摘要
随着人口死亡模式的转变与老龄化进程的加快,老年人的临终生命质量已成为大众关注的社会问题。本研究参考“身心灵平衡”韧性整合模型构建分析框架,运用半结构式访谈法与实物分析法,深入探索影响老年人临终生命质量的风险性与保护性因素及其作用路径。研究指出,身体的衰弱与疾痛和心理的情绪困扰是老年临终生命质量的风险性因素,它们均会损害老年人原有的平衡状态,且身心二者的负面影响存在相互强化的作用;而内在的灵性能力和外在的社会支持作为保护性因素,能够帮助老年人增强死亡准备、重构生命状态。基于上述结论,研究从身心社灵四个维度重点讨论了社会工作介入老年安宁疗护的发展方向。
With the change in patterns of population mortality and the acceleration of the aging process,the end-of-life quality of elderly people has become a social issue of public concern.This study refers to the“biopsychospiritual homeostasis”resilience integration model to construct an analytical framework and utilizes semistructured interviews and physical analysis methods to deeply explore the risk and protective factors influencing the end-of-life quality of elderly individuals,as well as their pathways of influence.The study indicates that physical frailty,illness,and psychological distress are risk factors for the end-of-life quality of elderly individuals,all of which can undermine their existing state of balance,and the negative impacts of physical and mental factors reinforce each other.On the other hand,intrinsic spiritual abilities and external social support serve as protective factors that can help elderly individuals enhance their preparedness for death and reconstruct their life status.Based on these findings,the study focuses on discussing the development direction of social work intervention in elderly palliative care from the perspectives of body,mind,society,and spirituality.
作者
陆杰华
黄钰婷
Lu Jiehua;Huang Yuting(Department of Sociology,Peking University,Beijing 100871;Department of Social Work and Social Administration,The University of Hong Kong,Hong Kong 999077,China)
出处
《重庆师范大学学报（社会科学版）》
2023年第6期64-77,共14页
Journal of Chongqing Normal University(Edition of Social Sciences)
基金
北京市社会科学基金重大项目“实施积极应对人口老龄化国家战略研究”(20ZDA32)。
