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维持炎症性关节炎患者的良好心理健康:一项患者观点的定性研究。

Maintaining good mental health in people with inflammatory arthritis: a qualitative study of patients' perspectives.

机构信息

Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, DANBIO and Copenhagen Center for Arthritis Research (COPECARE), Glostrup, Denmark.

Mental Health Center Glostrup, Centre for Applied Research in Mental Health Care (CARMEN), Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2424015. doi: 10.1080/17482631.2024.2424015. Epub 2024 Nov 7.

Abstract

PURPOSE

It is well-documented that people with inflammatory arthritis (IA) exhibit a high prevalence of symptoms related to anxiety and depression. Less is known about what contributes to good mental health in people with IA. Therefore, this study aims to explore how some patients maintain good mental health despite living with IA.

METHODS

Explorative qualitative interview study (one focus group, 12 individual interviews,  = 18) utilizing purposeful sampling. All interviews were audiotaped, transcribed, and managed using NVivo14 and employed a reflexive thematical analysis approach.

RESULTS

We identified four main themes: 1) -how participants' inherent positivity helped them cope with arthritis; 2) -how participants embraced the reality of living with IA; 3) how the participants structured their lives in terms of physical activity and social connections; and 4) -how the participants were mindful of their bodies and took the initiative to explore new treatments.

CONCLUSION

People living with IA maintain good mental health by engaging in structured physical activity, fostering social connections, and cultivating a positive outlook on life. These insights can inform the development of future treatment and support strategies.

摘要

目的

有大量文献记载,患有炎症性关节炎(IA)的人群表现出较高的焦虑和抑郁相关症状。然而,人们对 IA 患者保持良好心理健康的原因知之甚少。因此,本研究旨在探讨尽管患有 IA,为何有些患者仍能保持良好的心理健康。

方法

采用有目的抽样的探索性定性访谈研究(1 个焦点小组,12 个个体访谈, = 18)。所有访谈均进行录音、转录,并使用 NVivo14 进行管理,采用反思性主题分析方法。

结果

我们确定了四个主要主题:1)参与者固有的积极性如何帮助他们应对关节炎;2)参与者如何接受患有 IA 的现实;3)参与者如何在身体活动和社交联系方面规划自己的生活;4)参与者如何关注自己的身体并主动探索新的治疗方法。

结论

IA 患者通过进行有组织的身体活动、培养社交联系以及保持积极的人生观来维持良好的心理健康。这些见解可以为未来的治疗和支持策略的制定提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5928/11544728/bad78c60ccff/ZQHW_A_2424015_F0001_OC.jpg

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