School of Social Work, University of Texas at Arlington, Arlington, Texas, USA.
Department of Social Work, University of Mississippi, Oxford, Mississippi, USA.
Gerontologist. 2023 Oct 17;63(9):1497-1509. doi: 10.1093/geront/gnad006.
This scoping review aims to examine the extent and the manner in which research that utilizes successful, active, productive, and healthy aging framework(s) includes death or dying.
An examination of peer-reviewed academic journal articles was conducted following Joanna Briggs Institute's methodological standards for scoping reviews and conforming to Arskey and O'Malley's 5-stage framework. The initial search resulted in 1,759 articles for review, and following the rigorous screening, 35 studies were included for the final review. A qualitative thematic analysis was used to identify how research utilizes the concepts of death and dying in the context of 4 positive aging models.
The core themes identified include (a) the absence of death and dying dimensions in positive aging models; (b) older adults' outlooks on death and dying while aging well; (c) religious and spiritual dimensions of aging well; (d) negative consequences of positive aging models without death and dying dimensions; and (e) the future of death and dying in positive aging models.
The review delivers a critique by researchers on the noticeable absence of death and dying processes within the framework of successful, active, productive, and healthy aging models. These findings represent a rich opportunity for future research on these concepts.
本范围综述旨在考察利用成功老龄化、积极老龄化、有生产力老龄化和健康老龄化框架的研究在多大程度上以及以何种方式纳入死亡或临终议题。
本研究按照乔安娜·布里格斯研究所（ Joanna Briggs Institute ）的范围综述方法标准，并遵循阿斯基尔（Arskey）和奥马利（O'Malley）的 5 阶段框架，对同行评议学术期刊文章进行了考察。最初的搜索产生了 1759 篇待审文章，经过严格筛选，最终有 35 项研究纳入最终综述。采用定性主题分析方法，以确定研究如何在 4 个积极老龄化模型的背景下利用死亡和临终的概念。
确定的核心主题包括：（a）积极老龄化模型中缺乏死亡和临终维度；（b）老年人在积极老龄化过程中的死亡和临终观念；（c）与良好老龄化相关的宗教和精神维度；（d）缺乏死亡和临终维度的积极老龄化模型的负面后果；以及（e）积极老龄化模型中死亡和临终的未来。
本综述代表了研究人员对成功老龄化、积极老龄化、有生产力老龄化和健康老龄化模型框架中明显缺乏死亡和临终过程的批判。这些发现为未来关于这些概念的研究提供了丰富的机会。
