Elder abuse is a global public health problem with severe social costs. Research on elder abuse has gradually increased; however, less attention has been paid to older adults’ perceptions and experiences of abuse. This review aimed to integrate older adults’ perceptions and experiences of abuse to provide a theoretical basis for developing interventions that meet their authentic needs. Six electronic databases were searched to include qualitative studies examining perceptions and experiences of abuse among adults aged 60 years or older, and 22 studies were included. This study used the Joanna Briggs Institute meta-aggregation approach to integrate the qualitative findings, which identified four themes: (a) changes resulting from elder abuse, (b) causes of abuse, (c) barrier factors and facilitating factors to the disclosure of abusive behavior, and (d) adopting different response strategies. The findings revealed that older adults experience persistent physical and psychological burdens and financial stress following abuse. Multiple factors influence the emergence of abuse and older adults search for help from the outside world, especially social support and perceptions of abuse. Older adults can deal with abuse by accepting the status quo or taking steps to change it. These findings have important implications for helping older adults prevent and cope with abuse experiences.

中文翻译：

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老年人被虐待后的经历：定性元综合


虐待老人是一个全球性的公共卫生问题，具有严重的社会成本。对虐待老人的研究逐渐增加;然而，对老年人的看法和虐待经历的关注较少。本综述旨在整合老年人对虐待的看法和经历，为开发满足其真实需求的干预措施提供理论基础。检索了 6 个电子数据库，纳入了调查 60 岁或以上成年人对虐待的看法和经历的定性研究，并纳入了 22 项研究。本研究使用 Joanna Briggs Institute 元聚合方法整合定性结果，确定了四个主题：（a） 虐待老人导致的变化，（b） 虐待的原因，（c） 披露虐待行为的障碍因素和促进因素，以及 （d） 采用不同的应对策略。研究结果显示，老年人在遭受虐待后会经历持续的身体和心理负担以及经济压力。多种因素会影响虐待的出现，老年人从外部世界寻求帮助，尤其是社会支持和对虐待的看法。老年人可以通过接受现状或采取措施改变现状来应对虐待。这些发现对于帮助老年人预防和应对虐待经历具有重要意义。