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养老机构老年人社会疏离的概念分析OA

Concept analysis of social isolation among the elderly in nursing homes

中文摘要英文摘要

目的:探讨养老机构老年人社会疏离概念的定义及内涵特征.方法:系统检索PubMed、Web of Science、ScienceDirect、中国知网、中国生物医学文献服务系统、万方数据库、维普数据库等数据库中与老年人社会疏离相关的文献.采用Rodgers概念分析法进行分析.结果:最终纳入文献39篇.养老机构老年人社会疏离表现形式为空间疏离、人际疏离、情感疏离、事件疏离及能力疏离.前因变量为人口学因素、健康因素、社会参与、养老机构居住时间;养老机构老年人的社会疏离结局指标为影响老年人身体健康、生活质量、认知能力、自杀率与死亡率.结论:社会疏离评估是老年人生活质量的重要指标之一,界定养老机构老年人社会疏离有助于机构照护人员精准识别和干预老年人社会疏离的发生发展,减少社会疏离对老年人造成的不良影响,为机构养老可持续发展和老龄政策制定提供决策参考.

Objective:To explore the definition and connotative characteristics of the concept of social isolation among the elderly in nursing homes.Methods:The system retrieved relevant literature on social isolation among the elderly from databases such as PubMed,Web of Science,ScienceDirect,CNKI,SinoMed,WanFang Database,and VIP Database.Rodgers'evolutionary concept analysis was employed for the analysis.Results:A total of 39 articles were finally included.The manifestations of social isolation among the elderly in nursing homes included spatial isolation,interpersonal isolation,emotional isolation,event isolation,and ability isolation.The antecedent variables included demographic factors,health factors,social participation,and the length of residence in nursing homes.The outcome indicators of social isolation for the elderly in nursing homes were their impact on physical health,quality of life,cognitive ability,suicide rate and mortality.Conclusions:The assessment of social isolation is an important indicators of the quality of life for the elderly.Defining social isolation of the elderly in nursing homes helps caregivers accurately identify and intervene in the occurrence and development of social isolation among the elderly.It could reduce the adverse effects of social isolation on the elderly,and provide decision-making references for the sustainable development of institutional elderly care and the formulation of elderly policies.

李玮彤;李依林

南京中医药大学,江苏 210023南京中医药大学,江苏 210023

老年人社会疏离概念分析养老机构

the elderlysocial isolationconcept analysisnursing homes

《护理研究》 2026 (12)

2072-2077,6

国家自然科学基金青年项目,编号:72504149教育部人文社科项目,编号:24YJC840018江苏省高校哲学社会科学研究项目,编号:2024SJYB0242江苏高校优势学科四期项目南京中医药大学护理学科开放课题,编号:YSHL202523,国家中医药管理局高水平中医药重点学科中医护理学资助项目

10.12102/j.issn.1009-6493.2026.12.009

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