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双元疾病管理理论。

The Theory of Dyadic Illness Management.

机构信息

1 Oregon Health & Science University, Portland, USA.

出版信息

J Fam Nurs. 2018 Feb;24(1):8-28. doi: 10.1177/1074840717745669. Epub 2018 Jan 20.

Abstract

Despite the importance of both members of the adult patient-care partner dyad, a majority of research on illness management is focused on the patient or the care partner. The basic principle of the Theory of Dyadic Illness Management is that illness management is a dyadic phenomenon; the theory focuses extensively on the dyad as an interdependent team. The way dyads appraise illness as a unit influences the ways in which they engage in behaviors to manage illness together in a recursive fashion that influences dyadic health. Optimizing the health of both members of the dyad is a goal of the theory. In turn, the health of the dyad can feedback to influence how they appraise and manage illness together. Finally, dyadic illness management is an inherently variable process that is influenced by several contextual factors. Supportive evidence and implications for practice and future research are presented.

摘要

尽管成年患者护理伙伴对双方的重要性,但大多数关于疾病管理的研究都集中在患者或护理伙伴身上。双元疾病管理理论的基本原则是,疾病管理是一种双元现象;该理论广泛关注双元作为一个相互依存的团队。对疾病作为一个整体进行评估的方式会影响他们以递归的方式共同参与疾病管理的方式,这种方式会影响双元的健康。该理论的目标是优化双元双方的健康。反过来,双元的健康可以反馈影响他们如何共同评估和管理疾病。最后,双元疾病管理是一个固有的变量过程,受到几个环境因素的影响。提出了支持性证据以及对实践和未来研究的影响。

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