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影响炎症性肠病患者生活经历的因素

Factors Influencing the Life Experiences of Individuals With Inflammatory Bowel Disease.

作者信息

Lopez-Cortes Rafael, Hueso-Montoro Cesar, Garcia-Caro Maria Paz, Montoya-Juarez Rafael, Schmidt-Riovalle Jacqueline, Marti-Garcia Celia, Marin-Fernandez Blanca

机构信息

Rafael Lopez-Cortes, PhD, is Technical Advisor, Ministry of Health, Andalusia Government, Granada, Spain Cesar Hueso-Montoro, PhD, is Professor, Department of Nursing, Faculty of Health Sciences, University of Granada, Spain. Maria Paz Garcia-Caro, PhD, is Professor, Department of Nursing, Faculty of Health Sciences, University of Granada, Spain. Rafael Montoya-Juarez, PhD, is Professor, Department of Nursing, Faculty of Health Sciences, University of Granada, Spain. Jacqueline Schmidt-Riovalle, PhD, is Professor, Department of Nursing, Faculty of Health Sciences, University of Granada, Spain. Celia Marti-Garcia, PhD, is Assistant Lecturer, Department of Nursing, University of Málaga, Spain. Blanca Marin-Fernandez, PhD, is Professor, Department of Health Sciences, Faculty of Health Sciences, Public University of Navarra, Pamplona, Spain.

出版信息

Gastroenterol Nurs. 2018 Mar/Apr;41(2):120-130. doi: 10.1097/SGA.0000000000000301.

Abstract

Inflammatory bowel disease has a negative impact on individuals perception of their health status and is associated with disabling processes that have physical, social, and work repercussions. The objectives of this study were to describe the life experiences of individuals with Crohn disease and ulcerative colitis and to develop a theoretical framework to describe the relationships of these diseases with personal and clinical factors. A qualitative study on the basis of grounded theory was conducted, involving individual and semistructured interviews on the life experiences of 14 adults of different ages with inflammatory bowel disease in relapse or inactive phase. The individuals in relapse phase and those with a short time since diagnosis had the most negative perceptions of their health, and experienced impaired ability for daily activities. The life experiences of individuals with inflammatory bowel disease were influenced by the time since diagnosis and the disease phase, with no gender difference in either factor. The predominant strategy of participants for coping with the disease was to pursue normality. According to these findings, nursing interventions should focus on the initial adaptation phase and on coping strategies during active phases of the disease.

摘要

炎症性肠病会对个体对自身健康状况的认知产生负面影响,并与具有身体、社会和工作影响的致残过程相关。本研究的目的是描述克罗恩病和溃疡性结肠炎患者的生活经历,并建立一个理论框架来描述这些疾病与个人及临床因素之间的关系。我们基于扎根理论进行了一项定性研究,对14名处于复发期或非活动期的不同年龄段的炎症性肠病成年患者的生活经历进行了个体和半结构化访谈。处于复发期的患者以及诊断后时间较短的患者对自身健康的负面认知最为强烈,且日常活动能力受损。炎症性肠病患者的生活经历受诊断后的时间和疾病阶段影响,这两个因素在性别上均无差异。参与者应对疾病的主要策略是追求正常生活。根据这些发现,护理干预应侧重于疾病初始适应阶段以及疾病活动期的应对策略。

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