对于患有多种长期疾病的成年人来说,社会关系的经验:一种定性采访研究
Hilda Hounkpatin1, Leanne Morrison1, Al Richards1
1Primary Care Research Centre, School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, Hampshire, UK.
概括
社会关系对于管理多种长期疾病 (MLTC) 至关重要. 包括支持小组在内的多种联系可以增强自我管理,但也需要针对心理健康影响的干预措施.
科学领域:
- 社会科学 社会科学 社会科学
- 健康心理学健康心理学
- 社会学 社会学 社会学
背景情况:
- 社会关系对患有多种长期疾病 (MLTC) 的人的自我管理和结果产生重大影响.
- MLTC可能会对社会联系产生负面影响,个人往往缺乏足够的健康管理支持.
- 在MLTC的背景下,对影响社会关系的过程和上下文因素的理解有限.
研究的目的:
- 探索与MLTC生活的成年人之间的社会关系的经验.
- 提高对患有MLTC的个体社会关系需求的理解.
主要方法:
- 在英格兰南部,与22名成年人 (年龄≥45) 进行了半结构化的电话访谈,他们生活在MLTC中.
- 参与者是通过慈善网络和全科医生实践招募的,有目的地对年龄,性别和贫困的多样性进行抽样.
- 采访数据使用反射主题分析来分析.
主要成果:
- 四个主题出现了:实现有意义的联系的多种方式,MLTC对自我意识和人际关系的负面影响,需要理解和分享经验,以及改变交互模式以保持社会联系.
- 当参与者无法分享经验和需求时,他们感到被遗弃,并且在有限的支持下管理健康时经历了痛苦.
- 有意义的联系可以在各种关系中找到,包括熟人和支持小组.
结论:
- 通过各种关系可以实现有意义的社会联系,从而有可能改善MLTC的自我管理.
- 促进这些联系的策略可能需要根据个体特征和健康需求量身定制.
- 针对MLTC对心理健康的影响的干预措施,例如低情绪和抑郁症状,可以支持社会联系.
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