A Qualitative Study of Coping Strategies for Loneliness Among Indonesian Older Adults: Implications for Nursing Practice.

Loneliness is a widespread issue that significantly affects the well-being of older adults globally, with cultural shifts and urbanisation increasing their vulnerability to social isolation. Despite growing concern about this issue, there is a lack of research on coping strategies for loneliness among older adults in Indonesia. This study aimed to explore how older adults in Belitung, Indonesia cope with loneliness. A descriptive phenomenology design was used, and in-depth semi-structured focus group discussions (FGDs) were conducted with older adults (aged 60 and above) at two public health centres. The first FGD, with five participants, took place in October 2023, followed by a second FGD with ten participants in March 2024. Both sessions were audio-recorded. The interview data were transcribed verbatim and analysed using Colaizzi's method. The results showed that all participants reported experiencing loneliness and shared various coping strategies. Five themes emerged from the analysis: (1) Cultural and Religious Practices as Coping Mechanisms, highlighting the significance of spirituality; (2) Traditional Social Interactions, such as 'Ngelakar' and 'Begalor,' which strengthen community bonds; (3) Staying Active through 'Posyandu Lansia,' which supports physical and emotional well-being; (4) The Role of Family and Grandchildren, providing emotional warmth and a sense of purpose; and (5) Leisure and Recreational Activities, offering enjoyment and distraction. The findings reveal that older adults use culturally rooted strategies to manage loneliness, emphasising the importance of community, tradition, and spirituality. Gender differences were also noted. These results may inform the development of culturally tailored community nursing interventions aimed at reducing loneliness and enhancing the well-being of older adults.