University of Southern Maine, School of Nursing, Portland, Maine 04104, USA.
Issues Ment Health Nurs. 2012 Nov;33(11):805-7. doi: 10.3109/01612840.2012.721111.
Mental health nursing is focused on patients moving along the continuum between failing and thriving in terms of emotional functioning. This differs dramatically from a medical model of disease/cure. A variety of nursing theorists have both directly and indirectly identified the importance of patient's "will to thrive" although this term has never been used. Peplau spoke of self-efficacy and self-esteem. Barrett's model focuses on the patient's participation in their own recovery as a key component. This article explores the concept, akin to failure to thrive in infants, of the will to thrive in the chronically ill and its role in assessment and nursing intervention. A particular emphasis on the importance of patient responsibility is identified as vital to the process of true change.
心理健康护理专注于患者在情绪功能方面从失败到成功的连续体上的移动。这与疾病/治愈的医学模式有很大的不同。尽管从未使用过这个术语，但许多护理理论家都直接或间接地确定了患者“生存意愿”的重要性。Peplau 谈到了自我效能感和自尊心。Barrett 的模型则侧重于患者作为关键组成部分参与自身康复。本文探讨了类似于婴儿生长不良的概念，即慢性疾病患者的生存意愿及其在评估和护理干预中的作用。特别强调了患者责任的重要性，认为这是真正变革过程的关键。
