老年人护理依赖的概念分析  

Concept analysis of nursing dependence in the elderly

作　　者：崔淏怡 康凤英[1,2] 田玉玲[3] 郝彬[3] 张爱珍 Cui Haoyi;Kang Fengying;Tian Yuling;Hao Bin;Zhang Aizhen(School of Nursing,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学护理学院,山西太原030001 [2]山西医科大学第一医院教学部,山西太原030001 [3]山西医科大学第一医院神经内科,山西太原030001

出　　处：《护理学杂志》2025年第3期20-24,共5页Journal of Nursing Science

基　　金：2023年山西省高校教学改革创新项目(J20230525)。

摘　　要：目的 对老年人护理依赖进行概念分析,阐明老年人护理依赖的概念内涵。方法 系统检索中国知网、万方数据知识服务平台、维普网、PubMed、Web of Science等中英文数据库中老年人护理依赖相关文献,最终纳入42篇文献,并以Rodgers演化概念分析法对老年人护理依赖进行深入分析和界定。结果 老年人护理依赖涉及4个定义属性,即功能依赖、自理缺陷、需要、支持性照护;前因包括人口学因素、生理因素、心理认知因素以及外界因素;后果涉及对老年人自身、照顾者以及社会层面的影响。结论 老年人护理依赖是一个多维度、复杂的概念,涵盖多个概念属性,也受多种因素影响。对老年人护理依赖进行概念分析,使护理人员清晰了解老年人护理依赖概念和本质,进而为相关理论研究和测评量表的制订提供参考。Objective To analyze the concept of nursing dependence in the elderly,and to clarify its conceptual connotation.Methods The relevant literature on nursing dependence in the elderly were systematically searched in Chinese and English databases,such as CNKI,Wanfang Data Knowledge Service Platform,VIP website,PubMed,Web of Science,etc.Finally,42 articles were inclu-ded,then Rodgers evolutionary concept analysis method was used to conduct in-depth analysis and definition of nursing dependence in the elderly.Results Nursing dependence in the elderly involved four defined attributes,namely functional dependency,self-care deficits,needs,and supportive care.The antecedents included demographic factors,physiological factors,psychological cognitive factors,and external factors,and the consequences consisted of impacts on the elderly themselves,caregivers,and the society.Conclusion Nursing dependence in the elderly is a multidimensional and complex concept that encompasses multiple conceptual attributes and is also influenced by multiple factors.Its conceptual analysis is beneficial for nursing staff to clearly understand the concept and essence of nursing dependence in the elderly,thereby providing references for relevant theoretical research and the development of evaluation scales.

关 键 词：老年人 老龄化 护理依赖 概念分析 功能依赖 自理缺陷 支持性照护 老年护理 

分 类 号：R47[医药卫生—护理学] R212.7[医药卫生—临床医学]