A qualitative study on the elderly and mental health during the COVID-19 lockdown in Buenos Aires, Argentina - Part 1.

Autor:	Pisula P; Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. ORCID: 0000-0002-0128-5429., Salas Apaza JA; Universidad Nacional de La Matanza, Buenos Aires, Argentina. ORCID: 0000-0002-3956-0617., Baez GN; Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. ORCID: 0000-0002-6175-1487., Loza CA; Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. ORCID: 0000-0003-4553-2206., Valverdi R; Universidad Nacional de Matanza, Buenos Aires, Argentina. ORCID:0000-0002-6492-2368., Discacciati V; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. ORCID: 0000-0001-8718-0910., Granero M; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. ORCID: 0000-0001-8440-4202., Pizzorno Santoro XS; ORCID: 0000-0002-5195-060X., Franco JVA; Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. Address: Potosí 4265, Buenos Aires, Argentina, 1199. Email: juan.franco@hospitalitaliano.org.ar. ORCID: 0000-0003-0411-899X.
Jazyk:	Spanish; Castilian; English
Zdroj:	Medwave [Medwave] 2021 May 24; Vol. 21 (4), pp. e8186. Date of Electronic Publication: 2021 May 24.
DOI:	10.5867/medwave.2021.04.8186
Abstrakt:	Introduction: On March 19, 2020, preventive and mandatory social isolation was decreed in Argentina in response to the pandemic caused by the SARS-CoV-2 virus and the disease it causes (COVID-19). This measure aimed to reduce the transmission of the virus and the resulting severe respira-tory condition that frequently besets older adults. However, this measure can also affect the support networks of these isolated people. Objectives: To explore the emerging needs related to the mental health of isolated older adults in this period and to identify the main support networks they have and the emerging coping strategies in the face of the situation. Methodology: We carried out an exploratory qualitative study, summoning participants over 60 years of age. Using snowball sampling, a group of researchers contacted them by phone to collect data. The analysis of the findings was triangulated among researchers with different academic backgrounds (medicine, psychology, and sociology). The concepts emerging from the interviews were linked in conceptual networks using an inductive methodology and were mapped into conceptual frameworks available to researchers. Atlas.ti 8 software was used for coding. Results: Thirty-nine participants belonging to the Buenos Aires Metropolitan Area were interviewed between April and July 2020. For greater clarity, the main themes were described in five cross-sectional axes: network configurations, resources and coping strategies, affective states and emo-tions, perceptions and reflections on the future, and actions emerging from the participatory approach. Participants reported distress, anxiety, anger, uncertainty, exhaustion, and expressed fear of contagion from themselves and their loved ones. We identify greater vulnerability in people living alone, in small and closed environments, with weak linkages and networks, or limited access to technologies. We also found vari-ous coping strategies and technology was a fundamental factor in maintaining the bonds. Conclusions: The findings of this research have implications for decision-making at the individual level, health systems, professional care, and policy devel-opment. Future research may elucidate the regional, temporal, and socioeconomic variations of the phenomena explored in our research.
Databáze:	MEDLINE
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