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KMID : 0895920230250010011
Journal of Korean Gerontological Nursing
2023 Volume.25 No. 1 p.11 ~ p.22
Health-management experiences among older women living alone during the COVID-19 pandemic: A photovoice study
Kim Hee-Kyung

Kim Hyun-Kyoung
Park Chul-Hee
Abstract
Purpose: The purpose of this study was to explore the health-management experiences of older women living alone during the coronavirus disease 2019 (COVID-19) pandemic through the photovoice method. The research question was as follows: ¡°What were the physical, psychological, and social health management experiences of older women living alone during COVID-19?¡±

Methods: Data collection was conducted by a photovoice method. We visited the homes of 8 participants aged from 80 to 89 years old in the city of Daejeon between June 23 and July 14, 2022 using purposive sampling.

Results: As a result of the photovoice study, 125 photos, 15 sub-themes, and four themes were derived. The first theme was ¡°loneliness deepened by COVID-19¡±, which consisted of the following sub-themes: ¡°lack of communication due to COVID-19¡±, ¡°staying in nature¡±, and ¡°aggravated loneliness during COVID-19¡±. The second theme was ¡°difficulty getting out of the residence¡±, which included the following sub-themes: ¡°relief stress from COVID-19¡±, frustrated by the difficulty of going out¡±, ¡°decreased orientation and going out less frequently¡±, and ¡°avoiding going out for fear of falling¡±.
The third theme was ¡°health-care lost¡±, which involved the following sub-themes: ¡°silence as giving up on life¡±, ¡°asthenia due to lack of appetite¡±, ¡°painful body¡±, ¡°many medications and poor health¡±, and ¡°treatment that doesn't help¡±. The last theme was ¡°something to depend on during COVID-19¡±, which consisted of the following subthemes: ¡°gratitude to care givers¡±, ¡°longing for a bereaved family¡±, and ¡°precarious place of residence¡±.

Conclusion: Older women living alone experienced aggravated vulnerability and difficulty with health management due to a lack of social support during the COVID-19 period. This study suggests the need for a social safety network and vividly reveals the necessity of caregivers¡¯ support and policy assistance for socially vulnerable populations.
KEYWORD
Aged, COVID-19, Female, Health, Qualitative research
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