"我不能没有希望生活":使用反射主题分析进行的定性研究,研究了晚期疾病患者对希望和预后意识的方法
Miroslava Janoušková1, Adam Houska1, Sára Víchová1
1Division of Medical Psychology, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Palliative medicine
|March 12, 2025
概括
患有晚期疾病的个体表现出不同的希望策略,影响他们的应对能力和终身护理. 了解这些方法有助于为更好的患者结果量身定制息护理干预措施.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理瘤学 心理瘤学
- 生命终端研究研究.
背景情况:
- 希望对于生活质量和应对晚期疾病至关重要.
- 希望和预后意识之间的相互作用仍然不太清楚.
研究的目的:
- 为了调查生活经验和希望的意义.
- 为了检查希望和预后意识之间的关系,在晚期的不可治愈的疾病.
主要方法:
- 定性现象学研究. 定性现象学研究.
- 半结构面试的反思性主题分析.
- 在捷克共和国,有24名患有晚期不可治愈疾病的参与者.
主要成果:
- 确定了四种不同的希望和预后意识方法:技术,精神,极简主义和实用主义.
- 技术和极简主义的方法显示希望随着医疗更新而波动.
- 精神和实用主义的方法证明了稳定的希望,能够抵御预后信息.
结论:
- 不同的希望方法需要定制的息护理干预措施.
- 医疗保健沟通应适应患者的希望方向,以改善应对和终身结果.
- 这项研究提供了对心理和情感动态的见解,这些动态会影响应对绝症.
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