Marcille Lisa Ann, Cudney Shirley, Weinert Clarann
Montana State University, USA.
J Holist Nurs. 2012 Dec;30(4):244-52; quiz 253-4. doi: 10.1177/0898010112453326. Epub 2012 Jul 24.
The purposes were to identify loneliness in rural women with chronic conditions and to identify the major themes represented in their descriptions of their feelings of loneliness.
This study was a secondary analysis of data collected during a 22-week computer-based support and health online intervention in which rural women participated in virtual forums that allowed them to share life experiences.
Quantitative data were gathered from participants' self-reported loneliness via the UCLA Loneliness Scale. Qualitative data analysis consisted of seeking loneliness themes imbedded in the participants' online exchanges.
High scores on the loneliness scale indicated a high degree of expressed loneliness, with possible scores of 20 to 80. The range of scores for all participants (n = 57) was 21 to 68; for those in the upper quartile (n = 12), the range was 52 to 68. Loneliness themes identified were longing for loved ones, changing relationships, listening in the background, and impact of rural factors.
Because loneliness has been described as a painful experience and can have long-reaching effects on an individual's health, it is a factor to be considered in planning nursing care for individuals who may be at risk because of physical and/or emotional isolation.
本研究旨在识别患有慢性疾病的农村女性中的孤独感，并确定她们对孤独感描述中所体现的主要主题。
本研究是对一项为期22周的基于计算机的支持与健康在线干预期间收集的数据进行的二次分析，农村女性参与了虚拟论坛，在论坛中她们能够分享生活经历。
通过加州大学洛杉矶分校孤独感量表从参与者自我报告的孤独感中收集定量数据。定性数据分析包括寻找参与者在线交流中所蕴含的孤独感主题。
孤独感量表的高分表明存在高度的孤独感表达，可能的分数范围为20至80分。所有参与者（n = 57）的分数范围为21至68分；处于上四分位数的参与者（n = 12）分数范围为52至68分。识别出的孤独感主题包括对亲人的思念、关系的变化、在一旁倾听以及农村因素的影响。
由于孤独感被描述为一种痛苦的经历，并且可能对个体健康产生深远影响，因此在为因身体和/或情感孤立而可能处于风险中的个体规划护理时，这是一个需要考虑的因素。
