Li Yu-Chi, Chou Fan-Hao, Wang Hsiu-Huang
Department of Nursing, Chi-Mei Medical Center, Taiwan, ROC.
School of Nursing, College of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Za Zhi. 2015 Jun;62(3):83-8. doi: 10.6224/JN.62.3.83.
Demoralization is a relatively new diagnosis that has received increased attention in recent years. This condition is most frequently diagnosed in hospice, cancer, and critical illness patients. Serious demoralization may induce suicide ideation. The current literature on demoralization primarily elaborates on the history of this condition and on the reliability / validation of scales developed to assess demoralization in patients. The present paper conducts a concept analysis of demoralization in accordance with the concept analysis steps outlined by Walker and Avant. We elucidate the definition of relevant terms and identify the characteristic attributes, antecedents, and consequences of demoralization. Additionally, this paper provides examples of model, borderline, contrary, relevant cases and reviews relevant empirical data. We hope this concept analysis enhances the understanding of demoralization among clinical caregivers, increases the general understanding of the methods available to assess demoralization, and, ultimately, helps set patients free of their demoralization haze.
士气低落是一种相对较新的诊断,近年来受到了越来越多的关注。这种情况最常出现在临终关怀、癌症和重症患者中。严重的士气低落可能会诱发自杀念头。目前关于士气低落的文献主要阐述了这种情况的历史以及为评估患者士气低落而开发的量表的可靠性/有效性。本文按照沃克和阿万特概述的概念分析步骤对士气低落进行了概念分析。我们阐明了相关术语的定义,确定了士气低落的特征属性、前因和后果。此外,本文还提供了典型、临界、相反、相关案例的示例,并回顾了相关的实证数据。我们希望这种概念分析能增进临床护理人员对士气低落的理解,提高对评估士气低落可用方法的总体认识,并最终帮助患者摆脱士气低落的阴霾。