Larsen Maersk Jesper, Peoples Hanne, Kristensen Hanne Kaae, Præstegaard Jeanette
Centre for Health and Rehabilitation, University College Absalon, Naestved, Denmark.
Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark.
Br J Occup Ther. 2024 Sep;87(9):530-545. doi: 10.1177/03080226241253699. Epub 2024 May 30.
Living with dementia can be challenging, even more so for people diagnosed before age 65. Loss of identity is one of the main subjective consequences dementia poses at this stage in life due to the loss of social relations and daily activities. While a growing body of research is reporting the experienced impact of early-onset dementia on identity for this group, studies synthesizing this knowledge are very limited. Therefore, we have conducted a meta-ethnographic review to explain how people with early-onset dementia form their sense of identity.
A systematic review of literature from five databases was conducted. Ten original studies published between 2004 and 2020 were included and analyzed using an interpretive approach.
A conceptual interpretation emerged from the analysis, showing that social arenas and activities of daily life, as well as assumptions about dementia and natural aging made by the participants and society, influenced the participants' sense of identity.
Being in nonjudgmental environments can support people with early-onset dementia in creating continuity and positive connections in their personal history. Providing such environments can be a viable venue for healthcare professionals to support people with early-onset dementia in maintaining a positive sense of identity.
与痴呆症共处可能具有挑战性,对于65岁之前被诊断出患有痴呆症的人来说更是如此。身份认同的丧失是痴呆症在人生这个阶段造成的主要主观后果之一,这是由于社会关系和日常活动的丧失所致。虽然越来越多的研究报告了早发性痴呆症对该群体身份认同的实际影响,但综合这些知识的研究非常有限。因此,我们进行了一项元民族志综述,以解释早发性痴呆症患者如何形成他们的身份认同感。
对来自五个数据库的文献进行了系统综述。纳入了2004年至2020年间发表的十项原创研究,并采用解释性方法进行分析。
分析得出了一种概念性解释,表明社会领域和日常生活活动,以及参与者和社会对痴呆症和自然衰老的假设,影响了参与者的身份认同感。
身处无评判的环境可以支持早发性痴呆症患者在其个人经历中创造连续性和积极的联系。提供这样的环境可能是医疗保健专业人员支持早发性痴呆症患者保持积极身份认同感的一个可行途径。