Forgetfulness and older adults: concept analysis
Forgetfulness and older adults: concept analysis
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DOI：
10.1111/j.1365-2648.2010.05279.x
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发表时间：
2010-06-01
影响因子：
3.8
通讯作者：
Ballard, Julianne
中科院分区：
文献类型：
--
作者：
Ballard, Julianne
P&gT；标题：健忘与老年人：概念分析。目的：这是一篇关于健忘概念的分析报告，因为健忘适用于老年人。背景：由于与记忆丧失和痴呆症相关的耻辱，健忘的明显增加给老年人带来了很大的痛苦。健康老龄化状态下的健忘和认知障碍相关的记忆丧失之间的区别需要澄清参与筛查和照顾老年人的护士。数据来源：通过搜索CINAHL，EMBASE和InterNurse，以及1962-2009年的老年学教科书，获得了关于这一概念分析的文献。综述方法。罗杰斯的进化方法是概念分析的框架。结果：随着我们年龄的增长，健忘的次数(特别是记住在不久的将来做事情)的次数略有增加，可以通过限制分心和加强注意力来抵消。这与健忘模式形成了鲜明对比，随着年龄的增长，健忘模式也更有可能表明疾病的进程。老年人对自己健忘的意识有可能导致恐惧、尴尬、愤怒和/或自卑。结论避免给老年人与健忘有关的担忧贴上标签或对其不屑一顾是很重要的。建议进行进一步的研究，重点是评估工具的选择，以调查护士领导的人群筛查老年人记忆缺陷的好处。护士需要接受记忆评估方面的培训，并在发现异常结果时获得适当的转诊途径。
P>Title.Forgetfulness and older adults: concept analysis.Aim.This paper is a report of an analysis of the concept of forgetfulness as it applies to older adults.Background.Perceived increases in forgetfulness cause much distress for older adults due to the stigma associated with memory loss and dementia. The difference between forgetfulness in a healthy ageing state and memory loss associated with cognitive impairment requires clarification for nurses involved in screening and caring for older adults.Data sources.Literature for this concept analysis was obtained by searches of CINAHL, EMBASE and Internurse covering the years 1962-2009, as well as gerontology textbooks.Review methods.The evolutionary method of Rodgers was the framework for the concept analysis.Results.As we age there is a slight increase in occasions of forgetfulness (particularly remembering to do things in the near future) that can be offset by limiting distractions and enhancing focus. This is contrasted with forgetfulness patterns, also more likely as we age, that are indicative of disease processes. Older adults' awareness of their own forgetfulness has the potential to cause fear, embarrassment, anger and/or low self-esteem.Conclusion.It is important to avoid labelling or dismissal of concerns related to forgetfulness in older adults. Further research, with an emphasis on the choice of assessment tool, is recommended to investigate the benefits of nurse-led population screening for memory deficits in older adults. Nurses require training in assessment of memory and access to adequate referral pathways if abnormal results are uncovered.