The effects of fear of COVID-19, loneliness, and resilience on the quality of life in older adults living in a nursing home.
Cemile Savci, Ayse Cil Akinci, Sevinc Yildirim Usenmez and 1 others
PMID 34638056WHAT IT FOUND
In Turkish nursing home residents, higher loneliness tracked lower quality of life, while higher fear of COVID-19 tracked higher social and environmental quality.
Resilience showed no association. These are links, not proof that changing them improves outcomes.
Key findings
01Higher loneliness was associated with lower mental, social relations, and environmental quality of life scores.
02Higher fear of COVID-19 was associated with higher social relations and environmental quality of life scores.
03Resilience was not significantly associated with any quality of life dimension.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one Turkish nursing home, so it may not apply to other countries, settings, or nursing homes. It was a one-time survey, so it can show associations but not cause. It included only residents with an MMSE score of 24 or higher who spoke and understood Turkish, so it excludes residents with lower cognition or communication difficulties. Of the 440 residents in the nursing home, 333 met inclusion criteria and 103 participated, so the sample may not represent all eligible residents. Some residents needed help completing the survey, and the data were collected when the nursing home had no visitors, no psychologist, and a closed rehabilitation unit, which may have shaped residents' responses.
Declared interests
The authors declared no financial support and no conflict of interest.
The easy way to misread this
Do not read the loneliness and fear associations as proof that changing these feelings improves quality of life. The study was a one-time survey in one Turkish nursing home and only included residents with an MMSE score of 24 or higher, so it shows links, not cause.