老年自我忽视的概念分析

doi:10.3761/j.issn.1672-9234.2022.09.016

Abstract

Abstract:

Objective To clarify the concept of elder self-neglect by Rodgers' evolutionary concept analysis. Methods Seven databases of CNKI,Wanfang,VIP database,SinoMed,PubMed,The Cochrane Library and Embase were searched systematically. Articles were screened according to the inclusion and exclusion criteria. By using Rodgers' evolutionary concept analysis,we analyzed the concept of elder self-neglect from the following aspects：concept evolution,its attributes,antecedents,consequences,surrogate and related terms,and a typical case. Results A total of 31 articles were included with 8 in Chinese and 23 in English. The elder self-neglect is predisposed,multidimensional,and invisible. The antecedents of elder self-neglect are social-demographic characteristics,physical health,psychological health,and social support system. The consequences of elder self-neglect are related to the changes of living status,social interaction,and increase the readmission rate and risk of death. Conclusion In this study,Rodgers evolutionary concept analysis is used to clarify the concept of self-neglect in older adults,which will provide reference for future studies related to elder self-neglect and contribute to the development of elder self-neglect assessment tools and theoretical models.

Key words: Aged, Self-neglect, Concept analysis

LÜ Jinghong,QIAN Min,YU Mingming. Concept analysis of elder self-neglect by Rodgers' evolutionary method[J].Chinese Journal of Nursing Education, 2022, 19(9): 852-856.

Figures/Tables 1

References 31

[1]	Yu MM, Gu LB, Shi YX, et al. A systematic review of self-neglect and its risk factors among community-dwelling older adults[J]. Aging Ment Health, 2021, 25(12):2179-2190. doi: 10.1080/13607863.2020.1821168
[2]	Dong XQ. Elder self-neglect:research and practice[J]. Clin Interv Aging, 2017, 12:949-954. doi: 10.2147/CIA.S103359
[3]	Band-Winterstein T. Nurses' encounters with older adults engaged in self-neglectful behaviors in the community:a qualitative study[J]. J Appl Gerontol, 2018, 37(8):965-989. doi: 10.1177/0733464816665206 pmid: 27572342
[4]	Burnett J, Dyer CB, Halphen JM, et al. Four subtypes of self-neglect in older adults:results of a latent class analysis[J]. J Am Geriatr Soc, 2014, 62(6):1127-1132. doi: 10.1111/jgs.12832 pmid: 24802542
[5]	Pavlou MP, Lachs MS. Could self-neglect in older adults be a geriatric syndrome?[J]. J Am Geriatr Soc, 2006, 54(5):831-842. pmid: 16696752
[6]	彭超华, 曾铁英, 吴梅利洋, 等. 老年人自我忽视调查问卷的编制及信效度检验[J]. 中华现代护理杂志, 2020, 26(2):178-182.
[7]	陈璟, 蔡昭敏. 老年人自我忽视研究:现状与展望[J]. 心理发展与教育, 2015, 31(3):377-384.
[8]	应巧燕, 徐克珮, 刘桂英, 等. 我国延续性护理的概念分析[J]. 护理学杂志, 2020, 35(4):82-85.
	Ying QY, Xu KP, Liu GY, et al. Concept analysis of continuity of care in China[J]. J Nurs Sci, 2020, 35(4):82-85.
[9]	Rodgers BL, Knafl KA. Concept development in nursing:foundation techniques,and applications[M]. 2nd ed. Philadelphia: W-B Saunders Company, 2000:77-102.
[10]	Tofthagen R, Fagerstrøm LM. Rodgers' evolutionary concept ana-lysis:a valid method for developing knowledge in nursing science[J]. Scand J Caring Sci, 2010, 24(Suppl 1):21-31. doi: 10.1111/j.1471-6712.2010.00845.x
[11]	Macmillan D, Shaw P. Senile breakdown in standards of personal and environmental cleanliness[J]. Br Med J, 1966, 2(5521):1032-1037.
[12]	National Center on Elder Abuse. Types of abuse[EB/OL].[2021-12-10]. https://ncea.acl.gov/Suspect-Abuse/Abuse-Types.aspx#self.
[13]	Day MR, McCarthy G, Leahy-Warren P. Professional social wor-kers' views on self-neglect:an exploratory study[J]. Br J Soc Work, 2011, 42(4):725-743. doi: 10.1093/bjsw/bcr082
[14]	ABUSE WGOE. Protecting our future:report of the working group on elder abuse[EB/OL].[2021-12-10]. https://www.hse.ie/eng/services/publications/olderpeople/hse-elder-abuse-policy.pdf.
[15]	Gibbons S, Lauder W, Ludwick R. Self-neglect:a proposed new NANDA diagnosis[J]. Int J Nurs Terminol Classif, 2006, 17(1):10-18. doi: 10.1111/j.1744-618X.2006.00018.x
[16]	Dyer CB, Goodwin JS, Pickens-Pace S, et al. Self-neglect among the elderly:a model based on more than 500 patients seen by a geriatric medicine team[J]. Am J Public Health, 2007, 97(9):1671-1676. doi: 10.2105/AJPH.2006.097113
[17]	Pickens S, Daniel M, Jones EC, et al. Development of a conceptual framework for severe self-neglect (SN) by modifying the CREST model for self-neglect[J]. Front Med (Lausanne), 2021, 8:654627.
[18]	Dong XQ, Simon MA, Fulmer T, et al. A prospective population-based study of differences in elder self-neglect and mortality between black and white older adults[J]. J Gerontol A Biol Sci Med Sci, 2011, 66(6):695-704.
[19]	Johnson YO. Home care nurses' experiences with and perceptions of elder self-neglect[J]. Home Healthc Now, 2015, 33(1):31-37. doi: 10.1097/NHH.0000000000000169
[20]	Gibbons S, Lauder W, Ludwick R. Self-neglect:a proposed new NANDA diagnosis[J]. Int J Nurs Terminol Classif, 2006, 17(1):10-18. doi: 10.1111/j.1744-618X.2006.00018.x
[21]	Hei AL, Dong XQ. Neighborhood disorder is associated with greater risk for self-neglect among Chinese American older adults:findings from PINE study[J]. Gerontol Geriatr Med, 2018, 4:2333721418778185.
[22]	易子涵, 李茜, 张海茹, 等. 农村独居老年人老年自我忽视的现状及影响因素分析[J]. 护理学报, 2021, 28(18):7-11.
	Yi ZH, Li Q, Zhang HR, et al. Elder self-neglect among elderly people living alone in rural areas and its influence factors[J]. J Nurs (China), 2021, 28(18):7-11.
[23]	Dong XQ. Sociodemographic and socioeconomic characteristics of elder self-neglect in an US Chinese aging population[J]. Arch Gerontol Geriatr, 2016, 64:82-89. doi: 10.1016/j.archger.2016.01.007
[24]	Orrell MW, Sahakian BJ, Bergmann K. Self-neglect and frontal lobe dysfunction[J]. Br J Psychiatry, 1989, 155:101-105. doi: 10.1192/bjp.155.1.101
[25]	冀云, 李进伟. 中国老年人自我忽视的现状及影响因素研究[J]. 中国健康教育, 2018, 34(11):968-972,978.
	Ji Y, Li JW. The status and its influence factors of self-neglect among Chinese elderly persons[J]. Chin J Heal Educ, 2018, 34(11):968-972,978.
[26]	Wang B, Hua YX, Dong XQ. Development and validation of a predictive index of elder self-neglect risk among a Chinese population[J]. Aging Ment Health, 2021, 25(8):1572-1579. doi: 10.1080/13607863.2020.1758903
[27]	金捷, 任媛芳, 卞文霞. 老年住院患者压力性损伤影响因素分析及其与自我忽视的相关性研究[J]. 中华现代护理杂志, 2019, 25(33):4311-4314.
[28]	彭超华, 曾铁英, 吴梅利洋, 等. 住院老年人自我忽视现状及其影响因素分析[J]. 解放军护理杂志, 2020, 37(1):39-42,59.
	Peng CH, Zeng TY, Wu M, et al. The influencing factors on self-neglect of the elderly in hospital[J]. Nurs J Chin PLA, 2020, 37(1):39-42,59.
[29]	Arnold TC. An evolutionary concept analysis of secondary trau-matic stress in nurses[J]. Nurs Forum, 2020, 55(2):149-156. doi: 10.1111/nuf.12409
[30]	李晴歌, 胡嘉乐, 郑窑文, 等. 概念分析方法及在护理研究中的应用[J]. 护理学杂志, 2018, 33(4):100-102.
	Li QG, Hu JL, Zheng YW, et al. Concept analysis and its application in nursing[J]. J Nurs Sci, 2018, 33(4):100-102.
[31]	Lee SM, LoGiudice D. Phenomenology of squalor,hoarding and self-neglect:an Australian aged care perspective[J]. Intern Med J, 2012, 42(1):98-101. doi: 10.1111/j.1445-5994.2011.02634.x pmid: 22276561

Concept analysis of elder self-neglect by Rodgers' evolutionary method

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 1

References 31

Related Articles 15

Metrics

Comments

Recommended 10

[1]	LI Longtian, SHEN Shujie, LIU Hongxiu, WEI Siqi. Conceptual analysis of second victim [J]. Chinese Journal of Nursing Education, 2024, 21(7): 856-861.
[2]	LIU Qianwen, LIU Ying, ZHONG Hua, CHEN Hong. Concept analysis of “double-qualified” nursing teachers [J]. Chinese Journal of Nursing Education, 2024, 21(5): 538-542.
[3]	TANG Xumeng, HU Jili, ZHAO Qinghua. Development of popular science works on catheter care for community-dwelling elderly with disabilities [J]. Chinese Journal of Nursing Education, 2024, 21(4): 478-485.
[4]	SUN Jingjing, SANG Wenfeng, JIA Guanhua, QIN Nana, WANG Yaxin, GUO Xintian, WANG Dan. Implementation and effectiveness evaluation of self-management intervention program for young and middle-aged patients with coronary heart disease after PCI [J]. Chinese Journal of Nursing Education, 2024, 21(2): 133-139.
[5]	ZHANG Ruiqiu, WANG Yiang, ZHANG Bei, ZHU Guodong. Research progress of the impact of nursing home environment on the older adults [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1118-1124.
[6]	GUO Qin, ZHANG Xiangeng, WANG Hongyan, LIU Linfeng, LIU Shan, LIU Yunqi, ZHANG Yunqiu. Analysis of the current situation and factors influencing the benefit finding of patients with hypertension in pension institutions [J]. Chinese Journal of Nursing Education, 2023, 20(9): 1095-1099.
[7]	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.
[8]	MA Caihong, GAO Huanling, SHANG Chune, LI Hongmei, YANG Yulin, LÜ Xujing, ZHANG Siyuan, CUI Caicai. Application of health education based on board game in volume management of elderly patients with maintenance hemodialysis [J]. Chinese Journal of Nursing Education, 2023, 20(8): 901-908.
[9]	SUN Shuyi, SUN Guozhen, GAO Min, YU Tianqi, LIU Shenxinyu, WANG Jie. A concept analysis of ego-depletion in patients of chronic diseases [J]. Chinese Journal of Nursing Education, 2023, 20(8): 963-968.
[10]	LIANG Yiqing, XU Huiling, CAO Songmei, WANG Jingjing, FAN Yimeng, CAI Peixuan. Development of evidence-based popular works of oral health management for older adults in the community [J]. Chinese Journal of Nursing Education, 2023, 20(5): 568-574.
[11]	WU Honglun, ZHONG Yingchang, WANG Haiyan, TAN Mei, YIN Xiaoying. Current status and influencing factors of social isolation in elderly diabetic patients [J]. Chinese Journal of Nursing Education, 2023, 20(5): 594-598.
[12]	CHEN Yubao, LIAO Yanfang, FU Xuelian, ZENG Chunyan, DENG Shuiping. Research on the professional social practice of higher vocational students majoring in elderly care from the perspective of labor education [J]. Chinese Journal of Nursing Education, 2023, 20(4): 435-438.
[13]	CHEN Ling, ZHANG Dongdong, SHI Yuhua, GAO Feng, HAO Ling. The construction and practice of the pathway for the cultivation of geriatric nursing talents in higher vocational schools [J]. Chinese Journal of Nursing Education, 2023, 20(4): 445-450.
[14]	LI Xiran, WU Xiaofen, SU Ting, LIANG Jin, WANG Lijie, WANG Ning. Development of a nursing minimum data set for long-term care services in aged care settings [J]. Chinese Journal of Nursing Education, 2023, 20(4): 403-408.
[15]	WANG Shuiling, YANG Lianzhao, CHEN Ling, YANG Yong. The frailty trajectory and influencing factors in community elderly patients with moderate to severe hypertension [J]. Chinese Journal of Nursing Education, 2023, 20(3): 343-348.