Dehghani Ali, Keshavarzi Abdolkhalegh, Jahromi Mohsen Faseleh, Shahsavari Isfahani Sara, Keshavarzi Soheila
School of Nursing and Paramedical, Jahrom University of Medical Science, Jahrom, Iran.
Research Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Int J Nurs Sci. 2018 Apr 19;5(2):168-173. doi: 10.1016/j.ijnss.2018.04.009. eCollection 2018 Apr 10.
The concept of coping with disease appears frequently in the literature; however, there is no precise definition of coping. The aim of this study is to clarify coping concept, and to identify its attributes, antecedents, and consequences in patients with multiple sclerosis.
Rodgers' evolutionary method of concept analysis was used to clarify the concept of coping. A literature review was conducted with key terms 'multiple sclerosis', 'coping', 'adjustment', and 'deal with'. After searching databases, 1370 papers were found for the period 1995-2017. Finally, 55 articles and texts were selected for analysis. Data analysis was carried out using thematic analysis. An independent researcher checked the process to ensure credibility and reduce personal bias.
Coping with multiple sclerosis is a multidimensional concept with three main attributes: maintenance of emotional balance, acceptance of the disease, and self-regulation. Social support, awareness toward the disease, attitude toward the disease, and religious-spiritual beliefs were found as antecedents. Health promotion, adherence to treatment regimen, independence in personal life and social relationships, and improvement of family relationships were found as consequences of these attributes.
These findings not only add to the body of knowledge in health science, but also serve as an important motivation for further theory development and research in this context. Nurses and health professions can also benefit from a deeper understanding of coping concept in providing and planning healthcare for these patients.
应对疾病的概念在文献中频繁出现；然而，应对并没有精确的定义。本研究的目的是阐明应对的概念，并确定其在多发性硬化症患者中的属性、前因和后果。
采用罗杰斯的概念分析进化方法来阐明应对的概念。使用关键词“多发性硬化症”“应对”“调整”和“处理”进行文献综述。在搜索数据库后，发现了1995年至2017年期间的1370篇论文。最后，选择了55篇文章和文本进行分析。使用主题分析法进行数据分析。一名独立研究人员检查了该过程，以确保可信度并减少个人偏见。
应对多发性硬化症是一个多维概念，具有三个主要属性：维持情绪平衡、接受疾病和自我调节。社会支持、对疾病的认知、对疾病的态度以及宗教-精神信仰被发现是前因。健康促进、坚持治疗方案、个人生活和社会关系中的独立性以及家庭关系的改善被发现是这些属性的后果。
这些发现不仅增加了健康科学领域的知识体系，也为这一背景下的进一步理论发展和研究提供了重要动力。护士和健康专业人员在为这些患者提供和规划医疗保健时，也能从对应对概念的更深入理解中受益。
