Ye Jia-You, Shih Chun-Ying
MSN, RN, Clinical Nursing Teacher, College of Medicine, School of Nursing, Chang Gung University, and Doctoral Candidate, School of Nursing, College of Nursing, Taipei Medical University, Taiwan, ROC.
MSN, RN, Doctoral Candidate, School of Nursing, College of Nursing, Taipei Medical University, Taiwan, ROC.
Hu Li Za Zhi. 2023 Dec;70(6):74-81. doi: 10.6224/JN.202312_70(6).09.
Craving in the context of substance addiction is considered an important predictor of substance addictive disorders and relapse risk. Behavior therapy, mindfulness, and exercise may be employed clinically to alleviate cravings. However, many scholars have offered various interpretations of craving in substance addiction. Despite these definitions sharing some overlapping elements, a consensus has yet to be reached. Although many studies have presented the effects of and interventions for craving to alleviate substance addiction, this issue has rarely been explored in the clinical nursing context, resulting in a lack of understanding of the concept of craving in substance addiction among nursing professionals. Therefore, based on the conceptual analysis approach proposed by Walker and Avant (2019), a conceptual analysis of craving in substance addiction was conducted in this study by interpreting and defining the characteristics, pre-factors, consequences, and effects of craving in substance addiction using examples of typical, borderline, related, and contrary cases. The findings are intended to help nurses gain a more comprehensive understanding of craving in substance addiction and become more familiar with cases requiring clinical care.
在物质成瘾的背景下，渴望被认为是物质成瘾性障碍和复发风险的重要预测指标。行为疗法、正念和运动在临床上可用于缓解渴望。然而，许多学者对物质成瘾中的渴望提出了各种解释。尽管这些定义有一些重叠的元素，但尚未达成共识。虽然许多研究已经阐述了缓解物质成瘾的渴望的影响和干预措施，但在临床护理背景下，这个问题很少被探讨，导致护理专业人员对物质成瘾中渴望的概念缺乏了解。因此，本研究基于Walker和Avant（2019年）提出的概念分析方法，通过使用典型、临界、相关和相反案例的例子来解释和定义物质成瘾中渴望的特征、前置因素、后果和影响，对物质成瘾中的渴望进行了概念分析。研究结果旨在帮助护士更全面地理解物质成瘾中的渴望，并更熟悉需要临床护理的案例。
