探索 COVID-19 大流行期间加拿大长期护理居民的孤独体验:一项定性研究。
Exploring experiences of loneliness among Canadian long-term care residents during the COVID-19 pandemic: A qualitative study.
机构信息
IDEA Lab, University of British Columbia, Vancouver, British Columbia, Canada.
Community Engagement Advisory Network, Vancouver, British Columbia, Canada.
出版信息
Int J Older People Nurs. 2023 Jan;18(1):e12509. doi: 10.1111/opn.12509. Epub 2022 Nov 8.
BACKGROUND
The COVID-19 pandemic has significant impact on long-term care (LTC) residents' health and well-being.
OBJECTIVES
This study investigated resident experiences of loneliness during the COVID-19 pandemic in Canadian LTC homes to offer lessons learned and implications.
METHODS
15 residents and 16 staff members were recruited from two large urban Canadian LTC homes with large outbreaks and fatalities. We used a telepresence robot to conduct one-on-one semi-structured interviews with participants remotely. We applied the Collaborative Action Research (CAR) methodology and report the early phase of CAR focused on collecting data and reporting findings to inform actions for change. Thematic analysis was performed to identify themes.
RESULTS
Four themes were identified. The first two themes characterise what commonly generated feelings of loneliness amongst residents, including (1) social isolation and missing their family and friends and (2) feeling hopeless and grieving for lives lost. The second two themes describe what helped residents alleviate loneliness, including (3) social support and (4) creating opportunities for recreation and promoting positivity.
CONCLUSIONS
Residents living in LTC experienced significant social isolation and grief during the pandemic that resulted in loneliness and other negative health consequences.
IMPLICATIONS FOR PRACTICE
Promoting meaningful connection, safe recreational activities and a positive atmosphere in LTC homes during the pandemic may help mitigate residents' experiences of loneliness due to social isolation and/or grief and enhance their quality of life.
背景
COVID-19 大流行对长期护理(LTC)居民的健康和福祉产生了重大影响。
目的
本研究调查了 COVID-19 大流行期间加拿大长期护理院居民的孤独感体验,以期提供经验教训和启示。
方法
从两家爆发疫情和死亡人数较多的大型城市加拿大长期护理院招募了 15 名居民和 16 名工作人员。我们使用远程呈现机器人与参与者远程进行一对一的半结构化访谈。我们应用协作行动研究(CAR)方法,并报告了专注于收集数据和报告发现以告知变革行动的 CAR 的早期阶段。采用主题分析来确定主题。
结果
确定了四个主题。前两个主题描述了居民普遍产生孤独感的原因,包括(1)社会隔离和想念家人和朋友,以及(2)感到绝望和为失去的生命而悲伤。后两个主题描述了有助于居民缓解孤独感的因素,包括(3)社会支持和(4)创造娱乐机会和促进积极性。
结论
居住在长期护理院的居民在大流行期间经历了严重的社会隔离和悲痛,导致孤独和其他负面健康后果。
实践意义
在大流行期间,在长期护理院促进有意义的联系、安全的娱乐活动和积极的氛围,可能有助于减轻居民因社会隔离和/或悲伤而产生的孤独感,并提高他们的生活质量。