Moore Tara Leigh
Endicott College, Beverly, MA, USA.
Int J Nurs Stud Adv. 2024 Jun 8;7:100215. doi: 10.1016/j.ijnsa.2024.100215. eCollection 2024 Dec.
Chronic illness diagnosis while living in low resourced communities creates ongoing adversity in the process of adaptation. Resilience is an important phenomenon of study to improve health outcomes. The subject in this particular population has been poorly studied.
To conceptualize resilience of individuals with chronic illness who reside in low resource communities.
Concept analysis.
Seminal works and current studies were searched in PubMed (including Medline), Science Direct, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, Google Scholar, OVID, Ebsco, and the Cochrane Database. Qualitative and quantitative studies that investigated individual resilience of adults in the setting of chronic illness who reside in low resource communities were included. Exclusions included children with chronic illness and resilience of communities and populations.
Walker and Avant's method of concept analysis was utilized. The key elements for conceptualizing resilience in the setting of chronic illness who reside in low resource communities included defining attributes, antecedents and consequences of resilience identified from the literature search.
Analysis revealed three defining attributes: (1) reflection, contemplation, and the will to live despite adversity through hope; (2) personal transcendence through action; and (3) continuous personal transcendence and maintenance. Antecedents and consequences of resilience in the setting of chronic illness who reside in low resource communities were described and outlined.
The conceptualization of resilience in the setting of chronic illness who reside in low resource communities is based on the defining attributes, antecedents, and consequences that resulted in a preliminary conceptual model. The model can be further tested in diverse populations to add to the existing knowledge on the subject, and develop interventions to foster resilience aimed to improve health outcomes and quality of life.
生活在资源匮乏社区时被诊断出患有慢性病会在适应过程中带来持续的困境。复原力是改善健康结果的一个重要研究现象。对这一特定人群的研究较少。
对居住在资源匮乏社区的慢性病患者的复原力进行概念化。
概念分析。
在PubMed（包括Medline）、Science Direct、护理及相关健康文献累积索引（CINAHL）、ProQuest、谷歌学术、OVID、Ebsco和Cochrane数据库中检索了开创性著作和当前研究。纳入了调查居住在资源匮乏社区的慢性病成年人个体复原力的定性和定量研究。排除项包括患有慢性病的儿童以及社区和人群的复原力。
采用沃克和阿凡特的概念分析方法。对居住在资源匮乏社区的慢性病患者复原力进行概念化的关键要素包括从文献检索中确定的复原力的定义属性、前因和后果。
分析揭示了三个定义属性：（1）反思、沉思以及尽管身处逆境仍通过希望活下去的意志；（2）通过行动实现个人超越；（3）持续的个人超越和维持。描述并概述了居住在资源匮乏社区的慢性病患者复原力的前因和后果。
居住在资源匮乏社区的慢性病患者复原力的概念化基于定义属性、前因和后果，由此产生了一个初步的概念模型。该模型可在不同人群中进一步测试，以增加关于该主题的现有知识，并开发促进复原力的干预措施，旨在改善健康结果和生活质量。
