改进米歇尔在疾病理论中的重新概念化的不确定性:解释慢性疾病中不确定性的发展
Jasmin Eppel-Meichlinger1,2, Andrea Kobleder3, Hanna Mayer4
1Division of Nursing Science with Focus on Person-Centred Care Research, Department of General Health Studies, Karl Landsteiner University of Health Sciences, Krems, Austria j.meichlinger@hotmail.com.
Research and theory for nursing practice
|April 25, 2024
概括
这项研究通过解释个人如何发展概率思维和自我组织来积极地重构慢性疾病期间的不确定性,促进康复,来完善米歇尔的疾病不确定性理论.
科学领域:
- 护理理论护理理论
- 健康心理学 心理健康心理学
- 定性研究是指质量研究.
背景情况:
- 米歇尔的重构疾病不确定性理论提出了慢性疾病的不确定性评估随着时间的推移而发生的积极转变.
- 该理论的抽象概念"概率思维"和"自我组织"缺乏对这种变化的明确解释.
- 这项研究旨在详细阐述这些概念,并完善现有理论.
研究的目的:
- 在疾病不确定性背景下分析"概率思维"和"自我组织"的概念.
- 纵向调查个人的经验不确定性随着时间的推移.
- 通过整合概念分析和经验发现,开发完善米歇尔理论的理论命题.
主要方法:
- 进行了"概率主义思维"和"自我组织"的概念分析.
- 进行了一项纵向定性研究,以探索不确定性经验.
- 来自概念分析和定性研究的三角化发现,以制定理论命题.
主要成果:
- 开发了五个理论提议,详细说明了不确定性评估和适应的过程.
- 确定经历不确定性导致概率思维来评估潜在的后果.
- 证明减少存在的不确定性有助于接受和积极的认知重构以恢复.
结论:
- 提出"健康信念"作为驱动"认知重构"的机制,以解释不确定性经验的积极转变.
- 引入了"存在的不确定性",作为防止不确定性评估中负面变化的关键因素.
- 提供了新的概念来指导减少存在不确定性的干预措施,并促进健康信仰,以获得更积极的疾病体验.
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