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积极心理学视角下空巢慢性病共病老年人心理调适的体验

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目的:探讨居家空巢老年人慢性病共病心理调适的体验,以期更好地提升老年人应对共病的能力.方法:采用描述性质性研究方法,对15 名空巢慢性病共病老年人进行半结构化深度访谈,使用Braun和Clarke的主题分析法进行资料分析.结果:基于积极心理学PERMA理论,形成 5 个主题:展现积极情绪,具有积极心理资本;投入生活,主动调适;获得家庭和社会支持,保持较好人际关系;寻找自我意义,实现自我价值;获得成就,达到积极生活状态.结论:医护人员在老年人共病管理时,需要重视其积极心理资本的开发,调动其主动调适的能力和采取适合的调适策略,重视社会支持提供,鼓励寻找自我意义,最终达到积极生活的状态.
Experience of home dwelling empty-nested older patients adjusting to Multiple Chronic Conditions from the perspective of positive psychology
Objective:To explore the experience of home dwelling empty-nested older patients adjusting to Multiple Chronic Conditions(MCCs),and improve the coping ability of MCCs.Methods:A descriptive qualitative approach was conducted and a total of 15 home dwelling empty-nested older patients with MCCs were enrolled for semi-structural in-depth interviews.Braun and Clarke's thematic analysis method was used to analyze the data.Results:Based on the PERMA(Positive emotion,Engagement,Relationship,Meaning,Achievement),five themes were extracted:showing positive emotions and having positive psychological capital;engaging in life and taking the initiative to adjust;receiving family and social support and maintaining good interpersonal relationships;seeking self-meaning and realizing self-worth;achieving accomplishments and reaching a positive life.Conclusion:In the management of MCCs,health professionals should pay attention to develop positive psychological capital of home dwelling empty-nested older patients,mobilize their ability of active adjustment and adopt appropriate adjustment strategies,emphasize the support of family and society,encourage the search for the meaning of ego,and finally achieve a positive life.

empty-nested older adultMultiple Chronic Conditionspsychological adjustment and adaptationthematic analysispositive psychology

孙柳、陈少华、王莹、王艳玲、王凌云、梁嘉贵、刘均娥

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首都医科大学护理学院,100069 北京市

福建医科大学护理学院

中国人民大学国家发展与战略研究院

北京市西城区德胜社区卫生服务中心

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空巢老年人 慢性病共病 心理调适 主题分析法 积极心理学

2023年度北京市社会科学基金项目

23RB007

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(9)