"把自己从我最需要的东西中排除":炎症性关节炎患者的孤独经历:一种定性研究
Annika Nordkamp1,2, Julie Midtgaard2,3, Annette de Thurah4,5
1Center for Rheumatology and Spine Diseases, Copenhagen Center for Arthritis Research (COPECARE), Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark.
International journal of rheumatic diseases
|January 13, 2025
概括
孤独对炎症性关节炎 (IA) 患者产生重大影响,影响他们的福祉和自我管理. 解决孤独问题对于改善AI患者的心理健康和社会联系至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 社会科学 社会科学 社会科学
背景情况:
- 炎症性关节炎 (IA),包括类风湿性关节炎 (RA),牛皮性关节炎 (PsA) 和轴性脊柱关节炎 (axSpA),对社会参与提出了挑战.
- 孤独是IA中普遍存在的问题,但它的起源和心理健康影响仍未得到充分探索.
研究的目的:
- 描述IA患者关于孤独的经历.
- 在AI的背景下,了解孤独如何影响日常生活和心理健康.
主要方法:
- 进行了半结构化的电话采访,对14名被诊断为RA,PsA或axSpA的参与者进行了采访,他们报告说他们感到孤独.
- 使用反射性主题分析来解释采访数据.
主要成果:
- 孤独被发现放大了IA的负面影响,成为参与者斗争的组成部分.
- 参与者认识到他们需要社交联系,但感到无法参与,导致自我排斥.
- 医疗保健专业人员有强烈的愿望承认和解决孤独问题.
结论:
- 孤独深深地影响了IA患者的整体福祉和自我管理能力.
- 医疗保健专业人员迫切需要认识到孤独是IA护理的重要组成部分,并解决这个问题.
- 针对孤独的干预措施可以改善患者的心理健康,社会导航和自我管理,从而改善整体幸福感.
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