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Self-neglect in older adults: an evolutionary concept analysis.

Man Zhang1,2, Xiaoling Zhang1

  • 1Department of Oncology, The First Medical Centre, Chinese PLA General Hospital, PR China.

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Self-neglect in older adults is a complex issue. This study defines its characteristics, causes, and consequences to aid healthcare professionals in recognition and intervention.

Keywords:
Concept analysisHealthy agingOlder adultsReviewSelf-neglect

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Area of Science:

  • Gerontology
  • Public Health
  • Nursing

Background:

  • Self-neglect in older adults is a significant global public health concern.
  • Accurate definition is crucial for effective recognition and intervention strategies.
  • Millions of older adults are affected worldwide.

Purpose of the Study:

  • To analyze the concept of self-neglect in older adults.
  • To provide a clear reference for healthcare professionals.
  • To enhance understanding and management of this condition.

Main Methods:

  • Systematic literature search across multiple databases (CNKI, Wanfang, CBML, PubMed, Web of Science, CINAHL).
  • Application of Rodgers' evolutionary method for concept analysis.
  • Inclusion of 68 relevant articles.

Main Results:

  • Identified four defining characteristics of older adult self-neglect: failure to meet basic needs, risky behaviors, recognition challenges, and social isolation.
  • Antecedents encompass physical, psychological, and socio-environmental factors.
  • Consequences impact the older adults, others, and society.

Conclusions:

  • Developed a theoretical definition and conceptual model for older adult self-neglect.
  • Attributes, antecedents, and consequences are valuable for nursing education and research.
  • Findings support the development of targeted intervention approaches.