Wister Andrew V, Coatta Katherine L, Schuurman Nadine, Lear Scott A, Rosin Miriam, MacKey Dawn
Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
Reichert and Associates, West Broadway, Vancouver, BC, UK.
Int J Aging Hum Dev. 2016 Apr;82(4):290-313. doi: 10.1177/0091415016641686.
The purpose of this article is to advance a Lifecourse Model of Multimorbidity Resilience. It focuses on the ways in which individuals face adversities associated with multimorbidity and regain a sense of wellness through a complex, dynamic phenomenon termed resilience. A comprehensive review of 112 publications (between 1995 and 2015) was conducted using several comprehensive electronic data bases. Two independent researchers extracted and synthesized resilience literature with specific applications to chronic illness. The article outlines five stages of theoretical development of resilience, synthesizes these with the aging and chronic illness literature, builds a rationale for a lifecourse approach to resilience, and applies the model to multimorbidity. Cultivating and maintaining resilience is fundamental to functioning and quality of life for those with multimorbidity. We found that there are a number of gaps in both basic and applied research that need to be filled to advance knowledge and practice based on resilience approaches.
本文旨在提出一种多重疾病恢复力的生命历程模型。它关注个体面对与多重疾病相关的逆境，并通过一种被称为恢复力的复杂动态现象重新获得健康感的方式。使用多个综合电子数据库对112篇出版物（1995年至2015年之间）进行了全面综述。两名独立研究人员提取并综合了针对慢性病的恢复力文献。本文概述了恢复力理论发展的五个阶段，将这些阶段与衰老和慢性病文献进行综合，为采用生命历程方法研究恢复力建立了理论依据，并将该模型应用于多重疾病。培养和维持恢复力对于患有多重疾病的人的功能和生活质量至关重要。我们发现，基础研究和应用研究中都存在一些差距，需要加以填补，以推动基于恢复力方法的知识和实践发展。
