Self-care deficit among older men in the COVID-19 pandemic: implications for nursing

Abstract

Objectives: to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice. Methods: web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used. Results: temporally, the self-care of older men was manifested in the self-care requirements - affective bonds, self-care for development - meditation and self-care with health deviations - remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care. Final Considerations: as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.

Applicability of the Theory of Unpleasant Symptoms to the population of older men with COVID-19 in Brazil

“…Such a scenario has required the promotion of new forms of interaction for elderly men, which have seen, as a performance result, the rise of virtual interactions, remote medical and nursing appointments, 29,30 even religious events and workouts made available and guided online, 20 meditation practices gardening, and reading, 31 which have led to increased resilience 32 and the development of intrinsic reinforcement to cope with uncertain threats, with great opportunities for intergenerationality among family members, with the cognitive and functional benefits, buffering the peculiar signs and symptoms, as age extends. 24 It is worth noting that, in general, the elderly do not have familiarity with technologies, and will require from Nursing professionals a constructive work of digital literacy, capable of reducing the deleterious effects of physical isolation, challenges that must be shared with the reformulation of public policies and new configurations for the coordination and management in Brazilian health, which must establish the strategies for strengthening the UHS amid the new post-pandemic scenario.…”

Aplicabilidade da Teoria dos Sintomas Desagradáveis para a população de homens idosos com COVID-19 no Brasil

“…Tal cenário vem exigindo a promoção de novas formas de interação para os homens idosos, que obtiveram, como resultado de desempenho, a ascensão das interações virtuais, as consultas médicas e de Enfermagem remotas, 29,30 até mesmo os eventos religiosos e os treinos disponibilizados e orientados de forma online, 20 práticas de meditação, jardinagem e leitura, 31…”

Adaptive modes of adult men during COVID-19: qualitative analysis under Roy's model

“…(12,19) It is worth mentioning that with the advance of vaccination, the population acquired subsidies to face an installed international disaster and made men return, as far as possible, with its socializations in different groups, with nursing as a promoter of safety under a collective gaze, in different formats, using technology as a vehicle for communication and digital social interaction. (23,24) Regarding mid-range Nursing Theories, they are still poorly incorporated into care in the different complexities of health systems, which need to conform to the logic of complex adaptives, because when they are used, nursing theories create foundations that reformulate practices and protocols for the qualification of care, directing it to the specific demands of men during the pandemic and enabling the applicability of focal, contextual and residual stimuli belonging to Roy's model. (2,13) Regarding the limitations of the study, there was the possibility of biases in relation to the sample in view of the recruitment technique used, the inaccessibility of groups of men with low levels of digital literacy or with limited access to technological resources such as a smartphone and the lack of deepening of knowledge given the impossibility of establishing a dialogue with the participants.…”