应用Rodgers演化概念分析法界定老年人的社会参与

Defining social participation of the elderly based on Rodgers′evolutionary concept analysis

目的运用Rodgers演化概念分析法界定老年人的社会参与,以期为护理实践提供参考。方法系统检索中国知网、万方数据、维普网、PubMed、Web of Science和CINAHL数据库。搜索时限为建库至2021年3月。根据纳入标准选取56篇文献,以Rodgers演化概念分析法为框架对老年人的社会参与进行分析界定。结果老年人的社会参与涉及6个定义性特征,包括参与社会活动、参与社会互动、参与资源分享、参与社会角色、实现个人价值和提升生活质量为导向。相关因素包括个体因素、家庭因素、社区因素和社会支持;结局指标包括身体功能、认知功能、心理状态、生命价值感、生活质量以及护理成本等。结论社会参与能力是评估老年人健康的重要指标之一,界定老年人社会参与,有助于护理人员理解老年人社会参与的本质,以期更好地提升老年人的健康水平。

Objective To define social participation of the elderly using Rodgers′evolutionary concept analysis method,and to provide reference for nursing practice.Methods Such databases as CNKI,Wanfang Data,VIP,PubMed,Web of Science and CINAHL were searched systematically.The search period was limited from the inception of the database to March 2021.According to the inclusion criteria,56 publications were included,and the Rodgers′evolutionary concept analysis method was used as theoretical framework for data analysis.Results Social participation of the elderly involved six defining characteristics,which were participation in social activities,participation in social interaction,participation in resource sharing,participation in social roles,realization of personal value and improvement of quality of life.The antecedents include individual factors,family factors,community factors and social support,and the outcomes include physical function,cognitive function,psychological state,sense of life value,quality of life and the cost of nursing care.Conclusion Social participation is one important indicators to evaluate the health of the elderly.Defining social participation of the elderly is helpful for nurses to understand the essence of social participation of the elderly,so as to promote their health status.