Gomes Gabriela Carneiro, Moreira Rafael da Silveira, Maia Tuíra Oliveira, Santos Maria Angélica Bezerra Dos, Silva Vanessa de Lima
Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
Departamento de Saúde Coletiva, Fundação Oswaldo Cruz. Recife PE Brasil.
Cien Saude Colet. 2021 Mar;26(3):1035-1046. doi: 10.1590/1413-81232021263.08222019. Epub 2019 May 4.
The scope of this article is to identify factors associated with personal autonomy among the elderly. It is a systematic review of analytical epidemiological studies selected from the PubMed, Web of Science, Scopus and Lilacs databases, without time and language constraints. The search located 3,435 articles and selection was conducted in two phases: reading of abstracts and entire articles, with inclusion and exclusion criteria, by two independent reviewers, resulting in seven selected studies. The risk of bias was assessed using the Newcastle-Ottawa Scale protocol. All studies included were of sectional design and analyzed autonomy from the perspective of the perception of increased autonomy. The instruments used were the Hertz Perceived Entity of Autonomy Scale and the Chinese version of Perceived Enactment of Autonomy Scale. The factors associated with the autonomy of the elderly identified were grouped by functionality, family relations, interpersonal relations, life perception, satisfaction with health services, demographic factors, schooling, general health status and quality of life. The study of personal autonomy among the elderly presented a multifactorial and biopsychosocial character, although it is a recent theme in which further research with more detailed scientific evidence is necessary.
本文的范围是确定老年人个人自主性相关的因素。这是一项对从PubMed、科学网、Scopus和Lilacs数据库中选取的分析性流行病学研究的系统综述，没有时间和语言限制。检索到3435篇文章，筛选分两个阶段进行：由两名独立评审员根据纳入和排除标准阅读摘要和全文，最终选定7项研究。使用纽卡斯尔-渥太华量表协议评估偏倚风险。纳入的所有研究均为横断面设计，并从自主性增强的感知角度分析自主性。使用的工具是赫兹自主性感知量表和中文版自主性实施感知量表。确定的与老年人自主性相关的因素按功能、家庭关系、人际关系、生活感知、对卫生服务的满意度、人口统计学因素、受教育程度、总体健康状况和生活质量进行分组。老年人个人自主性的研究呈现出多因素和生物心理社会特征，尽管这是一个新主题，还需要更多详细科学证据的进一步研究。
