老年自我忽视的概念分析

doi:10.3761/j.issn.1672-9234.2022.09.016

摘要/Abstract

摘要：

目的运用Rodgers演化概念分析法界定老年自我忽视的概念。方法系统检索中国知网、万方、维普、PubMed、SinoMed、The Cochrane Library、Embase数据库,根据纳入和排除标准筛选文献。以Rodgers演化概念分析法为理论依据,从概念演化、概念属性、前置条件、结局、替代术语及相关术语、典型案例6个方面分析老年自我忽视的概念。结果共纳入31篇文献,其中中文文献8篇,英文文献23篇。老年自我忽视概念属性包括隐匿性、多维性、倾向性3个方面;前置条件包括社会人口学因素、生理健康、心理健康、社会支持系统等;结局主要为生活状态异常、社会交往能力下降、再入院与死亡风险增加3个方面。结论本研究运用Rodgers演化概念分析法澄清了老年自我忽视的概念,为以后开展老年自我忽视相关研究提供了参考,也有助于老年自我忽视评估工具、理论模型的开发。

关键词: 老年人, 自我忽视, 概念分析

Abstract:

Objective To clarify the concept of elder self-neglect by Rodgers' evolutionary concept analysis. Methods Seven databases of CNKI,Wanfang,VIP database,SinoMed,PubMed,The Cochrane Library and Embase were searched systematically. Articles were screened according to the inclusion and exclusion criteria. By using Rodgers' evolutionary concept analysis,we analyzed the concept of elder self-neglect from the following aspects：concept evolution,its attributes,antecedents,consequences,surrogate and related terms,and a typical case. Results A total of 31 articles were included with 8 in Chinese and 23 in English. The elder self-neglect is predisposed,multidimensional,and invisible. The antecedents of elder self-neglect are social-demographic characteristics,physical health,psychological health,and social support system. The consequences of elder self-neglect are related to the changes of living status,social interaction,and increase the readmission rate and risk of death. Conclusion In this study,Rodgers evolutionary concept analysis is used to clarify the concept of self-neglect in older adults,which will provide reference for future studies related to elder self-neglect and contribute to the development of elder self-neglect assessment tools and theoretical models.

Key words: Aged, Self-neglect, Concept analysis

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 Jinghong,QIAN Min,YU Mingming. Concept analysis of elder self-neglect by Rodgers' evolutionary method[J]. Chinese Journal of Nursing Education, 2022, 19(9): 852-856.

图/表 1

参考文献 31

[1]	Yu MM, Gu LB, Shi YX, et al. A systematic review of self-neglect and its risk factors among community-dwelling older adults[J]. Aging Ment Health, 2021, 25(12):2179-2190. doi: 10.1080/13607863.2020.1821168
[2]	Dong XQ. Elder self-neglect:research and practice[J]. Clin Interv Aging, 2017, 12:949-954. doi: 10.2147/CIA.S103359
[3]	Band-Winterstein T. Nurses' encounters with older adults engaged in self-neglectful behaviors in the community:a qualitative study[J]. J Appl Gerontol, 2018, 37(8):965-989. doi: 10.1177/0733464816665206 pmid: 27572342
[4]	Burnett J, Dyer CB, Halphen JM, et al. Four subtypes of self-neglect in older adults:results of a latent class analysis[J]. J Am Geriatr Soc, 2014, 62(6):1127-1132. doi: 10.1111/jgs.12832 pmid: 24802542
[5]	Pavlou MP, Lachs MS. Could self-neglect in older adults be a geriatric syndrome?[J]. J Am Geriatr Soc, 2006, 54(5):831-842. pmid: 16696752
[6]	彭超华, 曾铁英, 吴梅利洋, 等. 老年人自我忽视调查问卷的编制及信效度检验[J]. 中华现代护理杂志, 2020, 26(2):178-182.
[7]	陈璟, 蔡昭敏. 老年人自我忽视研究:现状与展望[J]. 心理发展与教育, 2015, 31(3):377-384.
[8]	应巧燕, 徐克珮, 刘桂英, 等. 我国延续性护理的概念分析[J]. 护理学杂志, 2020, 35(4):82-85.
	Ying QY, Xu KP, Liu GY, et al. Concept analysis of continuity of care in China[J]. J Nurs Sci, 2020, 35(4):82-85.
[9]	Rodgers BL, Knafl KA. Concept development in nursing:foundation techniques,and applications[M]. 2nd ed. Philadelphia: W-B Saunders Company, 2000:77-102.
[10]	Tofthagen R, Fagerstrøm LM. Rodgers' evolutionary concept ana-lysis:a valid method for developing knowledge in nursing science[J]. Scand J Caring Sci, 2010, 24(Suppl 1):21-31. doi: 10.1111/j.1471-6712.2010.00845.x
[11]	Macmillan D, Shaw P. Senile breakdown in standards of personal and environmental cleanliness[J]. Br Med J, 1966, 2(5521):1032-1037.
[12]	National Center on Elder Abuse. Types of abuse[EB/OL].[2021-12-10]. https://ncea.acl.gov/Suspect-Abuse/Abuse-Types.aspx#self.
[13]	Day MR, McCarthy G, Leahy-Warren P. Professional social wor-kers' views on self-neglect:an exploratory study[J]. Br J Soc Work, 2011, 42(4):725-743. doi: 10.1093/bjsw/bcr082
[14]	ABUSE WGOE. Protecting our future:report of the working group on elder abuse[EB/OL].[2021-12-10]. https://www.hse.ie/eng/services/publications/olderpeople/hse-elder-abuse-policy.pdf.
[15]	Gibbons S, Lauder W, Ludwick R. Self-neglect:a proposed new NANDA diagnosis[J]. Int J Nurs Terminol Classif, 2006, 17(1):10-18. doi: 10.1111/j.1744-618X.2006.00018.x
[16]	Dyer CB, Goodwin JS, Pickens-Pace S, et al. Self-neglect among the elderly:a model based on more than 500 patients seen by a geriatric medicine team[J]. Am J Public Health, 2007, 97(9):1671-1676. doi: 10.2105/AJPH.2006.097113
[17]	Pickens S, Daniel M, Jones EC, et al. Development of a conceptual framework for severe self-neglect (SN) by modifying the CREST model for self-neglect[J]. Front Med (Lausanne), 2021, 8:654627.
[18]	Dong XQ, Simon MA, Fulmer T, et al. A prospective population-based study of differences in elder self-neglect and mortality between black and white older adults[J]. J Gerontol A Biol Sci Med Sci, 2011, 66(6):695-704.
[19]	Johnson YO. Home care nurses' experiences with and perceptions of elder self-neglect[J]. Home Healthc Now, 2015, 33(1):31-37. doi: 10.1097/NHH.0000000000000169
[20]	Gibbons S, Lauder W, Ludwick R. Self-neglect:a proposed new NANDA diagnosis[J]. Int J Nurs Terminol Classif, 2006, 17(1):10-18. doi: 10.1111/j.1744-618X.2006.00018.x
[21]	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.
[22]	易子涵, 李茜, 张海茹, 等. 农村独居老年人老年自我忽视的现状及影响因素分析[J]. 护理学报, 2021, 28(18):7-11.
	Yi ZH, Li Q, Zhang HR, et al. Elder self-neglect among elderly people living alone in rural areas and its influence factors[J]. J Nurs (China), 2021, 28(18):7-11.
[23]	Dong XQ. Sociodemographic and socioeconomic characteristics of elder self-neglect in an US Chinese aging population[J]. Arch Gerontol Geriatr, 2016, 64:82-89. doi: 10.1016/j.archger.2016.01.007
[24]	Orrell MW, Sahakian BJ, Bergmann K. Self-neglect and frontal lobe dysfunction[J]. Br J Psychiatry, 1989, 155:101-105. doi: 10.1192/bjp.155.1.101
[25]	冀云, 李进伟. 中国老年人自我忽视的现状及影响因素研究[J]. 中国健康教育, 2018, 34(11):968-972,978.
	Ji Y, Li JW. The status and its influence factors of self-neglect among Chinese elderly persons[J]. Chin J Heal Educ, 2018, 34(11):968-972,978.
[26]	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
[27]	金捷, 任媛芳, 卞文霞. 老年住院患者压力性损伤影响因素分析及其与自我忽视的相关性研究[J]. 中华现代护理杂志, 2019, 25(33):4311-4314.
[28]	彭超华, 曾铁英, 吴梅利洋, 等. 住院老年人自我忽视现状及其影响因素分析[J]. 解放军护理杂志, 2020, 37(1):39-42,59.
	Peng CH, Zeng TY, Wu M, et al. The influencing factors on self-neglect of the elderly in hospital[J]. Nurs J Chin PLA, 2020, 37(1):39-42,59.
[29]	Arnold TC. An evolutionary concept analysis of secondary trau-matic stress in nurses[J]. Nurs Forum, 2020, 55(2):149-156. doi: 10.1111/nuf.12409
[30]	李晴歌, 胡嘉乐, 郑窑文, 等. 概念分析方法及在护理研究中的应用[J]. 护理学杂志, 2018, 33(4):100-102.
	Li QG, Hu JL, Zheng YW, et al. Concept analysis and its application in nursing[J]. J Nurs Sci, 2018, 33(4):100-102.
[31]	Lee SM, LoGiudice D. Phenomenology of squalor,hoarding and self-neglect:an Australian aged care perspective[J]. Intern Med J, 2012, 42(1):98-101. doi: 10.1111/j.1445-5994.2011.02634.x pmid: 22276561