基于罗伊模式的慢性病适应护理中域理论的构建

Development of a middle-range theory of adaptation to chronic illness based on the Roy’s Model

目的基于罗伊模式,在六步中域理论构建法的指导下,构建慢性病适应护理中域理论。方法在罗伊模式的基础上,通过检索文献、分类资料、归纳概念、形成图示、提出命题和建立实证证据,构建了慢性病适应护理中域理论。结果慢性病适应护理中域理论包括阐释慢性病适应现象;提炼刺激、认知适应过程、生理功能、自我概念、角色功能、互相依赖、适应/适应不良为核心概念并确立观察变量;建立了理论图示、理论命题和实证证据。结论基于罗伊模式慢性病适应护理中域理论的构建方法科学,实用性较好,为慢性病相关护理研究、教育和实践提供指导。

Objective This study aimed to develop a middle-range theory of adaptation to chronic illness derived from the Roy’s Model using a six-steps approach.Methods Based on an analysis of the Roy’s Model,methods of literature search,literature categorization,concepts synthesis,schema formation,statements illustration,and empirical evidence were adopted as operational strategies for theory development.Results This study generated a middle-range theory of adaptation to chronic illness to explain a nursing phenomenon of adaptation in chronic care.Core elements of the middle-range theory of adaptation to chronic illness were refined,namely stimuli,cognition and adaptation processing,physical function,self-concept,role function,interdependence,adaptation,and maladaptation,with observable variables.Besides,theory schema,statements,and empirical evidence were established.Conclusion Using reasonable strategies,this generated theory with good utility is expected to provide guidance of nursing research,education,and practice for chronic care.