社区老年人自我忽视研究的范围综述

doi:10.3761/j.issn.1672-9234.2023.09.018

Abstract

Abstract:

Objective To describe and analyze the current research status of self-neglect of the elderly in community. Methods Followed the framework of Arksey and O’Malley’s scope-review methodology，databases were searched including PubMed，Embase，EBSCO，CINAHL，Web of Science，Scopus，Cochrane Library，OpenGrey，SinoMed，CNKI，VIP，Wanfang. Time period was set from their establishment to November 27，2022. All retrieved literatures were screened，extracted and summarized. Results A total of 45 articles were included，including 33 in English and 12 in Chinese，and 31 cross-sectional studies. Among them，23 studies reported the incidence or level of self-neglect. A total of 14 assessment tools were used. The influencing factors were classified into socio-demographic characteristics，health-related characteristics，psychological and behavioral characteristics，and social background characteristics. In addition，12 studies reported on the adverse effects of self-neglect on older people in the community and eight studies reported prevention and intervention measures. Conclusion Self-neglect is common and has serious adverse effects among the elderly population in the community，with complex and diverse influencing factors，a variety of assessment tools with low reliability，and a single type in study design. Community nursing workers should deepen their research on influencing factors，evaluation tools，and types and contents of research，so as to prevent and intervene in self-neglect among elderly people in the community.

Key words: Aged, Community Health Services, Self-neglect, Scoping review

WANG Guimeng, LEI Yanyuan, TENG Mengyuan, CUI Xiangshu. Self-neglect among older adults in community：a scoping review[J].Chinese Journal of Nursing Education, 2023, 20(9): 1125-1131.

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References 51

[1]	国家统计局. 2022年国民经济顶住压力再上新台阶[EB/OL].(2023-01-17) [2023-01-17]. http://www.gov.cn/xinwen/2023-01/17/content_5737453.htm.
[2]	郑红娥, 崔琪. 社区居家生产性老龄化:发展现状与困境[J]. 学习论坛, 2019, 35(12):72-80.
	Zheng HE, Cui Q. Productive aging at home in community:development status and difficult position[J]. Tribune Study, 2019, 35(12):72-80.
[3]	吕京鸿, 钱敏, 于明明. 老年自我忽视的概念分析[J]. 中华护理教育, 2022, 19(9):852-856.
	Lü JH, Qian M, Yu MM. Concept analysis of elder self-neglect by Rodgers’ evolutionary method[J]. Chin J Nurs Educ, 2022, 19 (9):852-856.
[4]	Burnett J, Regev T, Pickens S, et al. Social networks:a profile of the elderly who self-neglect[J]. J Elder Abuse Negl, 2006, 18(4):35-49. pmid: 17972658
[5]	Dong XQ, Simon M, Evans D. Elder self-neglect is associated with increased risk for elder abuse in a community-dwelling population[J]. J Aging Health, 2013, 25(1):80-96. doi: 10.1177/0898264312467373
[6]	Abrams RC, Lachs M, McAvay G, et al. Predictors of self-neg-lect in community-dwelling elders[J]. Am J Psychiatry, 2002, 159(10):1724-1730. doi: 10.1176/appi.ajp.159.10.1724
[7]	Naik AD, Burnett J, Pickens-Pace S, et al. Impairment in ins-trumental activities of daily living and the geriatric syndrome of self-neglect[J]. Gerontologist, 2008, 48(3):388-393. doi: 10.1093/geront/48.3.388
[8]	Arksey H, O’Malley L. Scoping studies:towards a methodolo-gical framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32. doi: 10.1080/1364557032000119616
[9]	Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews[J]. JBI Evid Synth, 2020, 18(10):2119-2126. doi: 10.11124/JBIES-20-00167 pmid: 33038124
[10]	Pickens S, Naik AD, Burnett J, et al. The utility of the Kohl-man Evaluation of Living Skills test is associated with substantiated cases of elder self-neglect[J]. J Am Acad Nurse Pract, 2007, 19(3):137-142. doi: 10.1111/jaan.2007.19.issue-3
[11]	Burnett J, Coverdale JH, Pickens S, et al. What is the asso-ciation between self-neglect,depressive symptoms and untrea-ted medical conditions?[J]. J Elder Abuse Negl, 2006, 18(4):25-34. doi: 10.1300/J084v18n04_04 pmid: 17972657
[12]	Pickens S, Burnett J, Naik AD, et al. Is pain a significant factor in elder self-neglect?[J]. J Elder Abuse Negl, 2006, 18(4):51-61. doi: 10.1300/J084v18n04_06 pmid: 17972659
[13]	Dong XQ, Mendes de Leon CF, Evans DA. Is greater self-neglect severity associated with lower levels of physical function?[J]. J Aging Health, 2009, 21(4):596-610. doi: 10.1177/0898264309333323 pmid: 19286932
[14]	Dong XQ, Simon M, Fulmer T, et al. Physical function decline and the risk of elder self-neglect in a community-dwelling population[J]. Gerontologist, 2010, 50(3):316-326. doi: 10.1093/geront/gnp164 pmid: 20019180
[15]	Dong XQ, Simon MA, Wilson RS, et al. Decline in cognitive function and risk of elder self-neglect:finding from the Chicago Health Aging Project[J]. J Am Geriatr Soc, 2010, 58(12):2292-2299. doi: 10.1111/j.1532-5415.2010.03156.x
[16]	Dong XQ, Simon M, Beck T, et al. A cross-sectional popula-tion-based study of elder self-neglect and psychological,health,and social factors in a biracial community[J]. Aging Ment Health, 2010, 14(1):74-84. doi: 10.1080/13607860903421037
[17]	May-Chahal C, Antrobus R. Engaging community support in safeguarding adults from self-neglect[J]. Br J Soc Work, 2012, 42(8):1478-1494. doi: 10.1093/bjsw/bcr158
[18]	Dong XQ, Simon M, Wilson R, et al. Association of personality traits with elder self-neglect in a community-dwelling population[J]. Am J Geriatr Psychiatry, 2011, 19(8):743-751. doi: 10.1097/JGP.0b013e3182006a53 pmid: 21788924
[19]	Turner A, Hochschild A, Burnett J, et al. High prevalence of medication non-adherence in a sample of community-dwelling older adults with adult protective services-validated self-neglect[J]. Drugs Aging, 2012, 29(9):741-749. doi: 10.1007/s40266-012-0007-2 pmid: 23018610
[20]	Dong XQ, Simon MA, Evans D. Prospective study of the elder self-neglect and ED use in a community population[J]. Am J Emerg Med, 2012, 30(4):553-561. doi: 10.1016/j.ajem.2011.02.008 pmid: 21411263
[21]	Dong XQ, Simon MA, Evans D. Elder self-neglect and hospi-talization:findings from the Chicago health and aging project[J]. J Am Geriatr Soc, 2012, 60(2):202-209. doi: 10.1111/jgs.2012.60.issue-2
[22]	Mardan H, Hamid T, Redzuan M, et al. Correlate of self-care and self-neglect among community-dwelling older adults[J]. Iran J Nurs Midwifery Res, 2014, 19(7 Suppl 1):S71-S76. pmid: 25949256
[23]	Dong XQ. Self-neglect in an elderly community-dwelling U.S. Chinese population:findings from the Population Study of Chinese Elderly in Chicago study[J]. J Am Geriatr Soc, 2014, 62(12):2391-2397. doi: 10.1111/jgs.13140
[24]	Lee MH, Kim K. Prevalence and risk factors for self-neglect among older adults living alone in South Korea[J]. Int J Aging Hum Dev, 2014, 78(2):115-131. pmid: 24956921
[25]	Lien C, Rosen T, Bloemen EM, et al. Narratives of self-neg-lect:patterns of traumatic personal experiences and maladap-tive behaviors in cognitively intact older adults[J]. J Am Geriatr Soc, 2016, 64(11):e195-e200. doi: 10.1111/jgs.14524
[26]	Hansen MC, Flores DV, Coverdale J, et al. Correlates of de-pression in self-neglecting older adults:a cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability[J]. J Elder Abuse Negl, 2016, 28(1):41-56. doi: 10.1080/08946566.2015.1136252
[27]	Day MR, Mulcahy H, Leahy-Warren P. Prevalence of self-neg-lect in the caseloads of public health nurses[J]. Br J Com-munity Nurs, 2016, 21(1):31-35.
[28]	Hei AL, Dong XQ. Association between neighborhood cohesion and self-neglect in Chinese-American older adults[J]. J Am Geriatr Soc, 2017, 65(12):2720-2726. doi: 10.1111/jgs.15147 pmid: 29044477
[29]	Abada S, Clark LE, Sinha AK, et al. Medication regimen com-plexity and low adherence in older community-dwelling adults with substantiated self-neglect[J]. J Appl Gerontol, 2019, 38(6):866-883. doi: 10.1177/0733464817714565
[30]	Dong XQ, Xu Y, Ding D. Elder self-neglect and suicidal ideation in an U.S. Chinese aging population:findings from the PINE study[J]. J Gerontol A Biol Sci Med Sci, 2017, 72(suppl_1):S76-S81. doi: 10.1093/gerona/glw229
[31]	İlhan B, Bahat G, Saka F, et al. A new screening tool for self-neglect in community-dwelling older adults:IMSelf-neglect questionnaire[J]. Aging Male, 2020, 23(5):388-395. doi: 10.1080/13685538.2018.1499083
[32]	Hei AL, Dong XQ. Neighborhood disorder is associated with greater risk for self-neglect among Chinese American older adults:findings from PINE study[J]. Gerontol Geriatr Med, 2018, 4:2333721418778185.
[33]	王航赛. 老年人自我忽视评估量表的汉化及其应用[D]. 杭州: 杭州师范大学, 2018.
	Wang HS. Sinicization of self-neglect assessment scale for the elderly and its application[D]. Hangzhou: Hangzhou Normal University, 2018.
[34]	Zawisza K, Tobiasz-Adamczyk B, Galas A, et al. Development and validation of a self-neglect scale among older people:the study on challenges for neglect and self-neglect in Poland[J]. J Appl Gerontol, 2021, 40(10):1246-1259. doi: 10.1177/0733464820985271
[35]	Yu MM. Predictors of self-neglect among community-dwelling older adults living alone in China[J]. Geriatr Nurs, 2019, 40(5):457-462. doi: S0197-4572(18)30667-0 pmid: 30853128
[36]	Wang B, Hua YX, Dong XQ. Development and validation of a predictive index of elder self-neglect risk among a Chinese population[J]. Aging Ment Health, 2021, 25(8):1572-1579. doi: 10.1080/13607863.2020.1758903
[37]	杨琨, 李佳祺, 汪凤兰, 等. 居家不出老年人自我忽视现状及影响因素[J]. 中国卫生事业管理, 2020, 37(9):705-708.
	Yang K, Li JQ, Wang FL, et al. Studying on the status of self-neglect in the housebound elderly and its influencing factors[J]. Chin Health Serv Manag, 2020, 37(9):705-708.
[38]	杨琨. 积极老龄化、自我忽视与老年人失能的关系[D]. 唐山: 华北理工大学, 2020.
	Yang K. Relationship between active aging,self-neglect and disability of the elderly[D]. Tangshan: North China University of Science and Technology, 2020.
[39]	Hamid TA, Ibrahim R, Haron SA. Mediational role of self-efficacy between selected bio-psychosocial factors and elder self-neglect among community-dwelling older Malaysian adults[J]. J Elder Abuse Negl, 2021, 33(1):17-32. doi: 10.1080/08946566.2020.1864696 pmid: 33393442
[40]	李冰楠, 刘畅, 汪凤兰, 等. 社区抑郁情绪老年人的自我忽视现状及相关因素[J]. 中国心理卫生杂志, 2021, 35(10):844-848.
	Li BN, Liu C, Wang FL, et al. Self-neglect and related factors in the elderly with depression in community[J]. Chin Ment Health J, 2021, 35(10):844-848.
[41]	王娜, 付明晶, 朱亚茹, 等. 社区空巢老人心理弹性和抑郁在社会支持与自我忽视间的中介效应[J]. 中华行为医学与脑科学杂志, 2021, 30(11):1035-1039.
	Wang N, Fu MJ, Zhu YR, et al. Mediating effect of resilience and depression between social support and self-neglect in empty-nest community-dwelling elderly[J]. Chin J Behav Med Brain Sci, 2021, 30(11):1035-1039.
[42]	张彩元. 延吉市老年人抑郁与健康素养对老年人自我忽视的影响[D]. 延吉: 延边大学, 2021.
	Zhang CY. Influence of depression and health literacy on self-neglect of the elderly in Yanji city[D]. Yanji: Yanbian University, 2021.
[43]	陶红霞. 社区老年人自我忽视与衰弱关系的研究[D]. 兰州: 兰州大学, 2021.
	Tao HX. A study on the relationship between self-neglect and weakness of the elderly in the community[D]. Lanzhou: Lan-zhou University, 2021.
[44]	Zhao BY, Wang HS, Xie CQ, et al. Mediating role of psy-chological capital in the relationship between social support and self-neglect among Chinese community-dwelling older adults[J]. Front Psychol, 2022, 13:903625.
[45]	王梦莹, 张俊梅, 常陆, 等. 社区老年人自我忽视现状及影响因素分析[J]. 临床心身疾病杂志, 2022, 28(4):131-134.
	Wang MY, Zhang JM, Chang L, et al. Analysis on the current situation and influencing factors of self-neglect of the elderly in the community[J]. J Clin Psychosom Dis, 2022, 28(4):131-134.
[46]	Yu MM, Qian M. The Chinese version of the Abrams Geriatric Self-Neglect Scale:translation,validity,and reliability[J]. Geriatr Nurs, 2022, 47:55-60. doi: 10.1016/j.gerinurse.2022.06.011
[47]	寇洁, 黄永慧, 张红梅. 老年脑卒中患者自我忽视及社会支持与生活质量的相关性[J]. 中国实用神经疾病杂志, 2022, 25(5):618-622.
	Kou J, Huang YH, Zhang HM. Correlation among self-neglect,social support and quality of life in elderly stroke patients[J]. Chin J Pract Nerv Dis, 2022, 25(5):618-622.
[48]	王洁玉, 刘义兰, 彭笑, 等. 武汉市居家老年人自我忽视现状及影响因素研究[J]. 护理学杂志, 2022, 37(13):90-93.
	Wang JY, Liu YL, Peng X, et al. Prevalence and associated factors of self-neglect of home-based older adults in Wuhan[J]. J Nurs Sci, 2022, 37(13):90-93.
[49]	王娜, 付明晶, 朱亚茹, 等. 社区空巢老人心理弹性与自我忽视的关系:抑郁的中介效应[J]. 中华现代护理杂志, 2022, 28(8):1041-1045.
	Wang N, Fu MJ, Zhu YR, et al. Correlation between psycho-logical resilience and self-neglect of community empty-nest elderly:the mediating effect of depression[J]. Chin J Mod Nurs, 2022, 28(8):1041-1045.
[50]	王燕红, 洪倩, 倪进东, 等. 安徽城市社区老年人自我忽视现状研究[J]. 中国预防医学杂志, 2022, 23(8):616-621.
	Wang YH, Hong Q, Ni JD, et al. Elder self-neglect and related influencing factors among community-dwelling older residents in Anhui[J]. Chin Prev Med, 2022, 23(8):616-621.
[51]	Doron I, Band-Winterstein T, Naim S. The meaning of elder self-neglect:social workers’ perspective[J]. Int J Aging Hum Dev, 2013, 77(1):17-36. doi: 10.2190/AG.77.1.b

Self-neglect among older adults in community：a scoping review

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