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患者疾病不确定性的照顾者概念分析。

A concept analysis of family caregivers' uncertainty of patient's illness.

机构信息

Nursing Science PhD Program, College of Graduate Health Sciences, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Department of Acute and Tertiary Care, The University of Tennessee Health Science Cente, Memphis, Tennessee, USA.

出版信息

Nurs Forum. 2022 Jan;57(1):121-126. doi: 10.1111/nuf.12645. Epub 2021 Aug 31.

DOI:10.1111/nuf.12645
PMID:34463349
Abstract

AIM

To analyze and examine the concept of uncertainty of the patient's illness among family caregivers.

BACKGROUND

Promoting family caregivers' health is significant in nursing. Family caregivers may experience uncertainty related to their loved ones' illness. A lack of clarity exists regarding the uncertainty concept among family caregivers and its implications in nursing.

DATA SOURCE

A review of the literature that focused on family caregivers of adult patients using PubMed, CINAHL, and Scopus databases was completed.

METHODS

The Walker and Avant framework was applied to identify the attributes, antecedents, and consequences of family caregivers' uncertainty.

RESULTS

Eight articles were analyzed. Attributes of family caregivers' uncertainty included the patient's illness probability and family caregivers' perception of the illness. Antecedents included the characteristics of the patient's illness, factors associated with the family caregivers' perception of the illness, and family responsibilities of caregiving. The consequences included family caregivers' emotional, psychological, and financial outcomes. Family caregivers' uncertainty is defined as the perception of the inability to process information regarding the patient's illness trajectory when caring for significant others' illness.

CONCLUSIONS

Individuals can perceive uncertainty differently as a patient-facing uncertainty in illness versus a family caregiver facing uncertainty of their loved ones' illness.

摘要

目的

分析和考察家庭照顾者对患者疾病不确定性的概念。

背景

促进家庭照顾者的健康在护理中很重要。家庭照顾者可能会对其亲人的疾病感到不确定。家庭照顾者对不确定性概念及其在护理中的影响尚不清楚。

资料来源

使用 PubMed、CINAHL 和 Scopus 数据库对成年患者家庭照顾者进行的文献综述。

方法

应用沃克和阿凡特框架确定家庭照顾者不确定性的属性、前因和后果。

结果

分析了 8 篇文章。家庭照顾者不确定性的属性包括患者疾病的概率和家庭照顾者对疾病的感知。前因包括患者疾病的特征、与家庭照顾者对疾病的感知相关的因素以及照顾者的家庭责任。后果包括家庭照顾者的情绪、心理和经济结果。家庭照顾者的不确定性被定义为在照顾他人疾病时,对处理有关患者疾病轨迹的信息的能力感到无法处理。

结论

个体可以将患者面临的疾病不确定性与家庭照顾者对亲人疾病的不确定性不同地感知。

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