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秘鲁老年人在 COVID-19 封锁期间的能动性与心理健康。

Agency and Mental Health Among Peruvian Older Adults During the COVID-19 Lockdown.

机构信息

Universidad de San Martín de Porres, Facultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Lima, Peru.

Asociación Benéfica PRISMA, Lima, Peru.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2023 May 26;78(6):1109-1117. doi: 10.1093/geronb/gbad040.

DOI:10.1093/geronb/gbad040
PMID:36869737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10214643/
Abstract

OBJECTIVES

To explore the experiences of older Peruvian adults living in urban areas of Lima under lockdown due to the National COVID-19 Emergency, this study analyzes how older adults (aged 60 and older) exercise agency while also living with the negative impacts of coronavirus disease 2019 (COVID-19) and related control measures.

METHODS

Between August and December 2020, our research team conducted a telephone-based, qualitative study, in which we undertook semistructured interviews with a purposive sample of low-income older adults living with chronic multimorbidities and limited resources. Forty older adults, 24 women and 16 men, with a mean age of 72 years, participated in the study. For data analysis, we employed thematic analysis with a predominantly inductive approach.

RESULTS

Older adults demonstrated several forms of agency to regulate emotions, maintain crucial bonds, foster social relationships, and seek economic and food security. Older adults experienced entertainment and support by caring for pets, undertaking farm work, and practicing their religious beliefs. For several participants and their families, quarantine was an opportunity to strengthen family relationships and learn new technologies. Older adults and their families reorganized themselves to assume new roles and perform activities that improved self-worth and confidence, thereby improving their well-being and mental health.

DISCUSSION

Peruvian older adults exerted agency in different ways to respond to and sustain their mental health during the COVID-19 lockdown. Policymakers should value and recognize the agency of older adults when planning future health responses.

摘要

目的

探讨因国家 COVID-19 紧急状态而被封锁在利马市区的秘鲁老年成年人的体验,本研究分析了老年人(60 岁及以上)在行使代理权的同时,如何应对 2019 年冠状病毒病(COVID-19)及其相关控制措施的负面影响。

方法

在 2020 年 8 月至 12 月期间,我们的研究团队进行了一项基于电话的定性研究,对生活在慢性多态性疾病和资源有限的低收入老年成年人进行了半结构化访谈。40 名老年人,24 名女性和 16 名男性,平均年龄为 72 岁,参加了这项研究。在数据分析方面,我们采用了以归纳为主导的主题分析方法。

结果

老年人表现出多种形式的代理,以调节情绪、维持重要关系、培养社会关系和寻求经济和粮食安全。老年人通过照顾宠物、从事农场工作和实践宗教信仰来获得娱乐和支持。对于一些参与者及其家庭来说,隔离是加强家庭关系和学习新技术的机会。老年人及其家庭重新组织起来,承担新的角色,开展提高自我价值和信心的活动,从而改善他们的幸福感和心理健康。

讨论

秘鲁老年人以不同的方式行使代理权,以应对和维持 COVID-19 封锁期间的心理健康。政策制定者在规划未来的卫生应对措施时,应重视和承认老年人的代理权。

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