Concept analysis of self-neglect in the elderly: a hybrid model

Abstract

Purpose

Clarifying the concept of elder self-neglect.

Methods

Researchers investigated the concept of elder self-neglect using a hybrid approach, including theoretical, fieldwork, and final analysis phases. After an extensive review of related literature to define the concept of self-neglect and describe its characteristics, the fieldwork phase was carried out to illustrate its empirical features. Accordingly, it led to the extraction of the elder self-neglect attributes from the first two phases.

Findings

Elder self-neglect includes “subjective and objective high-risk behaviors pertinent to physical and spiritual health as well as restricted social interactions, disregarding the living environment, and a lack of compliance to personal hygiene routines that the elderly demonstrate deliberately or unintentionally. Various factors can contribute to such behaviors, including individual features, poor physical performance, elderly-oriented psychological disorders, financial challenges, detrimental stressors, unsuccessful social interactions, inaccessible supportive resources, inadequate educational resources, and inappropriate cultural norms. Consequently, such behaviors result in impaired physical and psychological health status, higher risk of misbehavior, poor quality of life, extra caregiving-treatment burden, and affected mental security in society.”

Conclusion

Given that elder self-neglect is considered a relatively unknown concept in Iran, the study findings can pave the way for future extensive research in the Iranian context by clarifying the concept. It can play a significant role in developing related tools to design more efficient interventions and improve the quality of nursing care services.

Implications for nursing practice

The elder self-neglect concept can lead to numerous health-related disorders among the elderly in society. Nurses cannot deal with an unknown phenomenon without exploring and identifying its exact meaning. It is, therefore, imperative to illustrate the different dimensions of this concept to help create a deep understanding among the nurses and perform timely diagnosis and interventional procedures.

چکیده

هدف: شفاف سازی مفهوم خودغفلتی در سالمندان

متدولوژی: تجزیه و تحلیل مفهوم با استفاده از مدل هیبرید که به ترتیب شامل سه مرحله نظری، کار میدانی و تحلیل نهایی است، انجام شد. پس از بررسی گسترده ادبیات به منظور توصیف ویژگی ها و تعریف مفهوم، مرحله کار میدانی به منظور تبیین تجربی مفهوم خودغفلتی در سالمندان انجام شد. در مرحله سوم ویژگی های خودغفلتی در سالمندان از فاز اول و دوم استخراج شد.

نتیجه: خودغفلتی در سالمندان به صورت “رفتارهای پرخطر عینی و ذهنی که به صورت عمدی و غیر عمدی، توسط فرد سالمند در حوزه های سلامت جسمی، معنوی، اختلال در روابط اجتماعی، غفلت از محیط زندگی و عدم رعایت بهداشت فردی بروز می کند که به واسطه ی عواملی چون برخی ویژگی های فردی، عملکرد جسمانی ضعیف، ابتلا به اختلالات روانشناختی شایع دوران سالمندی، مشکلات و چالش های مالی، استرس های آسیب رسان، روابط اجتماعی ناموفق، عدم دسترسی به منابع حمایتی، ناکافی بودن منابع آموزشی در دسترس سالمند و باورهای نامتعارف فرهنگی ایجاد می شود و منجر به اختلال در سلامت جسمی، روانشناختی، افزایش خطر سوء رفتار و کیفیت زندگی پایین فرد سالمند و همچنین افزایش بار مراقبتی- درمانی و اختلال در امنیت روانی جامعه می شود” تعریف می شود.

نتیجه گیری: با توجه به اینکه مفهوم خودغفلتی در سالمندان یک پدیده ی نسبتا ناشناخته و جدید در کشورمان است، نتایج این مطالعه می تواند با واضح سازی این مفهوم، راه را برای انجام فعالیت های گسترده تر تحقیقاتی و ساخت ابزارهای پژوهشی در جهت مداخلات بهتر هموار سازد و همچنین نقش مهمی در ارتقاء کیفیت مراقبت های پرستاری داشته باشد.

پیامدها برای کار پرستاری: خودغفلتی در سالمندان به عنوان مفهومی که منجر به بسیاری از اختلالات در ابعاد سلامت سالمندان مقیم در جامعه می‌شود، نیاز به توجه جدی دارد. پرستاران نمی توانند با یک پدیده ناشناخته بدون کاوش و شناسایی معنای دقیق آن مقابله کنند. بنابراین برای ایجاد بینشی عمیق در پرستاران و شناسایی به موقع و انجام مداخلات مناسب در این افراد، شفاف سازی ابعاد مختلف این مفهوم ضرورت دارد.

Keywords

concept analysis elderly hybrid model self-neglect کلمات کلیدی: تجزیه و تحلیل مفهوم، خودغفلتی، سالمندی، مدل هیبرید

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