Self-Neglect in Older Populations: An Evolutionary Concept Analysis

Abstract Objective: The objective was to define and develop the concept of elder self-neglect, and to provide a reference for nursing practice. Methods: A systematic search of relevant literature on elder self-neglect was conducted in Chinese National Knowledge Infrastructure (CNKI), Wanfang database, Chinese Biomedical Literature Database (CBM), PubMed, Web of Science and CINAHL database, and Rodgers' evolutionary concept analysis method was used as the theoretical framework. Results: A total of 63 articles were included. Elder self-neglect included four defining characteristics: disorderliness, dangerousness, invisibleand enclosed; antecedents included physical, psychological, socio-environmental and other related factors; consequences included effects on the older adults themselves and effects on others and society. Conclusions: Elder self-neglect has far-reaching implications for individuals and society. By clarifying the conceptual characteristics of elder self-neglect through concept analysis, researchers can conduct more in-depth and comprehensive research on it and promote healthy ageing.