ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
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老年人迁移至养老机构经历研究的Meta整合

  • 杨青 ,
  • 高静 ,
  • 吴晨曦 ,
  • 蔡明瑾 ,
  • 陈昕羽 ,
  • 李航 ,
  • 傅涵
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  • 611137 成都市 成都中医药大学护理学院
杨青,女,本科(硕士在读),护师,E-mail: 2575782019@qq.com

收稿日期: 2023-07-19

  网络出版日期: 2024-05-16

基金资助

2022年度四川省社科规划项目(SC22B150)

The relocation experience of the elderly to nursing home:a meta-synthesis

  • Qing YANG ,
  • Jing GAO ,
  • Chenxi WU ,
  • Mingjin CAI ,
  • Xinyu CHEN ,
  • Hang LI ,
  • Han FU
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Received date: 2023-07-19

  Online published: 2024-05-16

摘要

目的 通过系统回顾和综合老年人迁移至养老机构经历的质性研究,为有效预防老年人在向养老机构迁移过程中的迁移应激反应及老年人适应养老机构生活提供循证依据。方法 检索中国知网、维普、万方、中国生物医学文献数据库、Web of Science、PubMed、Embase、CINAHL数据库中与老年人迁移至养老机构经历相关的质性研究,检索时限为建库至2023年5月。由2名研究人员独立地进行文献筛选、资料提取,并对纳入文章进行质量评价。采用汇集性整合方法进行整合。结果 共纳入9篇研究,质量评价结果均为B,提炼出34个可信度为明确的研究结果,形成8个新的类别,综合为4个整合结果:老年人经历养老机构迁移的原因和态度;老年人经历养老机构迁移带来的影响;老年人经历养老机构迁移的应对方式;老年人经历养老机构迁移的支持需求。结论 老年人迁移至养老机构的原因多样,对迁移至养老机构的态度不一,在迁移过程中会有应激反应,并采取不同方式进行调适,呈现多样性支持需求。养老机构及相关单位人员应全面了解老年人迁移至养老机构经历,为制订针对性的措施以帮助有迁移需求的老年人顺利适应养老机构生活提供参考。

本文引用格式

杨青 , 高静 , 吴晨曦 , 蔡明瑾 , 陈昕羽 , 李航 , 傅涵 . 老年人迁移至养老机构经历研究的Meta整合[J]. 中华护理教育, 2024 , 21(5) : 620 -626 . DOI: 10.3761/j.issn.1672-9234.2024.05.018

Abstract

Objective To provide an evidence-based basis for nursing staffs to effectively prevent the elderly’s migration stress and help them adapt to living in a nursing institution by systematically reviewing and synthesizing qualitative studies of the elderly’s migration experience. Methods Qualitative researches on the experience of elderly migration to nursing institution for the aged were retrieved from CNKI、VIP、Wangfang Data,SinoMed,Web of Science,PubMed,Embase and CINAHL. The retrieval time was from the establishment of the database to May 2023. The selection,extraction and integration process were conducted independently by two researchers,and the quality of the included articles were evaluated. Meta-integration was carried out by aggregating integration method for qualitative data integration. Results A total of nine studies were included,all of which were rated B in quality evaluation. Thirty-four research results with clear credibility were extracted and eight new categories were formed,which were integrated into four integrated results:the reasons for the elderly to migrate to nursing institutions and their attitudes towards migration;experiencing the impact of relocation to nursing home;the coping style of the elderly during the relocation of nursing home;the needs of the elderly after moving to the nursing home. Conclusion There are various reasons that elderly people migrate to nursing home,and their attitudes toward migration vary. During the migration process,they may experience stress reactions and adopt different ways of adjustment,and present diverse support needs. Managers and nursing staffs of nursing home should have comprehensive understanding of the experience of elderly people moving to pension institutions,and provide a reference perspective to help elderly people with relocation needs adapt to life in pension institutions smoothly.

参考文献

[1] 郝彬, 杨蓓, 刘义兰, 等. 国内外养老模式研究现状[J]. 护理研究, 2019, 33(20):3530-3534.
[2] Williams AL. On the environmental factors that alleviate relo-cation stress syndrome in residents of long-term care facilities[J]. Dissertations & Theses Gradworks, 2013, 32(2):278-283.
[3] Lieberman MA. Relationship of mortality rates to entrance to a home for the aged[J]. Geriatrics, 1961,16:515-519.
[4] Saito T, Sugisawa H, Sugihara Y, et al. The impact of relocation on well-being of the elderly[J]. Nihon Koshu Eisei Zasshi, 2000, 47(10):856-865.
[5] Carpenito L J. Nursing diagnosis. Application to clinical practice[M]. 8th ed. Philadelphia: Lippincott, 2000:55.
[6] 袁浩斌. 循证护理中质性研究的Meta整合方法[J]. 护理学杂志, 2012, 27(21):67-69.
[7] Joanna Briggs Institute. JBI critical appraisal checklist for qualitative research[EB/OL].(2020-06-25). https://jbi.global/sites/default/files/2020-08/Checklist_for_Qualitative_Research.pdf.
[8] 胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012:130-141.
[9] 胡雁. 如何开展质性研究的系统评价和Meta整合[J]. 上海护理, 2020, 20(7):1-5.
[10] Lockwood C, Munn Z, Porritt K. Qualitative research synthesis:methodological guidance for systematic reviewers utilizing meta-aggregation[J]. Int J Evid Based Healthc, 2015, 13(3):179-187.
[11] Nay R. Nursing home residents’ perceptions of relocation[J]. J Clin Nurs, 1995, 4(5):319-325.
[12] Coughlan R, Ward L. Experiences of recently relocated resi-dents of a long-term care facility in Ontario:assessing quality qualitatively[J]. Int J Nurs Stud, 2007, 44(1):47-57.
[13] Lee VSP, Simpson J, Froggatt K. A narrative exploration of older people’s transitions into residential care[J]. Aging Ment Health, 2013, 17(1):48-56.
[14] Koppitz AL, Dreizler J, Altherr J, et al. Relocation experiences with unplanned admission to a nursing home:a qualitative study[J]. Int Psychogeriatr, 2017, 29(3):517-527.
[15] Lan XY, Xiao HM, Chen Y. Psychosocial reactions to reloca-tion to a nursing home among Chinese older adults[J]. Arch Gerontol Geriatr, 2020,91:104230.
[16] Wu CS, Rong JR. Relocation experiences of the elderly to a long-term care facility in Taiwan:a qualitative study[J]. BMC Geriatr, 2020, 20(1):280.
[17] 邢秋燕, 林琳, 张洪, 等. 养老机构老年人迁移应激体验的质性研究[J]. 护理研究, 2020, 34(8):1457-1461.
[18] 靳沛琳, 赵明利, 韩梦丹, 等. 养老机构老年人迁移应激与调适体验的质性研究[J]. 护理研究, 2021, 35(19):3546-3549.
[19] Polacsek M, Woolford M. Strategies to support older adults’ mental health during the transition into residential aged care:a qualitative study of multiple stakeholder perspectives[J]. BMC Geriatr, 2022, 22(1):1-10.
[20] Bekhet AK, Zauszniewski JA, Nakhla WE. Reasons for reloca-tion to retirement communities:a qualitative study[J]. West J Nurs Res, 2009, 31(4):462-479.
[21] Portacolone E, Halpern J. “Move or suffer”:is age-segregation the new norm for older Americans living alone?[J]. J Appl Gerontol, 2016, 35(8):836-856.
[22] Hertz JE, Koren ME, Rossetti J, et al. Management of reloca-tion in cognitively intact older adults[J]. J Gerontol Nurs, 2016, 42(11):14-23.
[23] Keister KJ. Predictors of self-assessed health,anxiety,and depressive symptoms in nursing home residents at week 1 postrelocation[J]. J Aging Health, 2006, 18(5):722-742.
[24] Achterberg W, Pot AM, Kerkstra A, et al. Depressive symptoms in newly admitted nursing home residents[J]. Int J Geriatr Psychiatry, 2006, 21(12):1156-1162.
[25] Kao HFS, Travis SS, Acton GJ. Relocation to a long-term care facility:working with patients and families before,during,and after[J]. J Psychosoc Nurs Ment Health Serv, 2004, 42(3):10-16.
[26] 邢秋燕, 李雪洁, 孙晓晖, 等. 养老机构老年人迁移心理状况及影响因素分析[J]. 广东医科大学学报, 2018(6):620-624.
[27] 靳沛琳, 赵明利, 韩梦丹, 等. 养老机构老年人迁移应激现状及影响因素研究[J]. 护理研究, 2021, 35(4):614-618.
[28] 杨良琴, 李茜, 鞠梅, 等. 养老机构老年人的迁移应激现状及其影响因素[J]. 广西医学, 2022, 44(19):2273-2277,2291.
[29] 焦凌梅, 李文, 张翔, 等. 适应期家庭化在机构养老者中的应用[J]. 中国老年学杂志, 2020, 40(1):203-206.
[30] Kri?aj T, Warren A, Slade A. “Holding on to what I do”:experiences of older slovenians moving into a care home[J]. Gerontologist, 2018, 58(3):512-520.
[31] Rijnaard MD, van Hoof J, Janssen BM, et al. The factors influencing the sense of home in nursing homes:a systematic review from the perspective of residents[J]. J Aging Res, 2016,2016:6143645.
[32] 刘晓琦, 孙炜, 朱国栋, 等. 社会参与视角下养老机构适老宜居评价体系的构建[J]. 护理学杂志, 2023, 38(17):14-18.
[32] Liu XQ, Sun W, Zhu GD, et al. Construction of an evaluation system for age-friendly livability in elderly care institutions from the perspective of social participation[J]. J Nurs Sci, 2023, 38(17):14-18.
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