Self-care of Older Adults Living Alone during the COVID-19 Pandemic: A Qualitative Study
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Abstract
This qualitative descriptive study aimed to describe the self-care of older adults living alone during the COVID-19 pandemic. The key informants comprised eighteen individuals aged 60 and above living alone in Nakhon Pathom Province. Semi-structured interviews were used to collect data, focusing on self-care experiences among older adults living alone during the COVID-19 pandemic. The data were analyzed using content analysis.
The results revealed that older adults engaged in self-care in the following domains: 1) health behavior adjustments, such as wearing face masks; 2) health care management, such as receiving home visits from medical personnel; 3) psychosocial adjustments, such as modifying social interaction patterns; and 4) self-reliance, such as utilization of limited resources.
Based on the findings, home visit activities for older adults living alone should be organized in collaboration with network partners to provide support, supplies, emotional well-being, disease-related information and knowledge, and guidance on safe and appropriate home-based exercise.
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References
Applebaum, J. W., Ellison, C., Struckmeyer, L., Zsembik, B. A., & McDonald, S. E. (2021). The impact of pets on everyday life for older adults during the COVID-19 pandemic. Frontiers in Public Health, 9, 652610. https://doi.org/10.3389/fpubh. 2021.652610
Ayling, K., Jia, R., Coupland, C., Chalder, T., Massey, A., Broadbent, E., & Vedhara, K. (2022). Psychological predictors of self-reported COVID-19 outcomes: Results from a prospective cohort study. Annals of Behavioral Medicine: A publication of the Society of Behavioral Medicine, 56(5), 484–497. https://doi.org/10.1093/abm/kaab106
Besedovsky, L., Lange, T., & Haack, M. (2019). The sleep-immune crosstalk in health and disease. Physiological Reviews, 99(3), 1325–1380. https://doi.org/10.1152/phys rev. 00010.2018
Bootsri, W. (2022). Healthcare behaviors of the elderly living alone in urban areas Ubon Ratchathani Province. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong, 6(3), 57-70. (in Thai)
Borthai, S., Chanabun, S., & Tongsuk, K. (2023). Factors related to COVID-19 booster vaccination among the elderly with chronic disease Banphai District, Khon Kaen Province. Academic Journal of Nursing and Health Sciences, 3(2), 155-167. (in Thai)
Chomeya, R., & Phansri, G. (2020). New coronavirus (COVID-19) disease prevention behaviors awareness: Comparison between ages. Journal of Humanities and Social Sciences Mahasarakham University, 39(6), 71-82. (in Thai)
Department of Health, Ministry of Public Health. (2020). Public health guidelines for preventing the spread of the coronavirus disease 2019 (COVID-19) for nursing homes. https://covid19.anamai.moph.go.th/web-upload/2xdccaaf3d7f6ae30ba6ae1459eaf3dd66/m_document/6734/35205/file_download/d34f5de5a9ab488ca2ffbb6136b48f09.pdf (in Thai)
Dreyer, K., Steventon, A., Fisher, R., & Deeny, S. R. (2018). The association between living alone and health care utilisation in older adults: a retrospective cohort study of electronic health records from a London general practice. BMC Geriatrics, 18(1), 269. https://doi.org/10.1186/s12877-018-0939-4
Friedman, E. M. (2012.). Wellbeing, ageing and immunity. In: Segerstrom, S. C. (Ed.). The Oxford handbook of psychoneuroimmunology (pp.37–62). Oxford University Press. https://doi.10.1093/oxfordhb/9780195394399.013.0003
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
Jitapunkul, S. (1998). Principles of geriatric medicine. Chulalongkorn University Printing House. (in Thai)
Lincoln, Y. S. & Guba, E. G. (1985). Naturalistic inquiry. Sage.
Nakhon Pathom Provincial Office. (2022). Follow the Nakhon Pathom Covid-19 situation. https://covid.nakhonpathom.go.th/frontpage (in Thai)
National Statistical Office. (2022). The 2021 survey of the older persons in Thailand. https://www.dop.go.th/download/knowledge/th1687612748-2406_0.pdf (in Thai)
Noohi, S., Karamitanha, F., & Shoghli, A. (2022). Self-care ability of the elderly and related factors. Preventive Care in Nursing and Midwifery Journal, 12(4), 19-25. (in Thai)
Orem, D. E. (1995). Nursing: Concepts of practice. Mosby.
Panyathorn, K. & Trongsri, C. (2020). Healthcare and related factors of the elderly living alone in Bantad, Mueang District, Udonthani Province. APHEIT Journal of Nursing and Health, 2(2), 41-52. (in Thai)
Phanasathit, M. (2017). Validity and reliability of Lawton Instrumental Activities of Daily Living Scale (L-IADL) and Older People's Quality of Life Questionnaire (OPQOL-Brief): Thai version. Unit Psychiatric Department, Thammasat University Hospital. (in Thai)
Quiros-Roldan, E., Sottini, A., Natali, P. G., & Imberti, L. (2024). The impact of immune system aging on infectious diseases. Microorganisms, 12(4), 775. https://doi.org/10.3390/microorganism s12040775
Sangkla, J., & Gray, R. (2022). Prayers, happiness and mental health of Thai Buddhists. Humanities and Social Sciences Journal of Pibulsongkram Rajabhat University, 16(1), 24-39. (in Thai)
Simpson, R. J., Lowder, T. W., Spielmann, G., Bigley, A. B., LaVoy, E. C., & Kunz, H. (2012). Exercise and the aging immune system. Ageing Research Reviews, 11(3), 404–420. https://doi.org/10.1016/j.arr.2012.03.003
Suwannasarn, K. (2022). Predictive factors of subjective well-being in older adults living alone: Mixed method approach [Unpublished doctoral dissertation]. Thammasat University.
Thongunketmaneesa, P., & Hoonnirun, P. (2024). Development of new normal model to prevent COVID-19 of elderly at 2nd Regional Health Ministry of Public Health. Journal of MCU Buddhapanya Review, 9(2), 127-141. (in Thai)
United Nations, Department of Economic and Social Affairs, Population Division. (2020). World population ageing 2020 highlights: Living arrangements of older persons (ST/ESA/SER.A/451). United Nations.
Wongrajit, K. (Ed.). (2022). Endemic approach to COVID-19. Strategy and planning division, Office of the Permanent Secretary, Ministry of Public Health. (in Thai)