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基于希望的慢性病干预措施:基于南丁格尔的综合评价。

Hope-based interventions in chronic disease: an integrative review in the light of Nightingale.

机构信息

Escola Superior de Saúde do Politécnico de Leiria, Center for Innovative Technology and Health Care. Leiria, Portugal.

Universidade Católica Portuguesa, Instituto de Ciências da Saúde. Lisboa, Portugal.

出版信息

Rev Bras Enferm. 2020 Dec 21;73(suppl 5):e20200283. doi: 10.1590/0034-7167-2020-0283. eCollection 2020.

DOI:10.1590/0034-7167-2020-0283
PMID:33338171
Abstract

OBJECTIVE

To identify the available evidence in the scientific literature about the strategies or interventions used to promote hope in people with chronic diseases.

METHOD

An integrative literature review of literature published between 2009-2019, which was conducted in online browsers/databases: b-On, EBSCO, PubMed, Medline, ISI, SciELO, PsycINFO, Google Scholar. Forty-one studies were found, of which eight met the inclusion criteria.

RESULTS

Most studies used a quantitative approach. There was a predominance of studies from Asia and America, addressing patients with multiple sclerosis, diabetes, congestive heart failure, and cancer. Hope-based interventions were categorized by the hope attributes: experiential process, spiritual/transcendence process, rational thought process, and relational process.

CONCLUSION

Hope-based interventions, in its essence, are good clinical practices in the physical, psychological, social and spiritual domains. This is congruent with the vision of nursing, first proposed by Florence Nightingale. There seem to be gaps in the literature regarding specific hope promoting interventions.

摘要

目的

在科学文献中确定用于促进慢性病患者希望的策略或干预措施的现有证据。

方法

对 2009 年至 2019 年间发表的文献进行综合文献回顾,在在线浏览器/数据库中进行:b-On、EBSCO、PubMed、Medline、ISI、SciELO、PsycINFO、Google Scholar。共发现 41 项研究,其中 8 项符合纳入标准。

结果

大多数研究采用定量方法。亚洲和美洲的研究居多,涉及多发性硬化症、糖尿病、充血性心力衰竭和癌症患者。基于希望的干预措施按希望属性分类:体验过程、精神/超越过程、理性思维过程和关系过程。

结论

基于希望的干预措施本质上是身体、心理、社会和精神领域的良好临床实践。这与弗洛伦斯·南丁格尔首先提出的护理理念一致。关于具体的希望促进干预措施,文献中似乎存在差距。

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