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居住在密西西比州塔拉哈奇县的非裔美国人慢性病患者及低资源社区中复原力的生活体验。

The Lived Experience of Resilience in the Setting of Chronic Illness and Low-Resource Communities of African Americans That Reside in Tallahatchie County, Mississippi.

作者信息

Moore Tara Leigh

机构信息

Department of Nursing, Endicott College, Beverly, MA, USA.

出版信息

SAGE Open Nurs. 2023 Jul 5;9:23779608231186758. doi: 10.1177/23779608231186758. eCollection 2023 Jan-Dec.

Abstract

INTRODUCTION

Strong links can be made between chronic illness, low-resource communities, and poor health outcomes. One such area is the Mississippi Delta within the United States that has identified its residents rank the lowest in overall health indicators with high rates of chronic illness.

OBJECTIVE

This study aimed to explore the phenomenon of resilience in the setting of chronic illness and low resourced communities to gain baseline knowledge of the topic to improve protective resilience within the community.

METHODS

The descriptive phenomenological psychological reduction method outlined by Giorgi et al. was used based on semistructured and in-depth interviews with eight individuals (ages 33-64) who were recruited by purposive sampling through a humanitarian organization.

RESULTS

Six themes of the lived experience of the participants revealed the eidetic structure and essence of the experience. The results of the study provided important implications related to the meaning of chronic illness to the individual, poor resilient risk factors, antecedents to resilience, and areas to focus on for resilience promotion.

CONCLUSION

A lifeworld perspective of the individual can help nurses develop a greater understanding in formulating interventions for resilience promotion.

摘要

引言

慢性病、资源匮乏社区与不良健康结果之间存在紧密联系。美国密西西比三角洲就是这样一个地区,该地区居民的整体健康指标排名最低,慢性病发病率很高。

目的

本研究旨在探讨慢性病和资源匮乏社区背景下的复原力现象,以获取该主题的基线知识,从而提高社区内的保护性复原力。

方法

采用 Giorgi 等人概述的描述性现象学心理还原法,该方法基于对八名个体(年龄在 33 至 64 岁之间)进行的半结构化深度访谈,这些个体是通过一个人道主义组织进行目的抽样招募的。

结果

参与者生活经历的六个主题揭示了该经历的本质结构和实质。研究结果为慢性病对个体的意义、不良复原力风险因素、复原力的 antecedents 以及促进复原力的重点关注领域提供了重要启示。

结论

从个体的生活世界视角出发,有助于护士更好地理解如何制定促进复原力的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fb4/10331181/34083a3699df/10.1177_23779608231186758-fig1.jpg

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