Objective:The concept of coping with disease appears frequently in the literature;however,there is no precise definition of coping.The aim of this study is to clarify coping concept,and to identify its attributes,ante...Objective:The concept of coping with disease appears frequently in the literature;however,there is no precise definition of coping.The aim of this study is to clarify coping concept,and to identify its attributes,antecedents,and consequences in patients with multiple sclerosis.Methods:Rodgers'evolutionary method of concept analysis was used to clarify the concept of coping.A literature review was conducted with key terms‘multiple sclerosis’,‘coping’,‘adjustment’,and‘deal with’.After searching databases,1370 papers were found for the period 1995e2017.Finally,55 articles and texts were selected for analysis.Data analysis was carried out using thematic analysis.An independent researcher checked the process to ensure credibility and reduce personal bias.Results:Coping with multiple sclerosis is a multidimensional concept with three main attributes:maintenance of emotional balance,acceptance of the disease,and self-regulation.Social support,awareness toward the disease,attitude toward the disease,and religious-spiritual beliefs were found as antecedents.Health promotion,adherence to treatment regimen,independence in personal life and social relationships,and improvement of family relationships were found as consequences of these attributes.Conclusion:These findings not only add to the body of knowledge in health science,but also serve as an important motivation for further theory development and research in this context.Nurses and health professions can also benefit from a deeper understanding of coping concept in providing and planning healthcare for these patients.展开更多
目的分析并阐释脑卒中患者运动康复偏好的概念内涵。方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Web of Science、Embase、CINAHL,搜索时限为建库至2022年10月。根据纳排标准选取文献,应用Rodgers...目的分析并阐释脑卒中患者运动康复偏好的概念内涵。方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Web of Science、Embase、CINAHL,搜索时限为建库至2022年10月。根据纳排标准选取文献,应用Rodgers演化概念分析法对纳入文献进行全面分析。结果共纳入34篇文献,脑卒中患者运动康复偏好包括运动康复方案偏好、运动康复风险偏好、运动康复时间偏好、监督与支持、信心与挑战5个概念属性;先决条件包括人口学因素、疾病相关因素、情绪心理因素、外部环境因素和疲乏;结局包括实现个性化运动康复、提高运动康复依从性、增高体力活动水平和促进运动功能恢复。结论通过概念分析脑卒中患者运动康复偏好,可以帮助临床医务人员结合其内涵,深入开展脑卒中患者运动康复的研究探索。展开更多
基金The study was funded by the Research Department at Jahrom University of Medical Sciences,Jahrom.Iran.Also,this study was approved by the Ethics Committee of Jahrom University of Medical Sciences,Iran(Ethics approval number IR.JUMS.REC.1395.176).
文摘Objective:The concept of coping with disease appears frequently in the literature;however,there is no precise definition of coping.The aim of this study is to clarify coping concept,and to identify its attributes,antecedents,and consequences in patients with multiple sclerosis.Methods:Rodgers'evolutionary method of concept analysis was used to clarify the concept of coping.A literature review was conducted with key terms‘multiple sclerosis’,‘coping’,‘adjustment’,and‘deal with’.After searching databases,1370 papers were found for the period 1995e2017.Finally,55 articles and texts were selected for analysis.Data analysis was carried out using thematic analysis.An independent researcher checked the process to ensure credibility and reduce personal bias.Results:Coping with multiple sclerosis is a multidimensional concept with three main attributes:maintenance of emotional balance,acceptance of the disease,and self-regulation.Social support,awareness toward the disease,attitude toward the disease,and religious-spiritual beliefs were found as antecedents.Health promotion,adherence to treatment regimen,independence in personal life and social relationships,and improvement of family relationships were found as consequences of these attributes.Conclusion:These findings not only add to the body of knowledge in health science,but also serve as an important motivation for further theory development and research in this context.Nurses and health professions can also benefit from a deeper understanding of coping concept in providing and planning healthcare for these patients.
文摘目的分析并阐释脑卒中患者运动康复偏好的概念内涵。方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Web of Science、Embase、CINAHL,搜索时限为建库至2022年10月。根据纳排标准选取文献,应用Rodgers演化概念分析法对纳入文献进行全面分析。结果共纳入34篇文献,脑卒中患者运动康复偏好包括运动康复方案偏好、运动康复风险偏好、运动康复时间偏好、监督与支持、信心与挑战5个概念属性;先决条件包括人口学因素、疾病相关因素、情绪心理因素、外部环境因素和疲乏;结局包括实现个性化运动康复、提高运动康复依从性、增高体力活动水平和促进运动功能恢复。结论通过概念分析脑卒中患者运动康复偏好,可以帮助临床医务人员结合其内涵,深入开展脑卒中患者运动康复的研究探索。
