老化自我知觉概念分析

doi:10.3761/j.issn.1672-9234.2024.12.016

摘要/Abstract

摘要：

目的探讨老化自我知觉的概念定义及内涵，为老化自我知觉深入研究提供理论参考。方法系统检索中国知网、万方数据知识服务平台、维普数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、CINAHL、PsycINFO数据库中与老化自我知觉相关的研究。采用Walker和Avant概念分析法对老化自我知觉进行概念分析。结果共纳入57篇文献，老化自我知觉包括贯穿整个生命发展过程、具有主观性及社会性、影响个体行为倾向3个属性；前置因素为一般人口学、家庭及社会、生理及心理因素；影响健康促进行为、健康结局、认知、心理及社会参与。结论老化自我知觉概念尚未形成明确统一概念，未来还需结合我国国情进一步剖析老化自我知觉内涵，促进老化自我知觉概念的应用与发展。

关键词: 老年人, 老化自我知觉, 概念分析

Abstract:

Objective To explore the concept and definition of self-perception of ageing and its implications，and to provide theoretical references for in-depth research on self-perception of ageing. Methods A systematic searching of the literature was conducted in databases including CNKI，Wanfang，VIP，SinoMed，PubMed，Web of Science，Embase，CINAHL，and PsycINFO. The method of Walker and Avant conceptual analysis was used for analysis. Results A total of 57 articles were included and three attributes were identified incluing subjectivity and sociality，spanning the entire lifespan，and influencing individual behavioral tendencies. The antecedents of self-perception of ageing included general demographics，family and societal factors，as well as physiological and psychological factors. It influenced individuals’ health-promoting behaviors，cognition，psychology，health outcomes，as well as social participation. Conclusion The concept of self-perception of aging has not yet formed a clear and unified definition. Therefore，further analysis of the theoretical implications in the context of our national conditions is needed in the future. Such exploration will promote the application and development of the concept of self-perception of aging.

Key words: Older Adults, Self-perceived Aging, Concept Analysis

刘雪宁, 沈慧俐, 贾佳华, 吴林娜, 薛玉杰, 金学勤. 老化自我知觉概念分析[J]. 中华护理教育, 2024, 21(12): 1504-1509.

LIU Xuening, SHEN Huili, JIA Jiahua, WU Linna, XUE Yujie, JIN Xueqin. Concept analysis of self-perception of ageing[J]. Chinese Journal of Nursing Education, 2024, 21(12): 1504-1509.

参考文献 51

[1]	Velaithan V, Tan MM, Yu TF, et al. The association of self-perception of aging and quality of life in older adults:a systematic review[J]. Gerontologist, 2024, 64(4):gnad041.
[2]	Wurm S, Wolff JK, Schüz B. Primary care supply moderates the impact of diseases on self-perceptions of aging[J]. Psychol Aging, 2014, 29(2):351-358.
[3]	Tully-Wilson C, Bojack R, Millear PM, et al. Self-perceptions of aging:a systematic review of longitudinal studies[J]. Psychol Aging, 2021, 36(7):773-789.
[4]	Rezaei-Adaryani M, Salsali M, Mohammadi E. Nursing image:an evolutionary concept analysis[J]. Contemp Nurse, 2012, 43(1):81-89.
[5]	Walker LO, Avant KC. Strategies for theory construction in nursing[M]. 6th ed. Upper Saddle River, NJ:Pearson, 2019.
[6]	Paley J. How not to clarify concepts in nursing[J]. J Adv Nurs, 1996, 24(3):572-578.
[7]	Tien JJL. A descriptive cross-cultural study on factors associa-ted with self-perceptions of aging among Anglo-Americans,Chinese-Americans,and Chinese in Taiwan[D]. San Francisco: University of California,1981.
[8]	Levy B. Stereotype embodiment:a psychosocial approach to aging[J]. Curr Dir Psychol Sci, 2009, 18(6):332-336.
[9]	Wurm S, Tesch-Römer C, Tomasik MJ. Longitudinal findings on aging-related cognitions,control beliefs,and health in later life[J]. J Gerontol B Psychol Sci Soc Sci, 2007, 62(3):156-164.
[10]	Barker M, O’Hanlon A, McGee HM, et al. Cross-sectional vali-dation of the Aging Perceptions Questionnaire:a multidi-mensional instrument for assessing self-perceptions of aging[J]. BMC Geriatr, 2007, 7:9.
[11]	秦琼, 孟爽, 唐启群. 养老机构老年人自我感知老化及影响因素[J]. 中国老年学杂志, 2022, 42(3):722-725.
[12]	黄素芬. 老年人自我感知老化现状及其影响因素[J]. 护理研究, 2023, 37(19):3550-3554.
[13]	王飞飞, 姚桂英, 侯秀珍, 等. 自我感知老化在社区老年人衰弱和认知功能间的中介作用[J]. 中华行为医学与脑科学杂志, 2023, 32(3):250-256.
[14]	Solso R, MacLin MK, MacLin OH. Cognitive psychology[M]. 8th ed. Boston: Allyn & Bacon, 2008.
[15]	梁宁建. 心理学导论[M]. 上海: 上海教育出版社, 2011.
[16]	Rodgers BL. Concepts,analysis and the development of nursing knowledge:the evolutionary cycle[J]. J Adv Nurs, 1989, 14(4):330-335.
[17]	Levy BR. Mind matters:cognitive and physical effects of aging self-stereotypes[J]. J Gerontol B Psychol Sci Soc Sci, 2003, 58(4):203-211.
[18]	Levy BR, Slade MD, Kunkel SR, et al. Longevity increased by positive self-perceptions of aging[J]. J Pers Soc Psychol, 2002, 83(2):261-270.
[19]	Diehl M, Wahl H, Brothers A, et al. Subjective aging and awareness of aging[J]. Annu Rev Gerontol Geriatr, 2015, 35(1):1-28.
[20]	Wurm S, Warner LM, Ziegelmann JP, et al. How do negative self-perceptions of aging become a self-fulfilling prophecy?[J]. Psychol Aging, 2013, 28(4):1088-1097.
[21]	World Health Organization. Global report on ageism[EB/OL]. (2021-03-18)[2024-07-27]. int/handle/10665/355647.
[22]	Butler RN. Age-ism:another form of bigotry[J]. Gerontologist, 1969, 9(4):243-246.
[23]	Allen JO, Solway E, Kirch M, et al. Experiences of everyday ageism and the health of older US adults[J]. JAMA Netw Open, 2022, 5(6):e2217240.
[24]	Jia JP, Ning YY, Chen ML, et al. Ending age discrimination and stigma to promote healthy ageing in China[J]. Lancet, 2022, 400(10367):1907-1909.
[25]	李芳, 潘晓彦, 刘婷, 等. 健康服务领域老年人年龄歧视研究进展[J]. 护理学报, 2022, 29(22):41-45.
[26]	Kim H, Thyer BA, Munn JC. The relationship between percei-ved ageism and depressive symptoms in later life:under-standing the mediating effects of self-perception of aging and purpose in life,using structural equation modeling[J]. Educ Gerontol, 2019, 45(2):105-119.
[27]	李晴歌, 胡嘉乐, 阮洪, 等. 概念分析方法及其在护理研究中的应用进展[J]. 护理学杂志, 2018, 33(7):111-112,封3.
[28]	赵青, 张海莲, 嵇艳, 等. 老龄化期望的概念分析[J]. 中华现代护理杂志, 2019, 25(10):1313-1316.
[29]	Diehl M, Wettstein M, Spuling SM, et al. Age-related change in self-perceptions of aging:longitudinal trajectories and predictors of change[J]. Psychol Aging, 2021, 36(3):344-359.
[30]	Wu YL, Chao SR. The effects of a beauty program on self-perception of aging and depression among community-dwelling older adults in an agricultural area in Taiwan[J]. Healthcare(Basel), 2023, 11(10):1377.
[31]	Losada-Baltar A, Jiménez-Gonzalo L, Gallego-Alberto L, et al. “we are staying at home” association of self-perceptions of aging,personal and family resources,and loneliness with psychological distress during the lock-down period of COVID-19[J]. J Gerontol B Psychol Sci Soc Sci, 2021, 76(2):e10-e16.
[32]	Cheng ST. The effect of negative aging self-stereotypes on satisfaction with social support[J]. J Gerontol B Psychol Sci Soc Sci, 2020, 75(5):981-990.
[33]	侯玉波. 文化心理学视野中的思维方式[J]. 心理科学进展, 2007, 15(2):211-216.
[34]	杨自平. 先秦儒学与老年学[J]. 深圳大学学报(人文社会科学版), 2014, 31(6):46-53.
[35]	Mikton C, de la Fuente-Núñez V, Officer A, et al. Ageism:a social determinant of health that has come of age[J]. Lancet, 2021, 397(10282):1333-1334.
[36]	Tien-Hyatt JL. Self-perceptions of aging across cultures:myth or reality?[J]. Int J Aging Hum Dev, 1986, 24(2):129-148.
[37]	Cai H, Jin Y, Liu R, et al. Global prevalence of depression in older adults:a systematic review and meta-analysis of epidemiological surveys[J]. Asian J Psychiatr, 2023, 80:103417.
[38]	扈娜. 社区老年人自我感知老化、抑郁情绪和生命质量的相关性研究[D]. 锦州: 锦州医科大学, 2019.
[39]	Sun JK, Smith J. Self-perceptions of aging and perceived barriers to care:reasons for health care delay[J]. Gerontologist, 2017, 57(suppl_2):S216-S226.
[40]	Gao JL, Chen HS, Chen H, et al. A cohort study of self-perception of ageing and all-cause mortality among older adults in China:a multiple mediators analysis[J]. BMC Public Health, 2024, 24(1):1382.
[41]	Qing W, Qi Z, Yao H, et al. Elderly patients with hypertension self-perceived of aging status and compliance with medical behaviour[J]. Psychol Health Med, 2021, 26(10):1206-1218.
[42]	Zhang X, Kamin ST, Liu SQ, et al. Negative self-perception of aging and mortality in very old Chinese adults:the mediation role of healthy lifestyle[J]. J Gerontol B Psychol Sci Soc Sci, 2020, 75(5):1001-1009.
[43]	Brown KE, Kim J, Stewart T, et al. Positive,but not negative,self-perceptions of aging predict cognitive function among older adults[J]. Int J Aging Hum Dev, 2021, 93(1):543-561.
[44]	朱明月, 丁晓彤, 史纪元, 等. 自我感知老化对老年人认知功能影响的系统评价[J]. 护理学报, 2023, 9(8):52-57.
[45]	Robertson DA, King-Kallimanis BL, Kenny RA. Negative perce-ptions of aging predict longitudinal decline in cognitive function[J]. Psychol Aging, 2016, 31(1):71-81.
[46]	Gum AM, Ayalon L. Self-perceptions of aging mediate the longitudinal relationship of hopelessness and depressive symptoms[J]. Int J Geriatr Psychiatry, 2018, 33(4):591-597.
[47]	白亚丽. 自我感知老化对社区老年人心理幸福感的影响:社会参与的中介作用[D]. 唐山: 华北理工大学, 2019.
[48]	胡蕴琦. 老年人自我感知老化及相关因素研究[D]. 上海: 第二军医大学, 2013.
[49]	Sexton E, King-Kallimanis BL, Morgan K, et al. Development of the brief ageing perceptions questionnaire (B-APQ):a confirmatory factor analysis approach to item reduction[J]. BMC Geriatr, 2014, 14:44.
[50]	扈娜, 孟令弟, 刘堃. 简版自我感知老化量表在社区老年人中应用的信效度研究[J]. 现代预防医学, 2018, 45(4):655-658,682.
[51]	Slotman A, Cramm JM, Nieboer AP. Validation of the Dutch Aging Perceptions Questionnaire and development of a short version[J]. Health Qual Life Outcomes, 2015, 13:54.