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老年人接受社会护理的经历与观点:对定性文献的系统综述

Older persons' experiences and perspectives of receiving social care: a systematic review of the qualitative literature.

作者信息

de São José José, Barros Rosanna, Samitca Sanda, Teixeira Ana

机构信息

Faculty of Economics, University of Algarve, Research Centre for Spatial and Organizational Dynamics, Faro, Portugal.

School of Education and Communication, University of Algarve, Faro, Portugal.

出版信息

Health Soc Care Community. 2016 Jan;24(1):1-11. doi: 10.1111/hsc.12186. Epub 2015 Feb 8.

DOI:10.1111/hsc.12186
PMID:25660372
Abstract

The topic of social care for older people has gained increasing attention from the part of academics, professionals, policy makers and media. However, we know little about this topic from the perspectives of older persons, which hinders future developments in terms of theory, empirical research, professional practice and social policy. This article presents and discusses a systematic review of relevant qualitative research-based evidence on the older persons' experiences and perspectives of receiving social care published between 1990 and September 2014. This review aimed to obtain answers to the following questions: How is the reception of social care experienced by the older persons? What are the negative and positive aspects of these experiences? What are the factors which influence the experiences? The synthesis of the findings of reviewed papers identified six analytical themes: asking for care as a major challenge; ambivalences; (dis)engagement in decisions concerning care; multiple losses as outcomes of receiving social care; multiple strategies to deal with losses originated by the ageing process; and properties of 'good care'. These themes are discussed from the point of view of their implications for theory, care practice and social policy, and future research.

摘要

老年人社会照料这一话题已越来越受到学术界、专业人士、政策制定者及媒体的关注。然而,从老年人自身角度而言,我们对这一话题却知之甚少,这在理论、实证研究、专业实践及社会政策等方面阻碍了未来的发展。本文呈现并探讨了一项系统性综述,该综述基于1990年至2014年9月期间发表的关于老年人接受社会照料的经历与观点的相关定性研究证据。该综述旨在回答以下问题:老年人如何体验社会照料的接受过程?这些经历的消极和积极方面有哪些?影响这些经历的因素是什么?对所审查论文的研究结果进行综合分析,确定了六个分析主题:寻求照料是一项重大挑战;矛盾心理;在照料决策中的(不)参与;接受社会照料的多重损失后果;应对衰老过程所带来损失的多种策略;以及“优质照料”的特质。本文将从这些主题对理论、照料实践、社会政策及未来研究的影响角度进行讨论。

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