J Gerontol Nurs. 2023 Apr;49(4):47-56. doi: 10.3928/00989134-20230310-02. Epub 2023 Apr 1.
The current cross-sectional study examined the effect of coronavirus disease 2019 (COVID-19) household isolation on household conflict and cohesion in one-, two-, and three-generation households with older adults (aged ≥65 years). Participants were 757 adults (aged ≥18 years) with at least one older adult in their household. Respondents were from 51 countries. Study variables were measured with the COVID-19 Household Environmental Scale. Non-parametric tests were used to assess differences between groups. Most participants ( = 437, 57.7%) lived in three-generation homes. Three-generation homes reported greater increases in conflict ( < 0.001) and cohesion ( < 0.001) during household isolation compared to oneand two-generation homes. Findings suggest that older adults living in multigenerational households experienced more cohesive and conflictive household environments as a function of the COVID-19 pandemic. Further research should explore how family or health care interventions could better support older adults and families as a unit of care to avoid adverse outcomes and boost resilience. [(4), 47-56.].
本横断面研究考察了 COVID-19 家庭隔离对有老年人（年龄≥65 岁）的一代、二代和三代家庭中的家庭冲突和凝聚力的影响。参与者为 757 名年龄≥18 岁的成年人，他们的家庭中至少有一名老年人。受访者来自 51 个国家。研究变量使用 COVID-19 家庭环境量表进行测量。采用非参数检验比较组间差异。大多数参与者（n=437，57.7%）居住在三代同堂的家庭中。与一代和二代家庭相比，三代同堂家庭在家庭隔离期间报告的冲突（<0.001）和凝聚力（<0.001）增加更大。研究结果表明，由于 COVID-19 大流行，居住在多代同堂家庭中的老年人经历了更具凝聚力和冲突性的家庭环境。进一步的研究应该探讨家庭或医疗保健干预措施如何更好地支持老年人和家庭作为一个护理单位，以避免不良后果并增强韧性。[(4), 47-56.]。
