老年人社会衰弱的概念分析

doi:10.3761/j.issn.1672-9234.2023.06.020

摘要/Abstract

摘要：

目的通过对老年人社会衰弱概念的定义属性、案例、前因、后果等进行分析，厘清老年人社会衰弱的概念内涵。方法检索PubMed、Web of Science、Embase、CINAHL、PsycINFo、ProQuest、中国学术期刊全文数据库、万方数据库、中国科技期刊全文数据库及中国生物医学数据库中关于社会衰弱的相关文献，采用Walker和Avant的经典概念分析法进行分析。结果共纳入68篇文献，归纳老年人社会衰弱的定义属性为长期的社会隔离、弱化的自我社会角色及持续的社会资源不足。前因为人口学因素、健康因素及社会心理因素；其后果为老年人认知及心理功能减退、生活质量下降、失能及死亡风险增加；实证测量工具包括多种社会衰弱特异性测量工具及社会功能相关量表，但中文版老年人社会衰弱测评工具仍较少。结论老年人是社会衰弱高危人群，明确老年人社会衰弱概念，有助于护理人员识别社会衰弱特征，通过针对性干预措施，预防不良结局发生。

关键词: 老年, 社会衰弱, 概念分析

Abstract:

Objective To identify the definition of social frailty through the systematic analysis of the defining attributes，antecedents，consequences and empirical references of the social frailty. Method The databases of PubMed、Web of Science、Embase、CINAHL、PsycINFo、ProQuest、CNKI、Wangfang Data、VIP、CBM were searched from their inception to May 2022. Walker and Avant’s classical conceptual analysis was used for analysis. Results A total of 68 articles were included. The attributes of social frailty included long-term social isolation，diminishing social role and increasing social resource scarcity. Antecedents were demographic factors，health factors and psychosocial factors. Consequences included cognitive and psychological function decline，quality of life decline，disability and increased risk of death in the elderly. Empirical measurement tools include various social frailty specific measurement tools and social function related scales，but there are still few Chinese versions of social frailty assessment tools for the elderly. Conclusion The elderly are at high risk of being social frailty. Clarifying the concept of social frailty in the elderly can help nurses identify the characteristics of social frailty and prevent adverse outcomes through targeted intervention measures.

Key words: Elderly, Social frailty, Conceptual analysis

黄铮,邵庭芳,梁冉,江琪,石佳景,吴炜炜. 老年人社会衰弱的概念分析[J]. 中华护理教育, 2023, 20(6): 752-756.

HUANG Zheng,SHAO Tingfang,LIANG Ran,JIANG Qi,SHI Jiajing,WU Weiwei. Social frailty in elderly：a conceptual analysis[J]. Chinese Journal of Nursing Education, 2023, 20(6): 752-756.

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