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多发性硬化症患者的自我同情体验:一项质性内容分析

The experiences of patients with multiple sclerosis of self-compassion: A qualitative content analysis.

作者信息

Dahmardeh Hanie, Sadooghiasl Afsaneh, Mohammadi Eesa, Kazemnejad Anoshirvan

机构信息

Ph.D. Student, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

Biomedicine (Taipei). 2021 Dec 1;11(4):35-42. doi: 10.37796/2211-8039.1211. eCollection 2021.

Abstract

BACKGROUND

Self-compassion enhances self-care behavior in patients with multiple sclerosis. This concept has been defined in previous studies; however, in order to effectively enhance it, patients' perceptions about and experiences with self-compassion should be first understood. Therefore, this study aims to explore the meaning of self-compassion experienced by patients with multiple sclerosis.

METHODS

This directed qualitative study was conducted in 2019 in Iran. Twenty-three patients with Multiple sclerosis were selected purposefully and interviewed individually. Qualitative content analysis was used for data analysis according to Hsieh and Shannon's method.

RESULTS

Seventy-six primary codes were detected as well as the following eleven categories: self-kindness, self-judgment, common humanity, isolation, mindfulness, over-identification, seeking support, concealment, spiritual resilience, marital life concern, and turning into an example for others. These categories express the characteristics and meaning of self-compassion in patients with multiple sclerosis. Six of the 11 characteristics are in accordance with the theory of Neff's theory and five are related to patients and the cultural and social arena of the study environment.

CONCLUSION

Results of the present study showed that new dimensions of self-compassion were found by exploring multiple sclerosis patients' experiences, which added to the suggested dimensions of others. This study is promising to nurses and paramedics as it will help them to better identify and to take better care of patients. The result will also help to design a valid tool to measure this issue of patients.

摘要

背景

自我同情可增强多发性硬化症患者的自我护理行为。这一概念在先前的研究中已有定义;然而,为了有效增强自我同情,首先应了解患者对自我同情的看法和体验。因此,本研究旨在探讨多发性硬化症患者所体验到的自我同情的意义。

方法

这项定向定性研究于2019年在伊朗进行。有目的地选取了23名多发性硬化症患者并进行了个体访谈。根据谢和香农的方法,采用定性内容分析法进行数据分析。

结果

共检测到76个原始编码以及以下11个类别:自我友善、自我评判、共通人性、孤立、正念、过度认同、寻求支持、隐瞒、精神韧性、婚姻生活担忧以及成为他人的榜样。这些类别体现了多发性硬化症患者自我同情的特征和意义。11个特征中有6个与内夫的理论相符,5个与患者以及研究环境的文化和社会领域相关。

结论

本研究结果表明,通过探索多发性硬化症患者的经历发现了自我同情的新维度,这丰富了其他人所提出的维度。这项研究对护士和护理人员很有意义,因为它将帮助他们更好地识别并更好地照顾患者。研究结果还将有助于设计一个有效的工具来衡量患者的这一问题。

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