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Nursing Home Residents’ Perceptions of Challenges and Coping Strategies during COVID-19 Pandemic in China

Author

Listed:
  • Shuang Wu

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Lily Dongxia Xiao

    (College of Nursing and Health Sciences, Flinders University, Adelaide, SA 5042, Australia)

  • Jiahui Nan

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Si Zhao

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Ping Yin

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Dou Zhang

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Lulu Liao

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Mengqi Li

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Xiufen Yang

    (Xiangya School of Nursing, Central South University, Changsha 410013, China)

  • Hui Feng

    (Xiangya School of Nursing, Central South University, Changsha 410013, China
    Xiangya-Oceanwide Health Management Research Institute, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha 410013, China)

Abstract

Older people in nursing homes are at a high risk of being infected by coronavirus disease 2019 (COVID-19). They also experienced nursing home lockdowns that harm their psychological wellbeing. Better support for this vulnerable population requires understanding their perceptions of challenges and coping strategies during the COVID-19 pandemic. A qualitative descriptive study was conducted using semi-structured interviews. Thematic analysis approach was used to analyze the data. Participants were recruited from six nursing homes in three cities in Hunan Province, China. Fourteen nursing home residents participated in the study. Four themes were identified from interviews and described as: mental stress and coping strategies, self-regulation to respond to lockdown, the lack of social connection and coping strategies, and the need for medical care services and coping strategies. This study revealed that nursing home residents perceived stress during the nursing home lockdown, but they reported initiating activities to maintain health and connections with their families and peers. Resilience improvement interventions are necessary to enable residents’ autonomy and develop their resilience in coping with difficulties and hardship during crises. The findings also indicate that a supportive environment with interactions from families, peers, and staffs played a key role in enabling residents’ positive health and wellbeing during the lockdown.

Suggested Citation

  • Shuang Wu & Lily Dongxia Xiao & Jiahui Nan & Si Zhao & Ping Yin & Dou Zhang & Lulu Liao & Mengqi Li & Xiufen Yang & Hui Feng, 2023. "Nursing Home Residents’ Perceptions of Challenges and Coping Strategies during COVID-19 Pandemic in China," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1485-:d:1035092
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    References listed on IDEAS

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    1. Almudena Crespo-Martín & Domingo Palacios-Ceña & Elisabet Huertas-Hoyas & Javier Güeita-Rodríguez & Gemma Fernández-Gómez & Jorge Pérez-Corrales, 2022. "Emotional Impact and Perception of Support in Nursing Home Residents during the COVID-19 Lockdown: A Qualitative Study," IJERPH, MDPI, vol. 19(23), pages 1-13, November.
    2. Andrés Losada-Baltar & Lucía Jiménez-Gonzalo & Laura Gallego-Alberto & María del Sequeros Pedroso-Chaparro & José Fernandes-Pires & María Márquez-González & Derek Issacowitz, 2021. "“We Are Staying at Home.” Association of Self-perceptions of Aging, Personal and Family Resources, and Loneliness With Psychological Distress During the Lock-Down Period of COVID-19," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(2), pages 10-16.
    3. Yingfei Zhang & Zheng Feei Ma, 2020. "Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(7), pages 1-12, March.
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