Experiences of Elderly Living Alone During the COVID-19 Pandemic: A Phenomenological Research
Year 2025,
Volume: 15 Issue: 1, 147 - 156, 28.03.2025
Ayşegül Ilgaz
,
Esma Nur Sert
,
Sebahat Gözüm
,
Selma Öncel
Abstract
Objective: While one of the groups most affected by the COVID-19 pandemic is elderly individuals, those living alone are more disadvantaged. This study aimed to explore the experiences of elderly individuals living alone during the COVID-19 pandemic and to address this process and the problems they experience with all aspects of health.
Methods: This study adopted a phenomenological approach and was conducted with 14 elderly people living alone. Individual in-depth face-to-face interviews were conducted using a semi-structured interview form. Content analysis was used for the data analysis.
Results: The main themes identified were i) the effects of pandemic restrictions, ii) the view of the elderly on pandemic rules, iii) physical, iv) mental and v) social health problems, vi) coping strategies of the elderly, vii) support received in problem-solving, viii) and solution suggestions from the elderly.
Conclusion: Pandemic restrictions in elderly individuals living alone have disrupted health checks and changes in daily life. The elderly experienced physical, mental and social health problems during the pandemic and developed coping strategies to combat the process. The experiences of the elderly and their suggestions should be taken into account in being prepared for any crisis that may affect the whole society, especially the elderly living alone.
Ethical Statement
This study was approved by Ethics Committee of Akdeniz University Clinical Research (Approval date: 18.08.2021; Number: KAEK-568)
References
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- Gencer N. Being elderly in Covid-19 process: Evaluations on curfew for 65-year-old and over citizens and spiritual social work. Turkish Journal of Social Work Research 2020;4(1):35-42.
- Tamkoç B, Kök H, Atalay Z. The experiences of the elderly living alone in Türkiye in the Covid-19 Process: The case of Ankara. Journal of Abant Social Sciences 2023;23(3):1315-1332. https://doi.org/10.11616/asbi.1265973
- Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 2007;19(6):349 – 357. https://doi.org/10.1093/intqhc/mzm042
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- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2):105-112, https://doi.org/10.1016/j.nedt.2003.10.001
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- Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. The Lancet Public Health 2020;5(5):e256. https://doi.org/10.1016/S2468-2667(20)30061-X
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- Oliveira MR, Sudati IP, Konzen VM, de Campos AC, Wibelinger LM, Correa C, Miguel FM, Silva RN, Borgi-Silva A. Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Exp Gerontol. 2022;159:111675. https://doi.org/10.1016/j.exger.2021.111675
- Samuel LJ, Dwivedi P, Hladek M, Cudjoe TK, Drazich BF, Li Q, Szanton SL. The effect of COVID‐19 pandemic‐related financial challenges on mental health and well‐being among US older adults. Journal of the American Geriatrics Society. 2022;70(6):1629-1641. https://doi.org/10.1111/jgs.17808
- Del Valle MV, Andrés ML, Urquijo S, Yerro-Avincetto M, López-Morales H, Canet-Juric L. Intolerance of uncertainty over COVID-19 pandemic and its effect on anxiety and depressive symptoms. Interamerican Journal of Psychology 2020;54(2):e1335-e1335. https://doi.org/10.30849/ripijp.v54i2.1335
- Parlapani E, Holeva V, Nikopoulou VA, Sereslis K, Athanasiadou M, Godosidis A, Stephanou T, Diakogiannis I. Intolerance of uncertainty and loneliness in older adults during the COVID-19 pandemic. Frontiers in Psychiatry 2020;11:842. https://doi.org/10.3389/fpsyt.2020.00842
- Şimşek N, Albayrak E, Selvi Y, İzgi NG, Bektas O. Experiences of older people in the COVID-19 process towards stigmatization and anxiety: A qualitative study. Current Approaches in Psychiatry 2022;14(1):11-20. https://doi.org/10.18863/pgy.1005892
- Akkuş Y, Parlak AG, Karacan Y, Karatay G. Perceptions and experiences of older people regarding the COVID-19 pandemic process: a phenomenological study. Turkish Journal of Geriatrics. 2021;24(4):546-556.
- Kahraman B, Uğur TD, Girgin D, Koçak AB. Being old during COVID-19 era: problems experienced by individuals aged 65 and over during the pandemic process. Hacettepe University Journal of Faculty of Letters 2021;39(1):124-143. https://doi.org/10.32600/huefd.988467
- Magdy Mohammed Abd Elsalam R, El-Sakkar MAE-H. COVID-19 pandemic: The positives and negatives from older adults' perspective. Egyptian Journal of Health Care 2022;13(1):977-995.
- Banerjee D, Rao TS. The graying minority: Lived experiences and psychosocial challenges of older transgender adults during the COVID-19 pandemic in India, a qualitative exploration. Frontiers in Psychiatry 2021;11:604472. https://doi.org/10.3389/fpsyt.2020.604472
- McKinlay AR, Fancourt D, Burton A. A qualitative study about the mental health and wellbeing of older adults in the UK during the COVID-19 pandemic. BMC Geriatrics 2021;21:1-10. https://doi.org/10.1186/s12877-021-02367-8
- Derrer-Merk E, Ferson S, Mannis A, Bentall R, Bennett KM. Older people's family relationships in disequilibrium during the COVID-19 pandemic. What really matters? Ageing & Society 2022; 44(3):721-738. https://doi.org/10.1017/S0144686X22000435
- Yamada K, Yamaguchi S, Sato K, Fuji T, Ohe T. The COVID-19 outbreak limits physical activities and increases sedentary behavior: A possible secondary public health crisis for the elderly. J Orthop Sci. 2020;25(6):1093-1094. https://doi.org/10.1016/j.jos.2020.08.004
- Chakrawarty A, Ranjan P, Klanidhi KB, Kaur D, Sarkar S, Sahu A, Bhavesh M, Baitha U, Kumar A, Wig N. Psycho-social and behavioral impact of COVID-19 on middle-aged and elderly individuals: A qualitative study. J Educ Health Promot. 2021;10:269. https://doi.org/10.4103/jehp.jehp_1458_20
- Girdhar R, Srivastava V, Sethi S. Managing mental health issues among elderly during COVID-19 pandemic. Journal of Geriatric Care and Research 2020;7(1), 32-35.
- Kaplan K, Demir D. A qualitative study on elderly individuals participating in physical activity in limited free time during the Covid-19 pandemic. Journal of National Sport Sciences 2021;5(2):122-137.
- Altın Z. Elderly people in Covid-19 outbreak. Tepecik Training and Research Hospital Journal 2020;30(2):49-57.
- Pant S, Subedi M. Impact of COVID-19 on the elderly. Journal of Patan Academy of Health Sciences 2020;7(2):32-38. https://doi.org/10.3126/jpahs.v7i2.31104
- Cocuzzo B, Wrench A, O'Malley C. Effects of COVID-19 on older adults: Physical, mental, emotional, social, and financial problems seen and unseen. Cureus 2022;14(9):e29493. https://doi.org/10.7759/cureus.29493
- Fattah O, Zureigat A. The effect of holy Quran voice on the quality of life among the elderly during Coronavirus outbreak. International Journal of Psychosocial Rehabilitation 2020;24(8):4984-4993.
- Malapela RG, Thupayagale-Tshweneagae G, Baratedi WM. Use of home remedies for the treatment and prevention of coronavirus disease: An integrative review. Health Sci Rep. 2023;6(1):e900. https://doi.org/10.1002/hsr2.900
- Rivera-Torres S, Mpofu E, Jean Keller M, Ingman S. Older adults’ mental health through leisure activities during COVID-19: A scoping review. Gerontology and Geriatric Medicine 2021;7:23337214211036776. https://doi.org/10.1177/23337214211036776
- İlgili Ö, Kutsal YG. Impact of Covid-19 among the elderly population. Turkish Journal of Geriatrics 2020;23(4):419-423. https://doi.org/10.31086/tjgeri.2020.179
- Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet 2020;395(10227):912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
- Giebel C, Lord K, Cooper C, Shenton J, Cannon J, Pulford D, Shaw L, Gaughan A, Tetlow H, Butchard S, Limbert S, Callaghan S, Whittington R, Rogers C, Komuravelli A, Rajagopal M, Eley R, Watkins C, Downs M, Reilly S, Ward K, Corcoran R, Bennet K, Gabbay M. A UK survey of COVID-19 related social support closures and their effects on older people, people with dementia, and carers. Int J Geriatr Psychiatry 2021;36(3):393-402, https://doi.org/10.1002/gps.5434
- He W, Zhang Z, Li W. Information technology solutions, challenges, and suggestions for tackling the COVID-19 pandemic. International Journal of Information Management 2021;57:102287. https://doi.org/10.1016/j.ijinfomgt.2020.102287
- Banerjee D. Age and ageism in COVID-19: Elderly mental health-care vulnerabilities and needs. Asian J Psychiatr. 2020;51:102154. https://doi.org/10.1016/j.ajp.2020.102154
- Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira DV, Rodríguez-Manas L. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. The Journal of Nutrition, Health and Aging 2020;24(9):938-947. https://doi.org/10.1007/s12603-020-1500-7
Year 2025,
Volume: 15 Issue: 1, 147 - 156, 28.03.2025
Ayşegül Ilgaz
,
Esma Nur Sert
,
Sebahat Gözüm
,
Selma Öncel
References
- World Health Organization. Coronavirus disease (COVID-19): Risks and safety for older people. Published [01 December 2020]. Accessed [01 January 2024]. https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19-risks-and-safety-for-older-people
- World Health Organization. COVID-19 weekly surveillance report. Published [05 March 2021]. Accessed [01January 2024]. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/weekly-surveillance-report/weeklysurveillance-report-alt
- Ministry of Internal Affairs. Curfew circular for those aged 65 and over and those with chronic diseases. Published [01 December 2020]. Accessed [20 February 2021]. https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligi-olanlara-sokaga-cikma-yasagi-genelgesi
- Tufan İ, Koç O, Barkın D, Gürdal FY, Ayan FS, Özgür Ö, Başıbüyük GÖ, Başıbüyük HH. The perspective of older people on “COVID-19 curfew”: A phone survey. Journal of Geriatric Science 2020;3(2):51-59. https://doi.org/10.47141/geriatrik.755856
- Ek S, İlhanlı H, Kahraman SÖ. The weak ring of COVID-19: Elderly populationTurkish Geographical Review 2020;(76):33-44. https://doi.org/10.17211/tcd.809688
- Fingerman KL, Ng YT, Zhang S, Britt K, Colera G, Birditt KS, Charles ST. Living alone during COVID-19: Social contact and emotional well-being among older adults. The Journals of Gerontology: Series B. 2021;76(3):e116-e121. https://doi.org/0.1093/geronb/gbaa200
- Ercan M, Arıcı A. Bio-psycho-social effects of covid-19 pandemia process on elderly. JADEM. 2020;1(3):5-22.
- Turkish Statistical Institute. Seniors with statistics. Published [01 September 2022]. Accessed [01 January 2024]. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2022-49667
- Teo AR, Choi H, Andrea SB, Valenstein M, Newsom JT, Dobscha SK, Zivin K. Does mode of contact with different types of social relationships predict depression in older adults? Evidence from a nationally representative survey. J Am Geriatr Soc. 2015;63(10):2014-2022, https://doi.org/10.1111/jgs.13667
- Heid A, Cartwright F, Wilson-Genderson M, Pruchno R. Challenges experienced by older people during the initial months of the COVID-19 pandemic. The Gerontologist 2021;61(1):48-58. https://doi.org/10.1093/geront/gnaa138
- Gencer N. Being elderly in Covid-19 process: Evaluations on curfew for 65-year-old and over citizens and spiritual social work. Turkish Journal of Social Work Research 2020;4(1):35-42.
- Tamkoç B, Kök H, Atalay Z. The experiences of the elderly living alone in Türkiye in the Covid-19 Process: The case of Ankara. Journal of Abant Social Sciences 2023;23(3):1315-1332. https://doi.org/10.11616/asbi.1265973
- Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 2007;19(6):349 – 357. https://doi.org/10.1093/intqhc/mzm042
- De Chesnay M. Nursing Research Using Phenomenology: Qualitative Designs And Methods in Nursing. USA: Springer Publishing Company; 2015.
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24(2):105-112, https://doi.org/10.1016/j.nedt.2003.10.001
- Lincoln Y, Guba E. Naturalistic inquiry. Lincoln and Guba’s evaluative criteria. New York: Sage Publications; 1985.
- Guba EG, Lincoln YS. Epistemological and methodological bases of naturalistic inquiry. Educational Communication and Technology 1982;30(4):233–252. https://doi.org/10.1007/BF02765185
- Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. The Lancet Public Health 2020;5(5):e256. https://doi.org/10.1016/S2468-2667(20)30061-X
- Mistry SK, Ali AM, Yadav UN, Ghimire S, Hossain MB, Das Shuvo S, Saha M, Sarwar S, Nirob MH, Sekaran VC, Harris MF. Older adults with non-communicable chronic conditions and their health care access amid COVID-19 pandemic in Bangladesh: Findings from a cross-sectional study. PLoS One 2021;16(7):e0255534. https://doi.org/10.1371/journal.pone.0255534
- Oliveira MR, Sudati IP, Konzen VM, de Campos AC, Wibelinger LM, Correa C, Miguel FM, Silva RN, Borgi-Silva A. Covid-19 and the impact on the physical activity level of elderly people: A systematic review. Exp Gerontol. 2022;159:111675. https://doi.org/10.1016/j.exger.2021.111675
- Samuel LJ, Dwivedi P, Hladek M, Cudjoe TK, Drazich BF, Li Q, Szanton SL. The effect of COVID‐19 pandemic‐related financial challenges on mental health and well‐being among US older adults. Journal of the American Geriatrics Society. 2022;70(6):1629-1641. https://doi.org/10.1111/jgs.17808
- Del Valle MV, Andrés ML, Urquijo S, Yerro-Avincetto M, López-Morales H, Canet-Juric L. Intolerance of uncertainty over COVID-19 pandemic and its effect on anxiety and depressive symptoms. Interamerican Journal of Psychology 2020;54(2):e1335-e1335. https://doi.org/10.30849/ripijp.v54i2.1335
- Parlapani E, Holeva V, Nikopoulou VA, Sereslis K, Athanasiadou M, Godosidis A, Stephanou T, Diakogiannis I. Intolerance of uncertainty and loneliness in older adults during the COVID-19 pandemic. Frontiers in Psychiatry 2020;11:842. https://doi.org/10.3389/fpsyt.2020.00842
- Şimşek N, Albayrak E, Selvi Y, İzgi NG, Bektas O. Experiences of older people in the COVID-19 process towards stigmatization and anxiety: A qualitative study. Current Approaches in Psychiatry 2022;14(1):11-20. https://doi.org/10.18863/pgy.1005892
- Akkuş Y, Parlak AG, Karacan Y, Karatay G. Perceptions and experiences of older people regarding the COVID-19 pandemic process: a phenomenological study. Turkish Journal of Geriatrics. 2021;24(4):546-556.
- Kahraman B, Uğur TD, Girgin D, Koçak AB. Being old during COVID-19 era: problems experienced by individuals aged 65 and over during the pandemic process. Hacettepe University Journal of Faculty of Letters 2021;39(1):124-143. https://doi.org/10.32600/huefd.988467
- Magdy Mohammed Abd Elsalam R, El-Sakkar MAE-H. COVID-19 pandemic: The positives and negatives from older adults' perspective. Egyptian Journal of Health Care 2022;13(1):977-995.
- Banerjee D, Rao TS. The graying minority: Lived experiences and psychosocial challenges of older transgender adults during the COVID-19 pandemic in India, a qualitative exploration. Frontiers in Psychiatry 2021;11:604472. https://doi.org/10.3389/fpsyt.2020.604472
- McKinlay AR, Fancourt D, Burton A. A qualitative study about the mental health and wellbeing of older adults in the UK during the COVID-19 pandemic. BMC Geriatrics 2021;21:1-10. https://doi.org/10.1186/s12877-021-02367-8
- Derrer-Merk E, Ferson S, Mannis A, Bentall R, Bennett KM. Older people's family relationships in disequilibrium during the COVID-19 pandemic. What really matters? Ageing & Society 2022; 44(3):721-738. https://doi.org/10.1017/S0144686X22000435
- Yamada K, Yamaguchi S, Sato K, Fuji T, Ohe T. The COVID-19 outbreak limits physical activities and increases sedentary behavior: A possible secondary public health crisis for the elderly. J Orthop Sci. 2020;25(6):1093-1094. https://doi.org/10.1016/j.jos.2020.08.004
- Chakrawarty A, Ranjan P, Klanidhi KB, Kaur D, Sarkar S, Sahu A, Bhavesh M, Baitha U, Kumar A, Wig N. Psycho-social and behavioral impact of COVID-19 on middle-aged and elderly individuals: A qualitative study. J Educ Health Promot. 2021;10:269. https://doi.org/10.4103/jehp.jehp_1458_20
- Girdhar R, Srivastava V, Sethi S. Managing mental health issues among elderly during COVID-19 pandemic. Journal of Geriatric Care and Research 2020;7(1), 32-35.
- Kaplan K, Demir D. A qualitative study on elderly individuals participating in physical activity in limited free time during the Covid-19 pandemic. Journal of National Sport Sciences 2021;5(2):122-137.
- Altın Z. Elderly people in Covid-19 outbreak. Tepecik Training and Research Hospital Journal 2020;30(2):49-57.
- Pant S, Subedi M. Impact of COVID-19 on the elderly. Journal of Patan Academy of Health Sciences 2020;7(2):32-38. https://doi.org/10.3126/jpahs.v7i2.31104
- Cocuzzo B, Wrench A, O'Malley C. Effects of COVID-19 on older adults: Physical, mental, emotional, social, and financial problems seen and unseen. Cureus 2022;14(9):e29493. https://doi.org/10.7759/cureus.29493
- Fattah O, Zureigat A. The effect of holy Quran voice on the quality of life among the elderly during Coronavirus outbreak. International Journal of Psychosocial Rehabilitation 2020;24(8):4984-4993.
- Malapela RG, Thupayagale-Tshweneagae G, Baratedi WM. Use of home remedies for the treatment and prevention of coronavirus disease: An integrative review. Health Sci Rep. 2023;6(1):e900. https://doi.org/10.1002/hsr2.900
- Rivera-Torres S, Mpofu E, Jean Keller M, Ingman S. Older adults’ mental health through leisure activities during COVID-19: A scoping review. Gerontology and Geriatric Medicine 2021;7:23337214211036776. https://doi.org/10.1177/23337214211036776
- İlgili Ö, Kutsal YG. Impact of Covid-19 among the elderly population. Turkish Journal of Geriatrics 2020;23(4):419-423. https://doi.org/10.31086/tjgeri.2020.179
- Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet 2020;395(10227):912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
- Giebel C, Lord K, Cooper C, Shenton J, Cannon J, Pulford D, Shaw L, Gaughan A, Tetlow H, Butchard S, Limbert S, Callaghan S, Whittington R, Rogers C, Komuravelli A, Rajagopal M, Eley R, Watkins C, Downs M, Reilly S, Ward K, Corcoran R, Bennet K, Gabbay M. A UK survey of COVID-19 related social support closures and their effects on older people, people with dementia, and carers. Int J Geriatr Psychiatry 2021;36(3):393-402, https://doi.org/10.1002/gps.5434
- He W, Zhang Z, Li W. Information technology solutions, challenges, and suggestions for tackling the COVID-19 pandemic. International Journal of Information Management 2021;57:102287. https://doi.org/10.1016/j.ijinfomgt.2020.102287
- Banerjee D. Age and ageism in COVID-19: Elderly mental health-care vulnerabilities and needs. Asian J Psychiatr. 2020;51:102154. https://doi.org/10.1016/j.ajp.2020.102154
- Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira DV, Rodríguez-Manas L. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. The Journal of Nutrition, Health and Aging 2020;24(9):938-947. https://doi.org/10.1007/s12603-020-1500-7