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患病时价值观与适应的关系:一种护理实践模式。

The relationship of values to adjustment in illness: a model for nursing practice.

作者信息

Harvey R M

机构信息

Boston College School of Nursing, Chestnut Hill, Massachusetts 02167.

出版信息

J Adv Nurs. 1992 Apr;17(4):467-72. doi: 10.1111/j.1365-2648.1992.tb01931.x.

Abstract

This paper proposes a model of the relationship between values, in particular health value, and adjustment to illness. The importance of values as well as the need for value change are described in the literature related to adjustment to physical disability and chronic illness. An empirical model, however, that explains the relationship of values to adjustment or adaptation has not been found by this researcher. Balance theory and its application to the abstract and perceived cognitions of health value and health perception are described here to explain the relationship of values like health value to outcomes associated with adjustment or adaptation to illness. The proposed model is based on the balance theories of Heider, Festinger and Feather. Hypotheses based on the model were tested and supported in a study of 100 adults with visible and invisible chronic illness. Nursing interventions based on the model are described and suggestions for further research discussed.

摘要

本文提出了一个关于价值观,特别是健康价值观,与疾病适应之间关系的模型。在与身体残疾和慢性病适应相关的文献中,描述了价值观的重要性以及价值观改变的必要性。然而,本研究人员尚未找到一个能解释价值观与适应或调适之间关系的实证模型。本文描述了平衡理论及其在健康价值观和健康认知的抽象与感知认知中的应用,以解释诸如健康价值观等价值观与疾病适应或调适相关结果之间的关系。所提出的模型基于海德、费斯廷格和费瑟的平衡理论。基于该模型的假设在一项针对100名患有可见和不可见慢性病的成年人的研究中得到了检验和支持。文中描述了基于该模型的护理干预措施,并讨论了进一步研究的建议。

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