收稿日期: 2025-02-09
网络出版日期: 2025-05-16
基金资助
吉林省高教科研课题(JGJX24D0088)
Conceptual analysis of the construct of physical resilience in older adults
目的 分析和阐述老年人躯体复原力的概念内涵，为深入开展相关研究及干预提供参考。方法 系统检索中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Web of Science、Cochrane Library、CINAHL、Embase数据库中与老年人躯体复原力相关的文献，采用Walker和Avant概念分析法对老年人躯体复原力进行概念分析。结果 最终纳入文献48篇。老年人躯体复原力包括生理储备消耗、应对压力源、动态恢复3个定义属性；前置因素包括个人因素、疾病相关因素、心理因素、社会因素；后果包括提高生活质量、促进身体恢复、保持心理健康、推动成功老化。适用于老年人躯体复原力的测量工具包括躯体复原力量表、老年人躯体复原力量表。结论 老年人躯体复原力是一个多维且复杂的动态结构，其起因与后果多样，且评估工具较少。未来需开发更科学的测量工具，制订并实施针对性的老年人躯体复原力优化策略，进而推动老年人的成功老化。
马一帆 , 孙文霞 , 郭林夕 , 李怡璇 , 石晶 . 老年人躯体复原力的概念分析[J]. 中华护理教育, 2025 , 22(5) : 611 -616 . DOI: 10.3761/j.issn.1672-9234.2025.05.016
Objective To analyze and elaborate the conceptual connotation of physical resilience in older adults，providing a reference for further research and the development of intervention strategies to enhance physical resilience in this population. Methods A systematic searching was conducted in databases for literature related to physical resilience in older adults including CNKI，Wanfang，VIP，SinoMed，PubMed，Web of Science，Cochrane Library，CINAHL，and Embase. Walker and Avant’s concept analysis method was employed to define and analyze the concept. Results A total of 48 articles were included. Physical resilience in older adults encompassed three core attributes：physiological reserve consumption，active coping with stressors，and dynamic recovery. Antecedent factors included individual factors，disease-related factors，psychological factors，and social factors. Consequences involved improved quality of life，enhanced physical recovery，maintained mental health，and promotion of successful aging. Applicable assessment tools included the Physical Resilience Scale and the Physical Resilience Instrument for Older Adults. Conclusion Physical resilience in older adults is a multidimensional and complex dynamic construction with diverse antecedents and outcomes. Accessable assessment tools remain limited. Future efforts should focus on developing scientific measurement instruments and implementing targeted strategies to optimize physical resilience in older adults，thereby advancing successful aging.
Key words： Aged; Physical resilience; Concept analysis
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