Oakley Linda Denise, Aekwarangkoon Saifon, Ward Earlise C
University of Wisconsin Madison, Madison, WI 53792, USA.
Holist Nurs Pract. 2011 Mar-Apr;25(2):88-96. doi: 10.1097/HNP.0b013e31820de840.
We used illness narrative methods to evaluate the retrospective illness story of a bereaved woman who has recovered from type 2 diabetes and depression with comorbid hypertension, hyperlipidemia, vertigo, and obesity. Her spoken illness story was obtained with a single interview question: What happened? Our findings show that the patient searched for and found personal meaning in her illness. The finding of meaning in her illness appears to have supported her efforts to adopt more positive health beliefs and health behaviors. Although she received excellent health care throughout her illness, she attributes her return to good health to spiritual growth. We discuss the practice implications of this patient's illness story for clinicians who seek new insights into patients who have complex illness stories.
我们采用疾病叙事方法，评估了一位从2型糖尿病、抑郁症康复的丧亲女性的回顾性疾病经历，她还患有高血压、高脂血症、眩晕和肥胖症。通过一个访谈问题“发生了什么？”获取了她讲述的疾病经历。我们的研究结果表明，该患者在疾病中探寻并找到了个人意义。在疾病中找到意义似乎支持了她采纳更积极健康信念和健康行为的努力。尽管在患病期间她接受了优质的医疗护理，但她将自己恢复健康归功于精神成长。我们讨论了这位患者的疾病经历对那些寻求深入了解有复杂疾病经历患者的临床医生的实践启示。
