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老年人长期护理政策中的暴力主题分析

Analysis of the theme of violence in policies of long-term care for the elderly.

作者信息

Poltronieri Bruno Costa, Souza Edinilsa Ramos de, Ribeiro Adalgisa Peixoto

机构信息

Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro. R. Professor Carlos Wenceslau, Realengo. 21715-000 Rio de Janeiro RJ Brasil.

Departamento de Estudos sobre Violência e Saúde Jorge Careli, Escola Nacional de Saúde Pública, Fiocruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2019 Aug 5;24(8):2859-2870. doi: 10.1590/1413-81232018248.25192017.

DOI:10.1590/1413-81232018248.25192017
PMID:31389534
Abstract

This paper aimed to identify and analyze in national and international literature whether and how the theme of violence is addressed in the studies of public policies for older adults in Long-Term Care Institutions (LTCI). We conducted an integrative review of the published literature between 2010 and August 2016. The primary bibliographic databases were consulted using descriptors "idoso", "políticas públicas", "instituição de longa permanência para idosos", "asilo", "casa de repouso" and "ILPI" in Portuguese and their equivalent in English and Spanish. A total of 77 papers were analyzed, of which 12 were Brazilian and 65 were foreign (of these, 30 were from the U.S.). The analysis showed that many countries have long-term care policies governing the modalities of service providers. Only eight works addressed the issue of violence within LTCIs within older adults' protection policies, and affirm that countries in Latin America and Asia must advance this agenda and place the issue of violence against seniors on the agenda of priorities. No Brazilian paper addressed the issue directly, although it has become clear that neglect and other forms of violence hang over Long-Term Care Institutions for the Elderly (LTCIEs).

摘要

本文旨在梳理和分析国内外文献,探究长期护理机构(LTCI)中老年人公共政策研究里暴力主题是否以及如何被提及。我们对2010年至2016年8月间发表的文献进行了综合回顾。通过使用葡萄牙语描述词“idoso”(老年人)、“políticas públicas”(公共政策)、“instituição de longa permanência para idosos”(老年人长期护理机构)、“asilo”(收容所)、“casa de repouso”(养老院)以及“ILPI”,并结合其英文和西班牙文的对应表述,检索了主要的文献数据库。共分析了77篇论文,其中12篇来自巴西,65篇来自国外(其中30篇来自美国)。分析表明,许多国家都有规范服务提供方式的长期护理政策。在老年人保护政策范围内,仅有8篇作品探讨了长期护理机构中的暴力问题,并指出拉丁美洲和亚洲国家必须推进这一议程,将针对老年人的暴力问题提上优先议事日程。尽管巴西长期存在对老年人长期护理机构的忽视及其他形式的暴力现象,但尚无巴西论文直接探讨这一问题。

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