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疫情日记:COVID-19 期间老年人孤独、失落和希望的生活经历。

Pandemic Diaries: Lived Experiences of Loneliness, Loss, and Hope Among Older Adults During COVID-19.

机构信息

School of Social Sciences, Monash University, Clayton, Victoria, Australia.

出版信息

Gerontologist. 2023 Jan 24;63(1):120-130. doi: 10.1093/geront/gnac104.

Abstract

BACKGROUND AND OBJECTIVES

While research on loneliness in later life has increased during the coronavirus disease 2019 (COVID-19) pandemic, we still lack diverse qualitative approaches capturing lived experiences of lonely older adults. Approaches to research with older adults instead of on them are also scant in gerontological literature on loneliness. Through solicited diaries, this study aimed to explore how older Australians who were already lonely before the pandemic managed lockdowns (stay-at-home orders) in Victoria, Australia, which lived through one of the longest lockdowns in the world.

RESEARCH DESIGN AND METHODS

This article is based on qualitative diaries completed by 32 older adults (aged 65 and older). Diaries provide a 'live' document where participants become active research partners, recording and sharing their perceptions and experiences. This method is useful to capture sensitive issues, but to the best of our knowledge has not been employed in loneliness studies. Data were thematically analyzed through the identification of themes within and across diaries.

RESULTS

Loneliness was defined by participants as a detrimental absence of companionship and meaningful social interactions. For most, lockdowns exacerbated loneliness, presented new triggers, and upended coping strategies. The disruption of the 'emotion work' involved with managing loneliness led to a reconfiguration of response strategies, including through digital technology, which brought both challenges (e.g., digital ageism) and opportunities (e.g., novel communication forms).

DISCUSSION AND IMPLICATIONS

Understanding how older people living alone define and respond to loneliness in diverse contexts-for example, before and during a pandemic that restricts social interaction-provides critical insights to inform interventions to tackle loneliness.

摘要

背景与目的

虽然在 2019 年冠状病毒病(COVID-19)大流行期间,有关老年人孤独感的研究有所增加,但我们仍然缺乏捕捉孤独老年人生活经历的多样化定性方法。在关于孤独感的老年学文献中,也很少有针对老年人的研究方法而不是针对他们的研究方法。本研究通过征集日记,旨在探讨在澳大利亚维多利亚州封锁期间(居家令),已经在大流行前感到孤独的澳大利亚老年人如何管理生活,该州经历了世界上最长的封锁之一。

研究设计与方法

本文基于 32 名老年人(年龄在 65 岁及以上)完成的定性日记。日记提供了一个“实时”文件,使参与者成为积极的研究合作伙伴,记录和分享他们的看法和经验。这种方法可用于捕捉敏感问题,但据我们所知,它尚未用于孤独感研究。通过在日记中识别主题,对数据进行主题分析。

结果

参与者将孤独感定义为有益的陪伴和有意义的社交互动的缺失。对大多数人来说,封锁加剧了孤独感,带来了新的触发因素,并颠覆了应对策略。管理孤独感所涉及的“情感劳动”的中断导致应对策略的重新配置,包括通过数字技术,这带来了挑战(例如数字年龄歧视)和机遇(例如新颖的沟通形式)。

讨论与启示

了解独居老年人在不同背景下(例如,在限制社交互动的大流行之前和期间)如何定义和应对孤独感,为解决孤独感问题提供了重要的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a094/9872761/19432277c35a/gnac104f0001.jpg

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