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剧烈心肌梗塞后创伤后生长的动态旅程:一项纵向定性研究
Lingxi Chen1, Yingying Liao2, Yunxian Zhou3
1School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, United Kingdom.
International journal of nursing studies
|February 24, 2026
概括
急性心肌梗塞可以引发创伤后生长. 这项研究确定了中国患者的四个阶段成长过程,强调文化价值观和随着时间的推移而演变的应对机制.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 急性心肌梗塞 (AMI) 是一个重要的身体威胁,也是创伤后生长 (PTG) 的催化剂.
- 要了解PTG在特定文化背景 (如中国) 中的动态演变,需要进一步研究.
研究的目的:
- 探索在AMI后的患者中PTG的过程.
- 在中国文化背景下研究PTG的时间动态.
主要方法:
- 长度定性研究设计.
- 在三个时间点 (出院前,3个月,6个月出院后) 对10名AMI患者进行半结构面试.
- 传统的内容分析和29次采访的纵向比较分析.
主要成果:
- 确定了四个阶段的PTG过程:创伤经历,反思/觉醒,适应和个人成长.
- 早期成长受到自我反思,对生活的欣赏和中国集体主义 (面向家庭) 价值观的影响.
- 随着时间的推移,人们的担忧从急性威胁转变为未来的担忧;自我反思减少,接受疾病增加,健康警减弱.
结论:
- 医疗保健专业人员应提供针对每个PTG阶段的文化敏感指导.
- 这种方法有助于患者在康复期间调动内在资源,以促进心理成长.
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