老年人孤独感的概念分析  

Concept analysis of the loneliness in the elderly

作　　者：王雪[1] 金银姬 金美香 权海善[1] 崔文香[1] WANG Xue;JIN Yinji;JIN Meixiang;QUAN Haishan;CUI Wenxiang(School of Nursing,Yanbian University,Jilin 133002 China)

机构地区：[1]延边大学护理学院,吉林133002

出　　处：《护理研究》2023年第19期3417-3422,共6页Chinese Nursing Research

基　　金：延边大学2023年校级研究生课程思政示范课程项目。

摘　　要：目的:运用Rodgers演化概念分析法定义老年人孤独感的概念。方法:系统检索中国知网、万方数据库、维普期刊网、PubMed、Web of Science、ScienceDirect数据库,根据纳入和排除标准筛选文献。并以Rodgers演化概念分析法为理论依据,从概念演化、相关概念、属性、前因变量、后果及典型案例6个方面分析老年人孤独感的概念。结果:共纳入49篇文献,其中中文文献6篇,英文文献43篇。概念属性包括亲密关系缺失、社会隔离、自我异化3个方面。老年人孤独感的前因变量是社会人口学因素、生理因素、心理因素、社会支持、文化差异5个方面;后果主要为身体健康状况下降、心理健康状况下降、认知功能减退3个方面。结论:明确了老年人孤独感的概念,为以后开展老年人孤独感相关质性研究提供参考,也为老年人孤独感的评估工具、理论模型的开发提供思路。Objective:To define the concept of loneliness in the elderly by using Rodgers evolutionary concept analysis.Methods:A systematic research was conducted on CNKI,WanFang Database,VIP,PubMed,Web of Science and ScienceDirect Databases,and references were screened according to inclusion and exclusion criteria.Based on the Rodgers evolutionary concept analysis,the concept of loneliness in the elderly was analyzed from six aspects:concept evolution,related concepts,concept attribute,antecedent variables,consequences and typical cases.Results:A total of 49 literature were included,including 6 Chinese literature and 43 English literature.Concept attributes include three aspects:lack of intimate relationship,social isolation and self⁃alienation.The antecedents of loneliness in the elderly were sociodemographic factors,physiological factors,psychological factors,social support and cultural differences.The main consequences were the decline of physical health,mental health and cognitive function.Conclusion:This study clarified the concept of loneliness in the elderly,in order to provide reference for future studies on loneliness in the elderly,and to provide ideas for the development of assessment tools and theoretical models for loneliness in the elderly.

关 键 词：老年人 孤独感 概念分析 

分 类 号：R473[医药卫生—护理学]