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女性确诊 Takotsubo 综合征后最初的经历及其一年来生活状况的回顾:一项单病例研究文献综述。

Women's Initial Experiences and up to a Year in Retrospect of Their Life Situation With a Confirmed Takotsubo Syndrome Diagnosis: A Single Case Study Literature Review.

机构信息

60498Haukeland University Hospital.

60496Stavanger University Hospital.

出版信息

J Holist Nurs. 2022 Jun;40(2):146-156. doi: 10.1177/08980101211018343. Epub 2021 May 24.

Abstract

To describe women's initial experiences and up to a year in retrospect of their life situation with a confirmed Takotsubo syndrome (TS) diagnosis. A single case study literature review based on nine articles published by nurses was analyzed deductively using a nursing life dimension model. All but one case was conducted on the North American continent and TS had largely affected women with previous cardiac history and had been triggered by one or two stressful life events. The biophysical life dimension manifested in distinct and troublesome inconvenience and in retrospect in fretting and grievous ailments. The emotional dimension manifested in pronounced ways and attitude-related sensations, feelings or moods while the intellectual dimension manifested in an unmanageable world of thought. The spiritual-existential dimension manifested in a life-denying view of life and the socio-cultural dimension manifested in an asocial life. With TS best practice in mind and a person-centered care and holistic approach, comprehensive descriptions are needed of how women identify, interpret, and use knowledge to manage their life situation. Cardiac nurses need further comprehensive descriptions to implement actions. Prior to implementation of such programs, this knowledge needs to be disseminated among cardiac nurses and evaluated in international randomized controlled trials.

摘要

描述女性在确诊应激性心肌病 (Takotsubo syndrome, TS) 后最初的经历,以及一年时间内对生活状况的回顾。对由护士发表的 9 篇文章组成的单个案例研究文献进行了演绎分析,使用了护理生命维度模型。除了一个案例之外,所有案例都发生在北美大陆,TS 主要影响有既往心脏病史的女性,并且由一到两个生活压力事件引发。生理生命维度表现为明显的麻烦和不便,回顾时表现为烦恼和严重疾病。情感维度表现为明显的方式和与态度相关的感觉、感受或情绪,而智力维度则表现为无法控制的思维世界。精神-存在维度表现为对生活的否定看法,社会文化维度表现为不合群的生活。考虑到 TS 的最佳实践,以及以患者为中心的护理和整体方法,需要全面描述女性如何识别、解释和利用知识来管理自己的生活状况。心脏科护士需要进一步的全面描述来实施相关行动。在实施此类计划之前,需要在心脏科护士中传播这些知识,并在国际随机对照试验中进行评估。

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