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基层医疗保健中的护理关系如何促进与压力相关疾病康复的生活经历:一项反思性生活世界研究

Lived experiences of how the care relationship in primary healthcare contributes to recovery from stress-related disorders: a reflective lifeworld research study.

作者信息

Sjösten Markus, Fagerström Cecilia, Hörberg Ulrica, Tuvesson Hanna

机构信息

Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.

Wämö Health Centre, Region Blekinge County, Karlskrona, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2025 Dec;20(1):2460257. doi: 10.1080/17482631.2025.2460257. Epub 2025 Feb 2.

Abstract

PURPOSE

The aim of the study was to describe how the care relationship in primary healthcare has contributed to the recovery of persons with stress-related disorders.

METHODS

This study was based on the phenomenological approach, Reflective Lifeworld Research (RLR). Fifteen persons who had recovered from stress-related disorders and who had experience of being cared for in primary healthcare were included. Lifeworld interviews were conducted, and the data were analysed according to the RLR principles of openness, flexibility and bridling.

RESULTS

The participants experienced that the care relationship in primary healthcare contributed to their recovery from stress-related disorder by enabling them to land and be embraced in a safe relationship. This opened up a space for rest and growth that included time, being listened to and a permitting space for existential reflection based on one's life story. The results also showed that a sense of disharmony in the care encounter constitutes a threat to recovery and reinforces vulnerability.

CONCLUSIONS

Sensing security and hope is a crucial element in the care relationship in primary healthcare when recovering from stress-related disorders. This includes the importance of being treated with respect, being given space to tell one's story, being listened to and being supported in an existential reflection of one's life situation.

摘要

目的

本研究旨在描述初级医疗保健中的护理关系如何促进与压力相关障碍患者的康复。

方法

本研究基于现象学方法,即反思生活世界研究(RLR)。纳入了15名从与压力相关障碍中康复且有在初级医疗保健中接受护理经历的患者。进行了生活世界访谈,并根据RLR的开放性、灵活性和约束性原则对数据进行了分析。

结果

参与者体验到,初级医疗保健中的护理关系通过让他们在安全的关系中落地并得到接纳,从而促进了他们从与压力相关障碍中康复。这开辟了一个休息和成长的空间,其中包括时间、被倾听以及基于个人生活故事进行存在性反思的许可空间。结果还表明,护理过程中的不和谐感对康复构成威胁,并加剧了脆弱性。

结论

从与压力相关障碍中康复时,感受到安全和希望是初级医疗保健护理关系中的关键要素。这包括受到尊重、有讲述自己故事的空间、被倾听以及在对自己生活状况的存在性反思中得到支持的重要性。

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