高齡者靈性復原力之概念分析

復原力是指個體經歷逆境，成功維持正向適應與展現能力的過程，而過去文獻多探討復原力對身心的影響，但高齡者面臨年老衰弱、疾病威脅等多重壓力、困境，導致靈性降低，亦需靈性復原力協助恢復，維持正向適應。本文以Walker和Avant（2019）的概念分析步驟，分析高齡者靈性復原力定義，歸納鑑定性特徵：重整人生意義、找到信仰價值、社會連結與支持、正向動態適應，以典型案例、邊緣案例和相反案例澄清概念，確認前因與後果、評析實證參考指標及釐清相似概念。期望透過此概念分析，有助於臨床實務及研究之應用，促使健康照護專業人員規劃相關措施，提升高齡者靈性復原力，維持良好能力及正向適應，達到成功老化。

關鍵字

高齡者；靈性；復原力；概念分析

並列摘要

Resilience refers to the process of an individual experiencing adversity and successfully maintaining positive adaptation and upholding his or her strength. Previous studies mainly focused on the influences of resilience on one's body and mind. However, more likely to face multiple pressures and difficulties, such as aging, frailty, and disease, which lead to spiritual decline, the elderly are in need of spiritual resilience to expedite recovery and maintain positive adaptation. The article uses the conceptual analysis steps of Walker and Avant (2019) to examine the definition of spiritual resilience for the elderly and summarize its defining characteristics: reorganizing the meaning of life, finding the value of belief, building social connection and support, and initiating positive and dynamic adaptation. Typical, borderline and contradictory cases are studied to explain the concept, confirm antecedents and consequences, evaluate empirical reference indicators, and clarify similar concepts. It is hoped that the outcomes of the conceptual analysis can be applied to clinical practice and research, enabling healthcare providers to plan intervention to enhance the spiritual resilience of the elderly for maintaining positive adaptation and achieving successful aging.

並列關鍵字

elderly ； spirituality ； resilience ； concept analysis

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