J Gerontol Nurs. 2021 Aug;47(8):13-20. doi: 10.3928/00989134-20210624-01. Epub 2021 Aug 1.
Loneliness affects people of all ages at one point or another in their lives; however, older adults aged ≥65 years are disproportionally affected due to age-related losses. Most research on loneliness has focused on older adults in general. Older adults who are homebound tend to have more disabilities and associated complications than older adults in the general population and face unique challenges. The current review examined and synthesized knowledge about loneliness among older adults who are homebound using Whittemore and Knafl's analysis process. Fourteen studies published from 1999 to 2020 met the inclusion criteria. The analysis resulted in four themes: characteristics of loneliness in older adults who are homebound, risks for homebound in older adults, location of older adults who are homebound, and coping strategies and methods to reduce loneliness in this population. Implications for nursing practice and recommendations for future research are discussed. [(8), 13-20.].
孤独感在人们的一生中都会在某个时刻影响到各个年龄段的人；然而，由于与年龄相关的丧失，≥65 岁的老年人受到的影响不成比例。大多数关于孤独感的研究都集中在一般老年人身上。与一般人群中的老年人相比，那些居家的老年人往往有更多的残疾和相关并发症，并且面临着独特的挑战。本综述使用 Whittemore 和 Knafl 的分析过程，考察并综合了居家老年人孤独感方面的知识。从 1999 年到 2020 年发表的 14 项研究符合纳入标准。分析结果得出了四个主题：居家老年人孤独感的特征、居家老年人的风险因素、居家老年人的位置以及这一人群减少孤独感的应对策略和方法。讨论了对护理实践的影响和对未来研究的建议。[(8)，13-20]。
