家庭护理人员存在的痛苦:对创造意义的干预措施的范围审查
Natalie S McAndrew1,2, Tamryn F Gray3,4, Lyndsey Wallace5
1School of Nursing, College of Health Professions & Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA mcandre3@uwm.edu.
BMJ supportive & palliative care
|August 21, 2023
概括
护理人员的干预促进意义可以减少存在的痛苦. 需要更多的研究来评估它们的有效性和可扩展性,以帮助面临患者疾病不确定性的家庭和朋友护理人员.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理学 心理学 心理学
- 在瘤学瘤学.
背景情况:
- 家庭和朋友的护理人员由于患者的疾病不确定性而经历了重大负担和存在的痛苦.
- 支持性护理干预旨在通过培养意义和目的,增强性来减轻照顾者的负担.
- 护理人员存在的痛苦是需要有针对性的干预的关键领域.
研究的目的:
- 对旨在解决严重疾病成年患者护理人员存在困境的干预措施进行范围审查.
- 识别和描述现有干预措施的范围和范围,以促进护理人员的意义和生存福祉.
主要方法:
- 坚持乔安娜·布里格斯研究所的范围审查方法和PRISMA扩展检查清单.
- 在SCOPUS,Ovid MEDLINE和PsycINFO数据库中进行系统的文献搜索.
- 包括专注于对创造意义,精神福祉,创伤后成长和护理人员发现益处的干预措施的研究.
主要成果:
- 代表28项独特研究的31篇文章符合纳入标准.
- 干预措施主要针对癌症患者的护理人员 (14项研究) 和接受息治疗的患者 (9项研究).
- 有前途的干预措施包括以意义为中心的心理治疗,基于意义的干预,遗留干预,尊严治疗和存在性行为治疗;64%是试点/可行性研究.
结论:
- 进一步的大规模随机对照试验与多样化的护理人员样本是必不可少的.
- 未来的研究应该调查整个疾病轨迹上的有意义干预措施的影响.
- 制定可扩展性和成本效益的战略对于弥合研究与实践之间的差距至关重要.
相关概念视频
Erikson's Theory on Socioemotional Development during Adulthood
141
Erik Erikson's theory of psychosocial development outlines a series of stages through which individuals progress across the lifespan. Each stage involves a psychosocial conflict that significantly influences personal growth and well-being. Three key stages — intimacy versus isolation, generativity versus stagnation, and integrity versus despair — highlight the developmental challenges faced in adulthood.
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
141
Bonanno's Theory of Grieving
104
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
104
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Coping Strategies: Problem Focused
96
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
96
Humanistic Therapy
71
Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
71
Coping Strategies: Emotion Focused
98
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
98


