慢性病群体中的情绪调节：一项综合综述。
Emotion Regulation in Chronic Disease Populations: An Integrative Review.
作者信息
Wierenga Kelly L, Lehto Rebecca H, Given Barbara
出版信息
Res Theory Nurs Pract. 2017 Aug 1;31(3):247-271. doi: 10.1891/1541-6577.31.3.247.
BACKGROUND AND PURPOSE
Emotion regulation, the experiencing, processing, and modulating of emotional response, is necessary to manage the emotional stressors common in patients with chronic illness. Overwhelming emotional demands deplete the resources needed for everyday self-care management of chronic disease, contributing to poor health outcomes. Emotion regulation is shown to impact behaviors in healthy individuals; yet, a review of literature examining evidence of associations in chronically ill populations is lacking. The purpose of this article is to examine the state of the science relative to the impact of emotion regulation on health outcomes in chronic illness populations.
METHODS
Articles were reviewed (N = 14) that focused on emotion regulation and outcomes of patients with chronic illness.
RESULTS
Indicate that most of the studies focused on these concepts are cross-sectional and measure emotion regulation using various surveys. Potential relationships exist with increased age, male gender, higher education, decreased stress, depressive, and anxiety symptoms being associated with more adaptive emotion regulation. Of primary importance to patients with chronic illnesses is the potential link between greater difficulties with emotion regulation and the presence of chronic disease as well as poorer physical function.
IMPLICATIONS FOR PRACTICE
Care should include attention to affective regulation as well as physiologic responses of chronic illness.
背景与目的
情绪调节，即对情绪反应的体验、处理和调节，对于应对慢性病患者常见的情绪压力源至关重要。压倒性的情绪需求会耗尽慢性病日常自我护理管理所需的资源，导致健康状况不佳。情绪调节已被证明会影响健康个体的行为；然而，缺乏对慢性病患者群体中关联证据的文献综述。本文的目的是研究关于情绪调节对慢性病患者健康结局影响的科学现状。
方法
对14篇关注情绪调节和慢性病患者结局的文章进行了综述。
结果
表明大多数关注这些概念的研究都是横断面研究，并使用各种调查来测量情绪调节。年龄增长、男性、高等教育、压力减轻、抑郁和焦虑症状与更具适应性的情绪调节之间可能存在关联。对慢性病患者至关重要的是，情绪调节困难增加与慢性病的存在以及较差的身体功能之间的潜在联系。
对实践的启示
护理应包括关注情感调节以及慢性病的生理反应。
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