参与护士指导计划的慢性疼痛患者的经验,信仰和价值观:描述性的现象学定性研究
Jose Manuel Jimenez Martin1,2, Angelines Morales Fernandez2, Manuel Vergara Romero2
1Programa de Doctorado en Ciencias de la Salud, Universidad de Malaga, 29071 Malaga, Spain.
Nursing reports (Pavia, Italy)
|August 27, 2025
概括
一个由护士领导的慢性疼痛自我管理计划中的患者发现它是有益的. 关键因素包括支持系统,学习如何忍受疼痛,以及有效的医疗关系,改善生活质量.
科学领域:
- 护理工作
- 质量健康研究
- 治疗疼痛
背景情况:
- 慢性疼痛影响全球数百万人, 需要有效的自我管理策略.
- 之前的随机临床试验表明,护士主导的干预改善了疼痛,抑郁,焦虑和生活质量.
- 了解患者的经历对于完善慢性疼痛自我管理方案至关重要.
研究的目的:
- 在护士领导的慢性疼痛自我管理随机临床试验中探索患者的经验,信念和价值观.
- 从患者的角度来看,确定了干预成功的关键因素.
主要方法:
- 描述性的现象学定性研究设计.
- 在干预后对7名患者进行了个人采访.
- 诱导性主题分析以确定新出现的类别.
主要成果:
- 六个类别出现了:医疗保健系统的关系,学习与疼痛相处,社会支持,与疼痛相关的行为,自我管理资源和随之而来的决定因素.
- 患者强调该计划的内在治疗效果和自我护理能力的提高.
- 与医疗保健系统和社会支持的有效关系至关重要.
结论:
- 护士主导的干预对慢性疼痛自我管理具有显著的好处.
- 针对社会背景和耻辱感的个性化,性别敏感的护理至关重要.
- 建议开展社区项目,提供护理人员支持以及对心理社会因素的进一步研究.
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