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关于衰老相关准备的观点。

Perspectives on Aging-Related Preparation.

作者信息

Sörensen Silvia, Missell Rachel L, Eustice-Corwin Alexander, Otieno Dorine A

机构信息

Margaret Warner Graduate School for Education and Human Development, University of Rochester.

出版信息

J Elder Policy. 2021 Spring;1(2). doi: 10.18278/jep.1.2.7.

Abstract

When older adults face age-related life challenges, anticipating what to expect and how to access potential coping strategies can both prevent and provide the possibility of easier recovery from crises. Aging-Related Preparation (ARP) is defined as the continuum of thoughts and activities about how to age well, often beginning with the awareness of age-related changes, or the anticipation of retirement, and concluding with specifying end-of-life wishes. In the current paper, we introduce the concept of ARP and related formulations regarding plans for aging well, describe both predictors and outcomes of ARP for several the domains of ARP, and consider the elements of ARP within the context of existing social policy. We conclude that ARP is determined by a variety of influences both intrinsic to the older person (e.g., personality, cognitive ability, beliefs about planning, problem-solving skills), linked to social class and education, as well as dependent on family structures, access to and knowledge of options, services, and local community resources, and social policy. We further provide evidence that ARP has positive effects in the domain of pre-retirement planning (for retirement adjustment), of preparation for future care (for emotional well-being), and of ACP (for a good death). However, other domains of ARP, including planning for leisure, housing, and social planning are under-researched. Finally, we discuss policy implications of the existing research.

摘要

当老年人面临与年龄相关的生活挑战时,预期将会发生什么以及如何获取潜在的应对策略,既可以预防危机,也能为从危机中更容易地恢复提供可能性。与衰老相关的准备(ARP)被定义为关于如何安度晚年的一系列想法和活动,通常始于对与年龄相关变化的认知,或对退休的预期,并以明确临终愿望告终。在本文中,我们介绍了ARP的概念以及与安度晚年计划相关的表述,描述了ARP在几个领域的预测因素和结果,并在现有社会政策的背景下考虑了ARP的要素。我们得出结论,ARP由多种因素决定,这些因素既有老年人内在的(如个性、认知能力、对规划的信念、解决问题的技能),与社会阶层和教育相关联,也依赖于家庭结构、对各种选择、服务和当地社区资源的了解及获取途径,还有社会政策。我们进一步提供证据表明,ARP在退休前规划领域(用于退休调整)、未来护理准备领域(用于情绪健康)以及预立医疗照护计划(用于善终)具有积极影响。然而,ARP的其他领域,包括休闲规划、住房规划和社会规划,研究较少。最后,我们讨论了现有研究的政策含义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bde/8841953/80f436690c91/nihms-1774856-f0001.jpg

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