|
|
完整生活环境下的老年人自主性及影响因素
|
Abstract:
随着老龄化进程的加快，积极老化已经成为人类的共识。自主性是积极老化最重要的指标之一，同时也对老年心理健康至关重要，历来受到研究者的重视，但现有的研究主要从老年人的不同生活环境出发进行研究。本文试图从完整的生活环境出发，从老年人自主性定义、影响因素、干预措施等三个方面对老年人自主性的现有研究进行系统梳理，并在此基础上对未来的研究进行了相应的展望。
With the acceleration of the aging process, active aging has become the consensus of mankind. Autonomy is one of the most important indicators of active aging, and it is also very important for the mental health of the elderly, which has always been attracting attention from researchers. However, the existing researches mainly focus on the different living environments of the elderly. This paper attempts to systematize the existing research on the autonomy of the elderly from the perspective of integration, including the definition, influencing factors and intervention measures of the autonomy of the elderly.
| [1] | Guan, X., Zhan, H., & Liu, G. (2007). Institutional and Individual Autonomy: Investigating Predictors of Attitudes toward Institutional Care in China. The International Journal of Aging and Human Development, 64, 83-107.
https://doi.org/10.2190/J162-6L63-0347-8762 |
| [2] | Holm, S. (2002). Principles of Biomedical Ethics, 5th edn. Journal of Medical Ethics, 28, 332.
https://doi.org/10.1136/jme.28.5.332-a |
| [3] | Hunter, S., & Levett-Jones, T. (2010). The Practice of Nurses Working with Older People in Long Term Care: An Australian Perspective. Journal of Clinical Nursing, 19, 527-536. https://doi.org/10.1111/j.1365-2702.2009.02967.x |
| [4] | Hwang, H. L., Lin, H. S., Tung, Y. L. et al. (2006) Correlates of Perceived Autonomy among Elders in a Senior Citizen Home: A Cross-Sectional Survey. International Journal of Nursing Studies, 43, 429-437.
https://doi.org/10.1016/j.ijnurstu.2005.06.002 |
| [5] | Jacelon, C. S. (2007). Theoretical Perspectives of Perceived Control in Older Adults: A Selective Review of the Literature. Journal of Advanced Nursing, 59, 1-10. https://doi.org/10.1111/j.1365-2648.2007.04320.x |
| [6] | Jansen, D. L., Rijken, M., Kaptein, A. A., Boeschoten, E. W., Dekker, F. W., & Groenewegen, P. P. (2014). The Role of Social Support in Dialysis Patients’ Feelings of Autonomy and Self-Esteem: Is Support More Beneficial for Patients with Specific Illness Perceptions? Families, Systems, & Health, 32, 313-327. https://doi.org/10.1037/fsh0000028 |
| [7] | Lena, S., Eva, C., T？rnkvist, L., & Hylander, I. (2012) Patients in 24-Hour Home Care Striving for Control and Safety. BMC Nursing, 11, Article No. 9. https://doi.org/10.1186/1472-6955-11-9 |
| [8] | López-Lopez, A., González, J. L., Alonso-Fernández, M., Cuidad, N., & Matías, B. (2014). Pain and Symptoms of Depression in Older Adults Living in Community and in Nursing Homes: The Role of Activity Restriction as a Potential Mediator and Moderator. International Psychogeriatrics, 26, 1679-1691. https://doi.org/10.1017/S1041610214000970 |
| [9] | Lothian, K., & Philp, I. (2001). Maintaining the Dignity and Autonomy of Older People in the Healthcare Setting. BMJ, 322, 668-670. https://doi.org/10.1136/bmj.322.7287.668 |
| [10] | Matos, M., Bernardes, S. F., Goubert, L., & Beyers, W. (2017) Buffer or Amplifier? Longitudinal Effects of Social Support for Functional Autonomy/Dependence on Older Adults’ Chronic Pain Experiences. Health Psychology, 36, 1195-1206.
https://doi.org/10.1037/hea0000512 |
| [11] | Mcwilliam, C. L., Brown, J. B., Carmichael, J. L. et al. (1994) A New Perspective on Threatened Autonomy in Elderly Persons: The Disempowering Process. Social Science & Medicine, 38, 327-338.
https://doi.org/10.1016/0277-9536(94)90402-2 |
| [12] | Meza, J., & Kushner, B. (2017). An Exploration of Autonomy and Independence among Community Dwelling People Aged 85 and Over. Nursing Praxis in New Zealand, 33, 20-28. https://doi.org/10.36951/NgPxNZ.2017.007 |
| [13] | Moe, A., Hellzen, O., & Enmarker, I. (2013). The Meaning of Receiving Help from Home Nursing Care. Nursing Ethics, 20, 737-747. https://doi.org/10.1177/0969733013478959 |
| [14] | Prince, M. J., Guerra, M., Huang, Y. et al. (2018). Health and Economic Correlates of Autonomy among Older People in Peru, Mexico and China: The 10/66 INDEP Study [Version 1; Peer Review: 3 Approved with Reservations]. Wellcome Open Research, 3, 57. https://wellcomeopenresearch.org/articles/3-57/v1#
https://doi.org/10.12688/wellcomeopenres.14556.1 |
| [15] | Proot, I. M., ter Meulen, R. H. J., Abu-Saad, H., & Crebolder, H. F. J. M. (2007). Supporting Stroke Patients’ Autonomy during Rehabilitation. Nursing Ethics, 14, 229-241. https://doi.org/10.1177/0969733007073705 |
| [16] | Rantakokko, M., Portegijs, E., Viljanen, A. et al. (2016) Perceived Environmental Barriers to Outdoor Mobility and Changes in Sense of Autonomy in Participation Outdoors among Older People: A Prospective Two-Year Cohort Study. Aging & Mental Health, 21, 805-809. https://doi.org/10.1080/13607863.2016.1159281 |
| [17] | Rodgers, V., Welford, C., Murphy, K. et al. (2012) Enhancing Autonomy for Older People in Residential Care: What Factors Affect It? International Journal of Older People Nursing, 7, 70-74. https://doi.org/10.1111/j.1748-3743.2012.00310.x |
| [18] | Schols, J. M. G. A., Crebolder, H. F. J. M., & Van Weel, C. (2004). Nursing Home and Nursing Home Physician: The Dutch Experience. Journal of the American Medical Directors Association, 5, 207-212.
https://doi.org/10.1016/S1525-8610(04)70116-4 |
| [19] | Schüler, J., Sheldon, K. M., Prentice, M., & Halusic, M. (2016). Do Some People Need Autonomy More than Others? Implicit Dispositions toward Autonomy Moderate the Effects of Felt Autonomy on Well-Being. Journal of Personality, 84, 5-20. https://doi.org/10.1111/jopy.12133 |
| [20] | 祁雨, 吴云涛, 程龙慧, 陈辉(2013). 武汉市某福利院老年人自杀意念现状研究. 中国社会医学杂志, 30(1), 16-18. |
| [21] | Schüz, B., Westland, J. N., Wurm, S. et al. (2016) Regional Resources Buffer the Impact of Functional Limitations on Perceived Autonomy in Older Adults with Multiple Illnesses. Psychology and Aging, 31, 139-148.
https://doi.org/10.1037/pag0000064 |
| [22] | Sherwin, S., & Winsby, M. (2011). A Relational Perspective on Autonomy for Older Adults Residing in Nursing Homes. Health Expectations, 14, 182-190. https://doi.org/10.1111/j.1369-7625.2010.00638.x |
| [23] | 吴奇璋, 黄惠满, 高家常, 高碧凰(2008). 养护机构内老年人自主性及其相关因素之探讨. 长期照护杂志, 14(1), 27-41. |
| [24] | Abma, T., Bruijn, A., Kardol, T. et al. (2012) Responsibilities in Elderly Care: Mr Powell’s Narrative of Duty and Relations. Bioethics, 26, 22-31. https://doi.org/10.1111/j.1467-8519.2011.01898.x |
| [25] | Vansteenkiste, M., Niemiec, C. P., & Soenens, B. (2010). The Development of the Five Mini-Theories of Self-Determination Theory: An Historical Overview, Emerging Trends, and Future Directions. Advances in Motivation and Achievement, 16, 105-165. https://doi.org/10.1108/S0749-7423(2010)000016A007 |
| [26] | Almeida, O. P., Yeap, B. B., Hankey, G. J. et al. (2015) Association of Depression with Sexual and Daily Activities: A Community Study of Octogenarian Men. The American Journal of Geriatric Psychiatry, 23, 234-242.
https://doi.org/10.1016/j.jagp.2013.09.007 |
| [27] | Varjus, S. L., Leinokilpi, H., & Suominen, T. (2011). Professional Autonomy of Nurses in Hospital Settings—A Review of the Literature. Scandinavian Journal of Caring Sciences, 25, 201-207. https://doi.org/10.1111/j.1471-6712.2010.00819.x |
| [28] | Ayalon, L. (2015). Intergenerational Perspectives on Autonomy Following a Transition to a Continuing Care Retirement Community. Research on Aging, 38, 127-149. https://doi.org/10.1177/0164027515575029 |
| [29] | Wahl, H.-W. (1991). Dependence in the Elderly from an Interactional Point of View. Psychology and Aging, 6, 238-246.
https://doi.org/10.1037/0882-7974.6.2.238 |
| [30] | Bamonti, P. M., Price, E. C., & Fiske, A. (2014). Depressive Symptoms and Suicide Risk in Older Adults: Value Placed on Autonomy as a Moderator for Men but Not Women. Suicide and Life-Threatening Behavior, 44, 188-199.
https://doi.org/10.1111/sltb.12062 |
| [31] | Warner, L. M., Ziegelmann, J. P., Schüz, B. et al. (2011) Maintaining Autonomy Despite Multimorbidity: Self-Efficacy and the Two Faces of Social Support. European Journal of Ageing, 8, 3-12. https://doi.org/10.1007/s10433-011-0176-6 |
| [32] | Bisconti, T. L., & Bergeman, C. S. (1999). Perceived Social Control as a Mediator of the Relationships among Social Support, Psychological Well-Being, and Perceived Health. The Gerontologist, 39, 94-104.
https://doi.org/10.1093/geront/39.1.94 |
| [33] | Burnes, D., Pillemer, K., Caccamise, P. L. et al. (2015) Prevalence of and Risk Factors for Elder Abuse and Neglect in the Community: A Population-Based Study. Journal of the American Geriatrics Society, 63, 1906-1912.
https://doi.org/10.1111/jgs.13601 |
| [34] | Camden, S. G. (2009). Ethical Realities of Bariatric Nursing: A Case Study Approach to real-world dilemmas. Part 2: Paternalism—Recognizing the Tension between Beneficence and Autonomy. Bariatric Nursing and Surgical Patient Care, 4, 185-190. https://doi.org/10.1089/bar.2009.9966 |
| [35] | Cartwright, A. (1991). The Role of Hospitals in Caring for People in the Last Year of Their Lives. Age and Ageing, 20, 271-274. https://doi.org/10.1093/ageing/20.4.271 |
| [36] | Cohen, A. L. (2013). Family Assistance and Autonomy in the Lives of Rural Elders. Marriage & Family Review, 49, 491-503. https://doi.org/10.1080/01494929.2013.771130 |
| [37] | Collopy, B. J. (1988). Autonomy in Long Term Care: Some Crucial Distinctions. Gerontologist, 28, 10-17.
https://doi.org/10.1093/geront/28.Suppl.10 |
| [38] | Cornwell, B. (2011). Editor’s Choice: Independence through Social Networks: Bridging Potential among Older Women and Men. Journal of Gerontology, 66B, 782-794. https://doi.org/10.1093/geronb/gbr111 |
| [39] | Dawson, J., Hillsdon, M., Boller, I. et al. (2007). Perceived Barriers to Walking in the Neighbourhood Environment and Change in Physical Activity Levels over 12 Months. British Journal of Sports Medicine, 41, 562-568.
https://doi.org/10.1136/bjsm.2006.033340 |
| [40] | Doyle, S. (2014). The Impact of Power Differentials on the Care Experiences of Older People. Journal of Elder Abuse & Neglect, 26, 319-332. https://doi.org/10.1080/08946566.2013.875970 |
| [41] | Fjordside, S., & Morville, A. (2016). Factors Influencing Older People’s Experiences of Participation in Autonomous Decisions Concerning Their Daily Care in Their Own Homes: A Review of the Literature. International Journal of Older People Nursing, 11, 284-297. https://doi.org/10.1111/opn.12116 |
| [42] | Forbes-Thompson, S., & Gessert, C. E. (2005). End of Life in Nursing Homes: Connections between Structure, Process, and Outcomes. Journal of Palliative Medicine, 8, 545-555. https://doi.org/10.1089/jpm.2005.8.545 |
| [43] | Gillon, R. (1985). Autonomy and the Principle of Respect for Autonomy. BMJ, 290, 1806-1808.
https://doi.org/10.1136/bmj.290.6484.1806 |
| [44] | Welford, C., Murphy, K., Rodgers, V. et al. (2012) Autonomy for Older People in Residential Care: A Selective Literature Review. International Journal of Older People Nursing, 7, 65-69. https://doi.org/10.1111/j.1748-3743.2012.00311.x |
