"比我想象的更坚强":跨越 COVID-19 大流行两年的老年人应对之道。

IF 4.6 2区 医学 Q1 GERONTOLOGY Gerontologist Pub Date : 2024-07-01 DOI:10.1093/geront/gnad164
Heather R Fuller, Andrea Huseth-Zosel, Emily Kinkade, Bryce Van Vleet, Melisa Hajdar
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引用次数: 0

摘要

背景和目的:在 COVID-19 大流行期间,老年人制定了应对策略,以适应必要的社会隔离预防措施;然而,随着时间的推移,特别是随着疫苗的上市,他们适应和应对的需求和能力发生了变化。这项纵向混合方法研究调查了大流行头两年中老年人对应对策略看法的变化:在 2020 年 4 月至 2022 年 6 月期间,对 76 名年龄在 70-97 岁之间的中西部老年人进行了五波访谈。在每个时间点,参与者都会对其感知到的应对水平进行评分。他们还回答了一系列开放式问题,内容涉及他们当前的日常生活、经历以及对大流行病的看法:结果:重复测量方差分析表明,参与者的认知应对能力在两年内显著提高,定性解释说明了这些转变的背景。访谈记录的主题编码确定了以下主题:1) 采取以问题为中心的方法;2) 培养情绪恢复能力,每个主题中又包含多个子主题。疫苗上市后,随着参与者适应 "新常态 "生活方式并认识到自身的恢复能力,次主题的含义也发生了变化:研究结果表明,在大流行病发生的最初两年中,老年人的应对经验存在细微差别且不断变化,但总体而言,他们是通过利用生活经验来应对大流行病的。我们的讨论强调了老年人应对方式随时间的变化以及未来研究和实践的方向。
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"Stronger Than I Thought I Was": Older Adults' Coping Across Two Years of the COVID-19 Pandemic.

Background and objectives: Throughout the coronavirus disease 2019 (COVID-19) pandemic, older adults developed coping strategies to adapt to the necessary social distancing precautions; however, over time, especially as vaccines became available, their need and ability to adapt and cope shifted. This longitudinal, mixed-methods study investigates changes in older adults' perceptions of coping across the first 2 years of the pandemic.

Research design and methods: Between April 2020 and June 2022, 5 waves of interviews were conducted with 76 Midwestern older adults aged 70-97. At each timepoint, participants rated their level of perceived coping. They also answered a series of open-ended questions about their current daily life, experiences, and perceptions during the pandemic.

Results: Repeated-measure ANOVA indicated participants' perceived coping significantly increased over 2 years and qualitative explanations contextualized these shifts. Thematic coding of interview transcripts identified themes of: (1) taking problem-focused approaches and (2) cultivating emotional resiliency, with multiple subthemes nested within each. Subtheme meanings shifted once vaccines were available, as participants adapted to a "new normal" lifestyle and appreciated their own resilience.

Discussion and implications: Findings suggest older adults had nuanced and shifting coping experiences throughout the initial 2 years of the pandemic, but overall coped by drawing on life experiences. Our discussion highlights variability in older adults' coping over time and directions for future study and practice.

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来源期刊
Gerontologist
Gerontologist GERONTOLOGY-
CiteScore
11.00
自引率
8.80%
发文量
171
期刊介绍: The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
期刊最新文献
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