Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan 48824, USA.
J Elder Abuse Negl. 2011 Apr;23(2):190-211. doi: 10.1080/08946566.2011.558798.
Population trends suggest that the next 20 years will witness a dramatic increase in the adult population aged 65 and older. Projected increases in the elderly population are expected to significantly increase the stress on family and professional caretakers. Stress, in the context of caregiving relationships, is a risk factor associated with increased prevalence of elder abuse in familial and institutional settings. As increasing numbers of older adults are moved from family caregiving to nursing home care settings, it becomes important to identify the pattern of elder abuse risk factors in nursing home facilities. An ecological model is proposed for better understanding the risk factors associated with elder abuse in nursing homes and the complex interaction of individual/person characteristics and contextual factors in institutional elder abuse. An ecological perspective to institutional elder abuse provides a framework for guiding and informing future research on the risk factors of nursing home abuse and, in turn, for the development of effective interventions and relevant social policies.
人口趋势表明，未来 20 年，65 岁及以上的成年人口将大幅增加。预计老年人口的增加将显著增加家庭和专业护理人员的压力。在护理关系的背景下，压力是与家庭和机构环境中虐待老年人的患病率增加相关的一个风险因素。随着越来越多的老年人从家庭护理转向养老院护理，确定养老院中虐待老年人风险因素的模式变得非常重要。提出了一种生态模型，以更好地理解与养老院中虐待老年人相关的风险因素，以及个体/个人特征和机构中虐待老年人的情境因素之间的复杂相互作用。从生态角度看待机构中虐待老年人为指导和告知养老院虐待风险因素的未来研究提供了一个框架，并为制定有效的干预措施和相关社会政策提供了依据。
