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孤独的概念分析及其对护理诊断的启示

Concept analysis of loneliness with implications for nursing diagnosis.

作者信息

ElSadr Cheryl Bombassei, Noureddine Samar, Kelley Jane

机构信息

Karmanos Cancer Center, Detroit, MI, USA.

出版信息

Int J Nurs Terminol Classif. 2009 Jan-Mar;20(1):25-33. doi: 10.1111/j.1744-618X.2008.01110.x.

Abstract

PURPOSE

This study aims to explore the concept of loneliness using Walker and Avant's concept analysis framework. In addition, the overlap and potential confusion of the factors related to the nursing diagnoses Social Isolation and Risk for Loneliness were noted and discussed.

DATA SOURCES

A literature review was conducted by searching Google, CINAHL, PsychINFO, and MEDLINE databases using the keywords "loneliness,""concept analysis," and "loneliness concept analysis" in the title. Only those sources that directly addressed loneliness were used (27).

DATA SYNTHESIS

Dictionary definitions, various uses, and critical attributes were identified; model, borderline, related, and contrary cases were developed; and antecedents, consequences, and empirical referents were determined. Data were evaluated and summarized to reach conclusions and recommendations.

CONCLUSIONS

The authors concluded with a recommendation that Loneliness replace Social Isolation as the primary nursing diagnosis in the NANDA International taxonomy.

摘要

目的

本研究旨在运用沃克和阿凡特的概念分析框架探讨孤独的概念。此外,还对与护理诊断“社会隔离”和“孤独风险”相关的因素的重叠及潜在混淆进行了说明和讨论。

数据来源

通过在谷歌、CINAHL、PsychINFO和MEDLINE数据库中搜索标题中包含关键词“孤独”“概念分析”和“孤独概念分析”的文献进行文献综述。仅使用那些直接涉及孤独的资料来源(共27份)。

数据综合

确定了词典定义、各种用法及关键属性;构建了模型、临界、相关和相反案例;并确定了前因、后果和实证指标。对数据进行评估和总结以得出结论和建议。

结论

作者得出结论并建议在北美护理诊断协会国际分类法中,用“孤独”取代“社会隔离”作为主要护理诊断。

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