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生理稳定性:一项概念分析

Physiological stability: a concept analysis.

作者信息

Lebel Valerie, Alderson Marie, Aita Marilyn

机构信息

Faculty of Nursing, University of Montreal, Quebec, Canada.

出版信息

J Adv Nurs. 2014 Sep;70(9):1995-2004. doi: 10.1111/jan.12391. Epub 2014 Apr 1.

Abstract

AIM

To present a concept analysis of physiological stability.

BACKGROUND

Physiological stability is an ubiquitous concept in the literature. However, no operational definition of this concept seems to be clearly established even though a literature review demonstrates multiple uses of the concept. Thus, a concept analysis is required to clarify the concept of physiological stability and identify its theoretical bases.

DESIGN

Walker and Avant's method of concept analysis.

DATA SOURCES

The databases consulted to perform the literature review of concept of physiological stability were: CINAHL, Ovid Medline, PsycINFO, Eric and EMB Reviews. Articles were included when the keywords physiological and stability were present in the title or abstract in articles published between 2000-2012, available electronically or in paper at the libraries.

REVIEW METHOD

This concept analysis was performed using the 8-step method proposed by Walker and Avant.

RESULTS

Identification of the attributes, antecedents and consequences of physiological stability led to an operational definition of the concept of physiological stability as a dynamic state of a living organism characterized by the maintenance of one or more physiological parameters within value ranges that vary only slightly in the presence of disruptive elements. It is an adaptive response reflecting the physiological balance of the living organism.

CONCLUSION

This analysis contributes to the advancement of knowledge of the concept of physiological stability by proposing an operational definition derived from theoretical foundations. This concept is important within nursing because it helps to define the effectiveness of nursing interventions and attests to clients' well-being.

摘要

目的

对生理稳定性进行概念分析。

背景

生理稳定性是文献中一个普遍存在的概念。然而,尽管文献综述表明该概念有多种用途,但这个概念似乎尚未明确确立一个操作性定义。因此,需要进行概念分析以阐明生理稳定性的概念并确定其理论基础。

设计

采用沃克和阿万特的概念分析方法。

数据来源

为进行生理稳定性概念的文献综述而查阅的数据库有:护理学与健康领域数据库(CINAHL)、Ovid医学数据库(Ovid Medline)、心理学文摘数据库(PsycINFO)、教育资源信息中心数据库(Eric)和循证医学数据库(EMB Reviews)。当2000年至2012年发表的文章标题或摘要中出现关键词“生理”和“稳定性”时,这些文章被纳入,这些文章可通过电子方式获取或在图书馆的纸质资料中找到。

综述方法

本概念分析采用沃克和阿万特提出的八步法进行。

结果

对生理稳定性的属性、前因和后果的识别得出了生理稳定性概念的操作性定义,即生物体的一种动态状态,其特征是在存在干扰因素的情况下,一个或多个生理参数维持在仅略有变化的数值范围内。它是一种反映生物体生理平衡的适应性反应。

结论

本分析通过提出一个基于理论基础的操作性定义,有助于推进对生理稳定性概念的认识。这个概念在护理领域很重要,因为它有助于界定护理干预的有效性并证明患者的健康状况。

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