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

摘要/Abstract

摘要：

目的对社区老年人自我忽视研究现状进行描述与分析，为今后该领域的研究提供参考。方法以Arksey和O’Malley的范围综述方法学为框架，检索PubMed、Embase、EBSCO、CINAHL、Web of Science、Scopus、Cochrane Library、OpenGrey、SinoMed、中国知网、万方、维普数据库中有关社区老年人自我忽视的文献，检索时限为建库至2022年11月27日，并对文献进行筛选、提取及总结。结果共纳入45篇文献，包括英文33篇、中文12篇。其中31篇为横断面研究，23篇报告了自我忽视的发生率或水平，共使用了14种测评工具或测评方式，调查的影响因素分为社会人口学特征、健康相关的特征、心理及行为特征和社会背景特征。12篇文献报道了自我忽视对社区老年人的不良影响，8篇文献报道了自我忽视的预防及干预措施。结论自我忽视在社区老年人群中较为普遍且具有严重的不良影响，影响因素复杂多样，测评工具种类繁多但信度较低，相关研究设计类型单一。社区护理工作者应从影响因素、测评工具和研究设计类型与内容等方面加深研究，对社区老年人自我忽视进行预防与干预。

关键词: 老年人, 社区卫生服务, 自我忽视, 范围综述

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

王贵猛, 雷延源, 滕梦圆, 崔香淑. 社区老年人自我忽视研究的范围综述[J]. 中华护理教育, 2023, 20(9): 1125-1131.

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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