老化焦虑评估工具的研究进展

doi:10.3761/j.issn.0254-1769.2023.019.008

摘要/Abstract

摘要：

老化指由于年龄增长带来的生理、心理以及社会功能方面的改变，包括机体功能下降、认知功能退化、社会关系丧失等，老化焦虑指个人对未来可能出现的、老化相关问题的担忧和恐惧。该文综述了国内外老化焦虑评估工具的研制、内容、信效度和应用情况，比较分析各评估工具的特点和局限性，以期为本土化老化焦虑评估工具的开发和应用提供参考，为科学评估老化焦虑水平、构建有效的老化焦虑干预方案提供依据。

关键词: 老化, 老化焦虑, 评估工具, 综述

Abstract:

Anxiety about aging plays an important role in the development of the gerontological nursing and the construction of a healthy aging society. This article reviews the development，contents，reliability，validity，and application of assessment tools for anxiety about aging at home and abroad. By analyzing the characteristics and limitations of each tool，it can provide a reference for the development and usage of localized measurement tools. It also provides the basis for accurate assessment of anxiety about aging and for the formulation of effective intervention strategies.

Key words: Aging, Anxiety about Aging, Assessment Tool, Review

徐丹丹, 李小寒. 老化焦虑评估工具的研究进展[J]. 中华护理杂志, 2023, 58(19): 2358-2363.

XU Dandan, LI Xiaohan. Research progress of assessment tools for anxiety about aging[J]. Chinese Journal of Nursing, 2023, 58(19): 2358-2363.

图/表 1

参考文献 35

[1]	Bakula D, Ablasser A, Aguzzi A, et al. Latest advances in aging research and drug discovery[J]. Aging(Albany NY), 2019, 11(22):9971-9981.
[2]	刘甜芳, 杨莉萍. “增龄即老”:年龄对老化心理的社会建构[J]. 中国老年学杂志, 2021, 41(8):1776-1780.
	Liu TF, Yang LP. “Age accumulation is equal to the process of growing old”:subjective aging is socially constructed by age[J]. Chin J Gerontology, 2021, 41(08):1776-1780.
[3]	Salter CA, deLerma Salter C. Attitudes toward aging and behaviors toward the elderly among young people as a function of death anxiety[J]. Gerontologist, 1976, 16(3):232-236. PMID
[4]	Lasher KP, Faulkender PJ. Measurement of aging anxiety:development of the anxiety about aging scale[J]. Int J Aging Hum Dev, 1993, 37(4):247-259. DOI PMID
[5]	Lynch SM. Measurement and prediction of aging anxiety[J]. Res Aging, 2000, 22(5):533-558. DOI URL
[6]	Moulinet I, Landeau B, Touron E, et al. Sex-specificities in anxiety and depressive symptoms across the lifespan and their links with multimodal neuroimaging[J]. J Affect Disord, 2022, 296:593-602. DOI URL
[7]	Bodner E, Bergman YS, Shiloh-Levin S, et al. The interactive effect of aging anxiety and age awareness on meaning in life and psychological distress:a moderated mediation model[J]. Curr Psychol, 2023, 42(10):8255-8264. DOI
[8]	Ayalon L. Loneliness and anxiety about aging in adult day care centers and continuing care retirement communities[J]. Innov Aging, 2018, 2(2):igy021.
[9]	Spitzer N, Segel-Karpas D, Palgi Y. Close social relationships and loneliness:the role of subjective age[J]. Int Psychogeriatr, 2022, 34(7):651-655. DOI URL
[10]	Hamama-Raz Y, Nissanholtz Gannot R, Michaelis M, et al. Informal caregivers’ negative affect:the interplay of caregivers’ resilience,aging anxiety and burden[J]. Aging Ment Health, 2022:1-7.
[11]	Ayalon L, Tesch-Römer C. Contemporary perspectives on ageism[M]. New York: Springer Nature, 2018.
[12]	胡慧秀, 孙超, 赵雅洁, 等. 我国9个省份老年人身体及认知功能状况的调查研究[J]. 中华护理杂志, 2023, 58(1):68-73. DOI
	Hu HX, Sun C, Zhao YJ, et al. Investigation and character analysis of function of 12 141 older people in 9 provinces[J]. Chin J Nurs, 2023, 58(1):68-73.
[13]	Rathnayake S, Athukorala Y, Siop S. Attitudes toward and willingness to work with older people among undergraduate nursing students in a public university in Sri Lanka:a cross sectional study[J]. Nurse Educ Today, 2016, 36:439-444. DOI URL
[14]	Chai XH, Cheng C, Mei JJ, et al. Student nurses’ career motivation toward gerontological nursing:a longitudinal study[J]. Nurse Educ Today, 2019, 76:165-171. DOI URL
[15]	Ha J, Kim J. Ageism and the factors affecting ageism among Korean nursing students:a cross-sectional study[J]. Int J Environ Res Public Health, 2021, 18(4):1798. DOI URL
[16]	Gendron T, Welleford EA, Pelco L, et al. Who is likely to commit to a career with older adults?[J]. Gerontol Geriatr Educ, 2016, 37(2):208-228. DOI PMID
[17]	何文奇, 陈长英, 杜若飞, 等. 癌症临终患者医患间沟通影响因素及干预的研究进展[J]. 中华护理杂志, 2018, 53(12):1509-1513.
	He WQ, Chen CY, Du RF, et al. Affecting factors and interventions of end-of-life communication between cancer patients and healthcare professionals:a review[J]. Chin J Nurs, 2018, 53(12):1509-1513.
[18]	Phibbs S, Hooker K. An exploration of factors associated with ageist stereotype threat in a medical setting[J]. J Gerontol B Psychol Sci Soc Sci, 2018, 73(7):1160-1165. DOI PMID
[19]	Kafer RA, Rakowski W, Lachman M, et al. Aging opinion survey:a report on instrument development[J]. Int J Aging Hum Dev, 1980, 11(4):319-333. DOI PMID
[20]	Cummings SM, Kropf NP, De Weaver KL. Knowledge of and attitudes toward aging among non-elders:gender and race differences[J]. J Women Aging, 2000, 12(1/2):77-91.
[21]	Bergman YS, Segel-Karpas D. Aging anxiety,loneliness,and depressive symptoms among middle-aged adults:the moderating role of ageism[J]. J Affect Disord, 2021, 290:89-92. DOI URL
[22]	Bergman YS, Bodner E, Shrira A. Subjective nearness to death and end-of-life anxieties:the moderating role of ageism[J]. Aging Ment Health, 2018, 22(5):678-685. DOI PMID
[23]	Sargent-Cox KA, Rippon M, Burns RA. Measuring anxiety about aging across the adult lifespan[J]. Int Psychogeriatr, 2014, 26(1):135-145. DOI PMID
[24]	Gao YJ. Measurement of aging anxiety in Taiwan:an application of a multidimensional item response model[J]. Soc Behav Pers, 2012, 40(4):557-566. DOI URL
[25]	刘云娥. 护士对老年人态度及相关影响因素分析:中、英两国护士的横断面调查[D]. 上海: 第二军医大学, 2012.
	Liu YE. An analysis of nurses’ attitude towards the elderly and its related influencing factors:a cross-sectional survey of nurses in China and Britain[D]. Shanghai: Second Military Medical University, 2012.
[26]	Pakpour AH, Namjoo S, Sabahiazar K, et al. Psychometric properties of the lasher and faulkender anxiety about aging scale(AAS) among Iranian older adults[J]. Eur J Investig Health Psychol Educ, 2021, 11(3):829-837.
[27]	Fernández-Jiménez C, álvarez-Hernández JF, Salguero-García D, et al. Validation of the lasher and faulkender anxiety about aging scale(AAS) for the Spanish context[J]. Int J Environ Res Public Health, 2020, 17(12):4231. DOI URL
[28]	Watkins RE, Coates R, Ferroni P. Measurement of aging anxiety in an elderly Australian population[J]. Int J Aging Hum Dev, 1998, 46(4):319-332. PMID
[29]	Oh EA, Park KH. Development and validation of the aging anxiety scale for Korean middle-aged adults[J]. Curr Psychol, 2022, 41(3):1663-1674. DOI
[30]	Bousfield C, Hutchison P. Contact,anxiety,and young people’s attitudes and behavioral intentions towards the elderly[J]. Educ Gerontol, 2010, 36(6):451-466. DOI URL
[31]	Lytle A, Nowacek N, Levy SR. Instapals:reducing ageism by facilitating intergenerational contact and providing aging education[J]. Gerontol Geriatr Educ, 2020, 41(3):308-319. DOI URL
[32]	Taşdemir N. Young group identification and motives as predictors of ageism,aging anxiety,and life satisfaction[J]. J Genet Psychol, 2020, 181(5):375-390. DOI PMID
[33]	MacDonald JL, Levy SR. Ageism in the workplace:the role of psychosocial factors in predicting job satisfaction,commitment,and engagement[J]. J Soc Issues, 2016, 72(1):169-190. DOI URL
[34]	肖雪玲, Nancy R.Reynolds, 王红红. 理论解构的概念分析及在护理研究中的应用进展[J]. 中华护理杂志, 2020, 55(10):1578-1583. DOI
	Xiao XL, Reynolds N, Wang HH. Introduction of theoretical substruction and analysis of its utilization[J]. Chin J Nurs, 2020, 55(10):1578-1583. DOI
[35]	陈欢, 侯朝铭, 高静, 等. 中文版高血压患者服药依从性量表测量学特性的系统评价[J]. 中华护理杂志, 2023, 58(2):171-178. DOI
	Chen H, Hou CM, Gao J, et al. Chinese version of the medication adherence scale for patients with hypertension:a systematic review of psychometric properties[J]. Chin J Nurs, 2023, 58(2):171-178.