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Experiences of Life Changes and Loneliness among Rural Older Adults During the COVID-19 Pandemic: A Qualitative Study

코로나19 팬데믹 기간 동안 농촌 지역 노인들의 삶의 변화와 외로움 경험에 대한 질적연구

  • Kang, Jiyoung (College of Nursing.Research Institute of Health and Nursing, Jeju National University) ;
  • Jung, Aeri (College of Nursing, Eulji University)
  • 강지영 (제주대학교 간호대학.건강과간호연구소) ;
  • 정애리 (을지대학교 간호대학)
  • Received : 2023.11.29
  • Accepted : 2023.12.12
  • Published : 2023.12.31

Abstract

Purpose: This study aimed to understand and explore the experiences and meanings of life changes and loneliness caused by the coronavirus disease (COVID-19) among older people living in rural areas. Methods: This study adopted an individual interview approach. A total of 33 older adults were interviewed using semi-structured questions between October and December; 2020. The collected data were analyzed using thematic analysis. Results: Four main themes and ten sub-themes emerged. One main theme was "the never-ending anxiety of a changed world", the second theme was "disconnecting from the world through social distancing", the third theme was "working to overcome COVID-19", and forth "health is the most important thing in life." Conclusion: Based on the results of this study, we confirmed the urgent need for psycho-social support to relieve loneliness and social isolation of older people in rural areas during the spread of infectious diseases.

Keywords

References

  1. World Health Organization. WHO director-general's opening remarks at the media briefing on COVID-19 [Internet]. WHO [cited 2020 March 11]. Available from: https://www.who.int/director-general/speeches/
  2. 대한감염학회, 중국 우한에서 시작된 신종 코로나바이러스 2019-nCoV [Internet]. 서울: 대한감염학회[cited 2020 January 24]. Available from: https://www.ksid.or.kr/rang_board/list.html?num=3339&code=notice3
  3. 서부덕, 권경희. 코로나19 팬데믹 상황에서 국내 지역사회 노인들의 우울감 영향 요인. 보건정보통계학회지. 2021;46(1):54-63. https://doi.org/10.21032/jhis.2021.46.1.54
  4. Ernst JM, Cacioppo JT. Lonely hearts: Psychological perspectives on loneliness. Applied and Preventive Psychology. 1999;8(1):1-22. https://doi.org/10.1016/S0962-1849(99)80008-0
  5. Esmaeilzadeh S, Oz F. Effect of psychosocial care model applied in an "elderly day care center" on loneliness, depression, quality of life, and elderly attitude. Nigerian Journal of Clinical Practice. 2020;23(2):189-197. https://doi.org/10.4103/njcp.njcp_366_19.3
  6. Cohen-Mansfield J, Hazan H, Lerman Y, Shalom V. Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights. International Psychogeriatrics. 2016;28(4):557-576. https://doi.org/10.1017/S1041610215001532
  7. Heidinger T, Richter L. The effect of COVID-19 on loneliness in the elderly. An empirical comparison of pre- and peri-pandemic loneliness in community-dwelling elderly. Frontiers in Psychology. 2020;2595. https://doi.org/10.3389/fpsyg.2020.585308
  8. Ormel J, Kempen GI, Penninx BW, Brilman EI, Beekman AT, VanSonderen E. Chronic medical conditions and mental health in older people: disability and psychosocial resources mediate specific mental health effects. Psychological Medicine. 1997;27(5):1065-1077. https://doi.org/10.1017/S0033291797005321
  9. 이시은. 한국 노인의 외로움 측정도구 개발. Journal of Korean Academy of Nursing. 2019;49(5):643-654. https://doi.org/10.4040/jkan.2019.49.5.643
  10. Conroy KM, Krishnan S, Mittelstaedt S, Patel SS. Technological advancements to address elderly loneliness: Practical considerations and community resilience implications for COVID-19 pandemic. Work Older People. 2020;24(4):257-264. https://doi.org/10.1108/wwop-07-2020-0036
  11. Garcia-Fernandez L, Romero-Ferreiro V, Lopez-Roldan PD, Padilla S, Calero-Sierra I, Monzo-Garcia M et al. Mental health impact of COVID-19 pandemic on spanish healthcare workers. Psychological Medicine. 2022;52(1):195-197. https://doi.org/10.1017/S0033291720002019
  12. 정경희. 2017년도 노인실태조사. 세종: 보건복지부.
  13. Department for Digital. Culture Media & Sport. England: Community Life survey; 2017:2016-2017. Reported in. 2017 October 12.
  14. Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science. 2015;10(2):227-237. https://doi.org/10.1177/1745691614568352
  15. 전북연구원, 사회재난 코로나19, 전북 농촌 노인의 일상 위기를 극복하자[Internet]. 전북:전북연구원[cited 2020 September 15]. Available from: http://www.jthink.kr/jthink/eng/inner.php?sMenu=B1000&mode=view&no=312
  16. 지용석, 구창모. 농촌과 도시 지역 노인의 신체 활동력, 사회관계망 및 우울증의 차이. 코칭능력개발지. 2007;9(2):425-439.
  17. Krueger RA. Casey MA. Focus groups: A practical guide for applied research. Los Angeles: Sage publications; 2014. 280 p.
  18. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa
  19. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  20. 박경순, 박영란, 손덕순. 사회적 연결감과 우울의 관계: 도시노인과 농촌노인의 비교. 한국콘텐츠학회논문지. 2020;20(2):667-677. https://doi.org/10.5392/JKCA.2020.20.02.667
  21. 김경숙, 김수진. 재가노인의 외로움에 관한 연구. 한국웰니스학회지. 2021;16(1):191-196. https://doi.org/10.21097/ksw.2021.02.16.1.191
  22. Holwerda TJ, Deeg DJ, Beekman AT, Van Tilburg TG, Stek ML, Jonker C, et al. Feelings of loneliness, but not social isolation, predict dementia onset: Results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery & Psychiatry. 2014;85 (2):135-142. https://doi.org/10.1136/jnnp-2012-302755
  23. Tarugu J, Pavithra R, Vinothchandar S, Basu A, Chaudhuri S, John KR. Effectiveness of structured group reminiscence therapy in decreasing the feelings of loneliness, depressive symptoms and anxiety among inmates of a residential home for the elderly in Chittoor district. International Journal of Community Medicine and Public Health. 2019;6(2):847-854. https://doi.org/10.18203/2394-6040.ijcmph20190218
  24. 산림청.한국산림복지진흥원. 트렌드용어사전[Internet]. Available from: https://m.blog.naver.com/k-fowi/221863549691
  25. Hawton A, Green C, Dickens A, Richards S, Taylor R, Edwards R, et al. The impact of social isolation on the health status and health-related quality of life of older people. Quality of Life Research. 2011;20(1):57-67. https://doi.org/10.1007/s11136-010-9717-2
  26. 이강형, 신동호. 노인의 외로움과 텔레비전 의존: 텔레비전에 대한 지각, 시청행태, 시청 총량, 만족도에 미치는 영향. 사회과학연구. 2018;25(3):29-56. https://doi.org/10.46415/jss.2018.09.25.3.29
  27. 이향수, 이성훈. 농어민의 정보격차와 소득수준에 대한 연구. 디지털융복합연구. 2018;16(1):13-20. https://doi.org/10.14400/JDC.2018.16.1.013
  28. 황영현, 엄재희, 이민경, 양지수. 여성 독거노인의 외로움 극복과정에 대한 현상학적 연구: 코로나 상황에서 초기 독거노인을 중심으로. 노인복지연구. 2023;78(1):9-39. https://doi.org/10.21194/kjgsw.78.1.202303.9
  29. Marsillas S, Schoenmakers E. Older adults' mentioned practices for coping with loneliness. European journal of ageing. 2022;19(3):753-762. https://doi.org/10.1007/s10433-021-00658-y