ABSTRACT
Purpose: Institutional residents experienced more restrictions in the lockdown of covid-19. The purpose of this study was to examine the association of loneliness and lonely literacy with mental health wellbeing during covid-19 for older institutional residents. Methods: The participants living in the 13 long-term care institutions who were aged 65 and more and able to communicate with were invited in the survey (n=143). Mental well-being was measured by depressive symptoms and life satisfaction. Loneliness was measured by the 6-item UCLA loneliness scale. In addition, demographics, health status, active and passive coping strategies, social support from family and friends, social interaction changes after covid-19, loneliness change after covid-19, and worries about covid-19 were investigated. Linear regression and logistic regression models were conducted. Results: The mean of the loneliness score (6~24) was 9.71 (SD=4.02). Factors related to loneliness increased during covid-19 for the institutionalized residents included having more physical function difficulties (OR=1.179), feeling more lonely (OR=1.146), and having more worries for covid-19 (OR=2.317). The residents having depressive symptoms was related to have more loneliness (OR=1.269), worse self-rate health (OR=0.320), and increased more loneliness during covid-19 (OR=3.233);while having high life satisfaction was related to less loneliness (OR=0.859), less physical difficulties (OR=0.834), higher satisfaction of family support (OR=2.835), and not increasing loneliness during covid-19 (OR=0.255). Conclusion: Loneliness during covid-19 is related to more depressive symptoms and lower life satisfaction, especially during covid-19. Learning active coping strategy and providing proactive and helpful environment for the long-term care residents is suggested during the pandemics.