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“被困在空荡的候诊室中”——老年孤独的存在主义人文核心:元综合研究。

"Trapped in an Empty Waiting Room"-The Existential Human Core of Loneliness in Old Age: A Meta-Synthesis.

机构信息

1 UiT, The Arctic University of Norway, Narvik, Norway.

2 UiT, The Arctic University of Norway, Harstad, Norway.

出版信息

Qual Health Res. 2018 Jan;28(2):213-230. doi: 10.1177/1049732317735079.

Abstract

Loneliness in old age has a negative influence on quality of life, health, and survival. To understand the phenomenon of loneliness in old age, the voices of lonely older adults should be heard. Therefore, the purpose of this meta-synthesis was to synthesize scientific studies of older adults' experiences of loneliness. Eleven qualitative articles that met the inclusion criteria were analyzed and synthesized according to Noblit and Hare's meta-ethnographic approach. The analysis revealed the overriding meaning of the existential human core of loneliness in old age expressed through the metaphor "trapped in an empty waiting room." Four interwoven themes were found: (a) the negative emotions of loneliness, (b) the loss of meaningful interpersonal relationships, (c) the influence of loneliness on self-perception, and (d) the older adults' endeavors to deal with loneliness. The joint contribution of family members, health care providers, and volunteers is necessary to break the vicious circle of loneliness.

摘要

老年人的孤独感对生活质量、健康和生存都有负面影响。为了了解老年人孤独感这一现象,应该倾听孤独的老年人的声音。因此,本元分析的目的是综合老年人孤独感体验的科学研究。根据 Noblit 和 Hare 的元民族志方法,对符合纳入标准的 11 篇定性文章进行了分析和综合。分析结果揭示了老年人孤独感的存在主义核心的主导意义,通过“被困在一个空荡荡的候诊室”这一隐喻表现出来。发现了四个相互交织的主题:(a)孤独感的负面情绪;(b)有意义的人际关系的丧失;(c)孤独感对自我认知的影响;(d)老年人应对孤独的努力。有必要让家庭成员、医疗保健提供者和志愿者共同努力,打破孤独的恶性循环。

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