高齢者ケアにおける複雑性を解読するための創発理論の活用：小さなことが積み重なる時

Anna Maria Izquierdo-Porrera¹, Raya Elfadel Kheirbek², John D Sorkin^2,3

¹Tidal Health, Salisbury, Maryland, USA.

Journal of the American Geriatrics Society

|December 24, 2025

まとめ

高齢患者は複数の要因に影響される複雑系である。これらの力学を理解することは、高齢者の動的評価、早期発見、および統合的ケアに役立つ。

科学分野:

老年医学
複雑系理論
生物心理社会医学

背景:

高齢患者は複雑なシステムを表す。
彼らの健康は、生物学的、心理学的、機能的、および社会的決定要因によって形作られる。
これらの要因は相互作用して、患者の健康における創発特性を生み出す。

研究の目的:

高齢患者の複雑系の性質を探求すること。
非線形変化や自己組織化などの創発特性を特定すること。
これらの特性が臨床状態やケア戦略にどのように影響するかを理解すること。

主な方法:

高齢患者の複雑性の概念分析。
複雑系原理（非線形ダイナミクス、自己組織化、相転移、パス依存性）の適用。
動的評価および学際的ケアのためのフレームワーク開発。

主要な成果:

高齢患者は複雑系に特徴的な創発特性を示す。
非線形変化、自己組織化、相転移、パス依存性は、主要な創発特性である。
これらの特性は、 distinct な臨床状態として現れる。

結論:

高齢患者を複雑系として捉えることは、新たな洞察を提供する。
創発特性は、臨床状態を理解する上で重要である。
この視点は、高齢者のための動的評価、早期発見、および統合的で学際的なケアを支持する。

キーワード:

複雑性動的評価早期発見創発

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