瓦解”揭示了 COVID-19 如何构建他们的孤独感。另一个子主题“通过与实体建立联系来恢复意义”说明了在大流行期间缓解孤独感的方法。促进替代自我解释的活动对于保护老年人免受孤独感至关重要。
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