Listening to the voice of older people: dimensions of loneliness in long-term care facilities
Listening to the voice of older people: dimensions of loneliness in long-term care facilities
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DOI：
10.1017/s0144686x21001975
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发表时间：
2022-01-27
期刊：
影响因子：
2.5
通讯作者：
Pitkala, Kaisu H.
中科院分区：
文献类型：
--
作者：
Jansson, Anu H.;Karisto, Antti;Pitkala, Kaisu H.
事实证明，孤独感在长期护理机构 (LTCF) 中很常见，并且与不良健康结果相关。尽管老年居民在以往的研究中以各种方式表达了他们的孤独经历，但研究人员很少区分或探讨孤独的三个维度：社交、情感和存在。此外，对 LTCF 中存在孤独感的描述仍然是一个被忽视的研究领域。本研究的目的是探讨 LTCF 中老年人的孤独经历如何表现并划分为这些维度。我们使用了民族志多方法。分析依赖于溯因推理。在社交孤独感方面，受访者缺少陪伴、缺乏同伴支持，但在人群中也感到孤独。情感上的孤独感令人痛苦，无法与任何人分享。这与生活毫无意义和缺乏有意义的他人的感觉有关。存在的孤独的特点是等待和空虚感。它反映了人类的根本问题。本研究是第一个探索 LTCF 中体弱和认知障碍老年人孤独经历维度的研究之一。根据孤独受访者的声音，孤独有许多社会、情感和存在的方面。应在研究、护理实践和干预措施中认识到孤独的这些特征。
Loneliness has proved to be common in long-term care facilities (LTCF) and is associated with adverse health outcomes. Although older residents have expressed their experiences of loneliness in previous studies in various ways, researchers have rarely distinguished or explored the three dimensions of loneliness: social, emotional and existential. Furthermore, descriptions of existential loneliness in LTCF is still a neglected area of research. The aim of this study was to explore how the experiences of loneliness of older people in LTCF are manifested and divided into these dimensions. We used an ethnographic multi-method approach. The analysis leaned on abductive reasoning. In terms of social loneliness, the respondents missed company and lacked peer support, but also felt lonely in a crowd. Emotional loneliness felt miserable and could not be shared with anyone. It was related to a feeling of meaninglessness of life and a lack of meaningful others. Existential loneliness was characterised by waiting and a feeling of emptiness. It reflected the fundamental issues of humanity. The present study is one of the first to explore the dimensions of the experiences of loneliness among frail and cognitively impaired older people in LTCF. According to the voices of the lonely respondents, loneliness has many social, emotional and existential aspects. These features of loneliness should be recognised in studies, care practices and interventions.