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Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report.老年人的社会隔离和孤独感:对美国国家科学院报告的综述和评论。
Am J Geriatr Psychiatry. 2020 Dec;28(12):1233-1244. doi: 10.1016/j.jagp.2020.08.005. Epub 2020 Aug 19.
2
'Thinking outside the box': advanced geriatric nursing in primary health care in Scandinavia.“跳出框框思考”:斯堪的纳维亚初级卫生保健中的老年高级护理
BMC Nurs. 2019 Jul 2;18:25. doi: 10.1186/s12912-019-0350-2. eCollection 2019.
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Experienced Loneliness in Home-Based Rehabilitation: Perspectives of Older Adults With Disabilities and Their Health Care Professionals.居家康复中的孤独体验:残疾老年人及其医护人员的观点
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6
Allocation of home care services by municipalities in Norway: a document analysis.挪威各市镇家庭护理服务的分配:文献分析
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8
Being disconnected from life: meanings of existential loneliness as narrated by frail older people.与生活脱节:体弱老年人所讲述的存在性孤独的意义。
Aging Ment Health. 2018 Oct;22(10):1357-1364. doi: 10.1080/13607863.2017.1348481. Epub 2017 Jul 17.
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Registered Nurses' and nurse assistants' responses to older persons' expressions of emotional needs in home care.注册护士和护士助理对老年人在家庭护理中表达情感需求的反应。
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10
Older persons' expressions of emotional cues and concerns during home care visits. Application of the Verona coding definitions of emotional sequences (VR-CoDES) in home care.老年人在家庭护理访视期间的情绪线索和担忧表达。维罗纳情绪序列编码定义(VR-CoDES)在家庭护理中的应用。
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居家老年人的孤独感:家庭护理护士面临的一项挑战。

Loneliness Among Older Home-Dwelling Persons: A Challenge for Home Care Nurses.

作者信息

Tomstad Solveig, Sundsli Kari, Sævareid Hans Inge, Söderhamn Ulrika

机构信息

Centre for Caring Research, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway.

出版信息

J Multidiscip Healthc. 2021 Feb 19;14:435-445. doi: 10.2147/JMDH.S298548. eCollection 2021.

DOI:10.2147/JMDH.S298548
PMID:33642860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7903969/
Abstract

AIM

To explore how nurses working in the home care service sector perceived the loneliness experienced by older people living at home, and how they met these lonely individuals' needs.

BACKGROUND

Loneliness is a well-known phenomenon among groups of older home-dwelling people and has been shown to be a health-related problem. Health care professionals working in the primary care sector, such as home care nurses, may be in the position to identify loneliness among at-home seniors. Identifying and addressing loneliness must become important issues in home care nursing.

DESIGN

A qualitative study.

METHODS

Focus group interviews were performed with 11 home care nurses in Norway. The interviews were analyzed in accordance with manifest and latent content analysis. The Coreq checklist was followed.

FINDINGS

Home care nurses identified loneliness among older people as being a complex and sensitive phenomenon that activated conflicted thoughts, feelings and solutions in a system where older people's loneliness was generally not considered as a need requiring nursing care.

CONCLUSION

Loneliness among older people challenged the nurses with regard to communicating older people's feelings of loneliness and meeting their social needs. Organizational structures were perceived as being the main barriers to meeting these needs. Older people's feelings of loneliness stimulated nurses' reflections about the purpose of their nursing role. It is important to address loneliness among older home-dwelling people and include the issue in home care nursing in order to meet their need for social contact. Home nursing leaders must pay attention to the nurses' experiences, promote the nurses' acquisition of knowledge about this kind of loneliness and learn how to meet an older individual's needs. There should be a special focus on communicating with lonely older people in order to address their feelings loneliness.

摘要

目的

探讨家庭护理服务部门的护士如何看待居家老年人所经历的孤独感,以及他们如何满足这些孤独个体的需求。

背景

孤独是居家老年人群体中一个广为人知的现象,并且已被证明是一个与健康相关的问题。在初级护理部门工作的医护人员,如家庭护理护士,可能有能力识别居家老年人中的孤独感。识别和解决孤独感必须成为家庭护理中的重要问题。

设计

一项定性研究。

方法

对挪威的11名家庭护理护士进行了焦点小组访谈。访谈依据显性和隐性内容分析法进行分析。遵循了COREQ清单。

结果

家庭护理护士认为老年人的孤独是一个复杂且敏感的现象,在一个普遍不将老年人的孤独视为需要护理的系统中,这引发了相互矛盾的想法、感受和解决方案。

结论

老年人的孤独感在沟通老年人的孤独感以及满足他们的社会需求方面给护士带来了挑战。组织结构被视为满足这些需求的主要障碍。老年人的孤独感激发了护士对其护理角色目的的思考。解决居家老年人的孤独感并将此问题纳入家庭护理中很重要,以便满足他们的社交联系需求。家庭护理领导者必须关注护士的经历,促进护士获取关于此类孤独感的知识,并学习如何满足老年人的需求。应特别注重与孤独的老年人沟通,以解决他们的孤独感。