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将 Parse 理论应用于护理子宫切除加卵巢切除术后的抑郁症患者:一项案例研究。

Applying Parse's Theory in Caring for a Depressed Patient Following Hysterectomy With Oophorectomy: A Case Study.

作者信息

Mobasheri Arian, Darvishpour Azar

机构信息

Healthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.

出版信息

Cancer Rep (Hoboken). 2025 Aug;8(8):e70301. doi: 10.1002/cnr2.70301.

Abstract

BACKGROUND

Depression is a common complication in women undergoing hysterectomy. By utilizing nursing theories in patient care, improved care standards, more affordable care costs, and greater quality of life can be achieved. Parse's theory of human becoming is among the nursing theories prioritizing each individual's conception of quality of life as a crucial nursing goal. This study aimed to apply Parse's theory of human becoming to the care of a depressed patient following a hysterectomy with oophorectomy.

CASE

The participant was a 44-year-old woman who underwent hysterectomy with bilateral oophorectomy on January 1, 2023, following a diagnosis of grade 1 right ovarian cancer. After three days of hospitalization, she returned home to live with her husband and four children. Postoperative care was provided by a home care nurse-also the researcher-who observed signs of emotional distress and depressive symptoms, including social withdrawal, irritability, and loss of interest in daily activities. The nurse implemented nursing interventions grounded in Parse's Human Becoming Theory, including therapeutic communication, mindfulness practices, journaling, and involving the family in emotional support. Data were analyzed using Parse's qualitative research methodology (2011).

CONCLUSION

Based on the first principle of Parse's theory (meaning), the findings showed that patients' meaning and values of life changed from "disappointment" to "hope." In the second principle (rhythmic patterns), contradictory patterns of "dependency-nondependency" and "hope-disappointment" were identified. Based on the third principle (transcendence), with the actual presence of a nurse and the implementation of care and treatment, the patient's mental state switched from "depression and despair" to "hope and happiness." This research found that Parse's theory of nursing was effective in alleviating depression in patients following hysterectomy with oophorectomy surgery. This study also highlights the importance of utilizing nursing theories in patient care.

摘要

背景

抑郁症是接受子宫切除术的女性常见的并发症。通过在患者护理中运用护理理论,可以提高护理标准、降低护理成本并提升生活质量。Parse的人类成为理论是将每个人对生活质量的概念作为关键护理目标的护理理论之一。本研究旨在将Parse的人类成为理论应用于子宫切除加卵巢切除术后抑郁症患者的护理。

病例

参与者是一名44岁女性,在被诊断为1级右卵巢癌后,于2023年1月1日接受了子宫切除加双侧卵巢切除术。住院三天后,她回家与丈夫和四个孩子一起生活。术后护理由一名家庭护理护士(也是研究人员)提供,该护士观察到情绪困扰和抑郁症状的迹象,包括社交退缩、易怒以及对日常活动失去兴趣。护士实施了基于Parse人类成为理论的护理干预措施,包括治疗性沟通、正念练习、写日记以及让家人提供情感支持。使用Parse的定性研究方法(2011年)对数据进行了分析。

结论

基于Parse理论的首要原则(意义),研究结果表明患者生活的意义和价值观从“失望”转变为“希望”。在第二个原则(节律模式)中,识别出了“依赖 - 不依赖”和“希望 - 失望”的矛盾模式。基于第三个原则(超越),随着护士的实际陪伴以及护理和治疗的实施,患者的精神状态从“抑郁和绝望转变为“希望和幸福”。本研究发现Parse的护理理论在缓解子宫切除加卵巢切除术后患者的抑郁症方面是有效的。这项研究还强调了在患者护理中运用护理理论的重要性。

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本文引用的文献

1
Ages at menarche and menopause, hormone therapy, and the risk of depression.
Gen Hosp Psychiatry. 2023 Jul-Aug;83:35-42. doi: 10.1016/j.genhosppsych.2023.04.001. Epub 2023 Apr 6.
2
3
Nursing Administration: Watson's Theory of Human Caring.
Nurs Sci Q. 2022 Apr;35(2):235-243. doi: 10.1177/08943184211070582.
4
The Humanbecoming Concept Inventing Model: Feeling Ashamed.
Nurs Sci Q. 2021 Apr;34(2):178-182. doi: 10.1177/0894318420987167.
7
Bonus time: A gay man's experience as a long-term HIV survivor.
Death Stud. 2022;46(2):450-457. doi: 10.1080/07481187.2020.1740830. Epub 2020 Mar 17.
8
The Humanbecoming Concept Inventing Model: Hope.
Nurs Sci Q. 2020 Apr;33(2):143-147. doi: 10.1177/0894318419898175.
9
Freedom and Humanbecoming.
Nurs Sci Q. 2020 Jan;33(1):7-11. doi: 10.1177/0894318419881793.

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