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新冠疫情期间老年人的心理韧性:一项摄影发声研究。

Resilience among older adults during the COVID-19 pandemic: A photovoice study.

作者信息

Karmann Julie, Handlovsky Ingrid, Lu Sonia, Moullec Gregory, Frohlich Katherine L, Ferlatte Olivier

机构信息

École de Santé Publique de l'Université de Montréal, Montréal, Canada.

Centre de Recherche en Santé Publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Canada.

出版信息

SSM Qual Res Health. 2023 Jun;3:100256. doi: 10.1016/j.ssmqr.2023.100256. Epub 2023 Mar 24.

Abstract

Older adults faced significant challenges during the COVID-19 pandemic but also demonstrated great resilience. Investigating these strengths may enhance and inform strategies to mitigate the impacts of the pandemic. To gain insight into the resilience processes of older adults during the first year of the pandemic, we conducted a photovoice study with 26 older adults (aged over 60) in the province of Quebec, Canada. Participants met online weekly for three weeks in small groups to discuss their photographs and share their resilience strategies. The thematic analysis revealed three interrelated themes. First, participants distanced themselves from the pandemic by engaging in activities that took their focus away from COVID-19 and that afforded much-needed respite. Second, participants regained their bearings by reorganizing their schedules and establishing new routines that bolstered occupation rather than rumination. Third, participants used the pandemic to self-reflect and revise their priorities, leveraging the pandemic as an opportunity for growth. Together, these themes demonstrate the strengths, coping strategies and resilience of older adults and contrast the stereotypes of older adults as vulnerable and resourceless. These findings have the potential to inform the implementation of strength-based health promotion initiatives to mitigate the harms of the pandemic.

摘要

老年人在新冠疫情期间面临着重大挑战,但也展现出了强大的适应能力。探究这些优势可能会加强并为减轻疫情影响的策略提供信息。为了深入了解疫情第一年老年人的适应过程,我们在加拿大魁北克省对26名60岁以上的老年人开展了一项摄影叙事研究。参与者每周通过线上方式分成小组进行为期三周的会面,讨论他们拍摄的照片并分享他们的适应策略。主题分析揭示了三个相互关联的主题。首先,参与者通过参与那些能转移他们对新冠疫情的注意力并提供急需的喘息机会的活动,与疫情保持距离。其次,参与者通过重新安排日程和建立新的日常安排来恢复方向感,这些安排强化了日常事务而非沉思。第三,参与者利用疫情进行自我反思并调整优先事项,将疫情作为成长的契机。这些主题共同展示了老年人的优势、应对策略和适应能力,与认为老年人脆弱且缺乏资源的刻板印象形成了对比。这些发现有可能为实施基于优势的健康促进举措提供信息,以减轻疫情的危害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5adb/10037917/f616da36a6a3/gr1.jpg

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