患有乳腺癌的女性的精神痛苦:一个概念分析
Naeem Abdi1,2, Zinat Mohebbi3, Sina Ghanbarzadeh4
1School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Scandinavian journal of caring sciences
|July 1, 2025
概括
精神上的困扰对患有乳腺癌的女性产生重大影响,导致身份危机,绝望和对价值观的质疑. 了解其特征对于有效的护理和管理这些患者至关重要.
科学领域:
- 瘤学 护理 护理专业
- 心理社会瘤学
- 概念分析 概念分析
背景情况:
- 乳腺癌的诊断引发了重大的生活中断,不确定性和痛苦,称为精神痛苦.
- 乳腺癌患者的精神痛苦需要对基于证据的实践和改善护理有明确的理解.
- 识别精神困境的特征有助于更好地诊断和治疗精神问题.
研究的目的:
- 分析被诊断患有乳腺癌的女性精神痛苦的概念.
- 将沃克和阿万特的概念分析模型 (2019) 应用于精神困境.
主要方法:
- 进行了全面的文献综述和概念分析.
- 使用关键词搜索数据库 (Springer,Science Direct,PubMed,ProQuest,Wiley,Scopus) 使用与精神困境和乳腺癌相关的关键词进行了搜索.
- 包括2000-2020年间发表的17篇英语文章,使用沃克和阿万特模型进行分析.
主要成果:
- 精神困境的关键特征包括疏远,身体形象障碍,绝望,角色功能障碍,恐惧,焦虑以及对信仰/价值观的质疑.
- 前例包括与疾病相关的压力因素,负面的患者评估,不充分的应对和缺乏社会支持.
- 后果包括虚假的希望,生活质量下降,低自我信心,增加身体的抱怨,关系的损失,以及潜在的自我伤害或自杀.
结论:
- 精神困扰是临床实践和乳腺癌患者护理的关键组成部分.
- 清晰地了解精神困扰可以提高护士预防和有效管理精神困扰的能力.
- 这一分析为解决乳腺癌妇女的精神需求提供了一个框架.
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