Robinson Carole A
1 University of British Columbia, Kelowna, British Columbia, Canada.
Qual Health Res. 2017 Mar;27(4):447-461. doi: 10.1177/1049732316675590. Epub 2016 Oct 25.
Chronic illness is a global issue of escalating importance. While prevention, control, and management of chronic disease are imperative, it is also critical to shift our focus away from illness and toward living. In particular, attention needs to focus on living well despite illness. This article reports a grounded theory study with 43 members from 17 families who perceived they were managing well with serious chronic illnesses. The theory that captures the circular, iterative healing process of moving on is comprised of five phases: the fight, accepting, living with the chronic illness, sharing the experience, and reconstructing life. Families moved on through the process and moved on over time toward healing where they lived well alongside chronic illness. Family issues associated with each phase are identified as well as implications for health care providers. The theory provides a way of conceptualizing wellness in illness that supports patient- and family-centered care.
慢性病是一个全球范围内重要性不断升级的问题。虽然慢性病的预防、控制和管理势在必行,但将我们的关注点从疾病转向生活也至关重要。特别是,需要关注尽管患病仍要好好生活。本文报告了一项扎根理论研究,研究对象是来自17个家庭的43名成员,他们认为自己在应对严重慢性病方面做得很好。该理论描述了继续前行的循环、迭代的康复过程,由五个阶段组成:抗争、接受、与慢性病共存、分享经历以及重建生活。家庭在这个过程中不断前进,随着时间的推移朝着康复迈进,在慢性病的陪伴下过上美好的生活。同时还确定了与每个阶段相关的家庭问题以及对医疗保健提供者的启示。该理论提供了一种在疾病中概念化健康的方式,支持以患者和家庭为中心的护理。