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在患有慢性疾病的患者中,叙述性排除:一个范围审查
Zhounan Xu1, Shiya Cui1, Nana Hu1
1Research Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.
本范围审查审查考察了慢性疾病患者的叙述性抵押,发现它影响疾病管理. 了解其表现,因素和干预措施对于患者护理至关重要.
科学领域:
- 心理学与医学 心理学与医学
- 慢性疾病管理 慢性疾病管理
- 患者的福祉 患者的福祉
背景情况:
- 叙述性抵押,患者认为他们的生活故事已经结束,是慢性疾病的一个问题.
- 在各种慢性疾病中对这种现象的现有研究是分散的.
研究的目的:
- 综合当前关于慢性病患者叙述性抵押的知识.
- 探索其概念化,临床特征,相关因素和干预措施.
主要方法:
- 进行了全面的范围审查.
- 到2025年3月,对七个主要数据库进行了系统搜索.
- 亚克西,奥马利和莱瓦克框架指导了审查,遵守PRISMA扩展指南.
主要成果:
- 包括九项关于癌症和其他慢性疾病中叙述性抵押的研究.
- 叙述性抵押表现为对生命终结的信念,在疾病 (例如喘,抑郁症) 上有各种描述.
- 临床症状包括负面情绪和不适应性行为,受年龄,心理状态,社会支持和教育等12个因素的影响.
结论:
- 关于慢性疾病中叙述性抵押的研究是有限的,但由于它对疾病管理的不利影响而显著.
- 确定临床表现和影响因素至关重要.
- 干预需要进一步验证和整合积极心理学原则.
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