中华护理杂志2024,Vol.59Issue(6) :706-712.DOI:10.3761/j.issn.0254-1769.2024.06.009

心力衰竭患者心理资源损耗与恢复过程的质性研究

The process of mental resource depletion and recovery in patients with heart failure:a qualitative research

孙姝怡 孙国珍 高敏 王洁 于甜栖 刘沈馨雨 汤志杰 温高芹
中华护理杂志2024,Vol.59Issue(6) :706-712.DOI:10.3761/j.issn.0254-1769.2024.06.009

心力衰竭患者心理资源损耗与恢复过程的质性研究

The process of mental resource depletion and recovery in patients with heart failure:a qualitative research

孙姝怡 1孙国珍 1高敏 2王洁 2于甜栖 1刘沈馨雨 1汤志杰 1温高芹2
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作者信息

  • 1. 211166 南京市南京医科大学护理学院
  • 2. 南京医科大学第一附属医院心血管内科
  • 折叠

摘要

目的 探索心力衰竭患者心理资源损耗与恢复过程的特征.方法 基于自我损耗理论,采用描述性现象学研究方法,于2022年9月-11月,对南京市某三级甲等综合医院心血管内科16例心力衰竭患者进行半结构式深度访谈,采用Colaizzi七步法对资料进行分析、提炼.结果 共提炼出急性心理损耗源(角色转换导致心理应激、生理痛苦引发心理资源危机),慢性心理损耗源(躯体症状导致原有行为习惯改变、持续的不适症状令患者备受煎熬、不确定性使患者深陷反刍思维、治疗费用加重经济负担),自我损耗表现(消极思维模式与浅层认知加工、复杂交织的负性情绪、行为执行力弱化),心理资源恢复(激发个人成长,实现自我疗愈;多方资源支持,营造复愈性环境)4个主题,11个亚主题.结论 心力衰竭患者病程中存在急、慢性损耗源,可导致多种自我损耗表现,损耗与恢复并存且动态变化.医护人员应密切关注心理损耗源对患者的影响,判断自我损耗的表现及严重程度,及时采取恢复措施,维持患者心理资源平衡,提高自我调节能力.

Abstract

Objective To explore the process of mental resource depletion and recovery in patients with heart failure.Methods Based on the ego-depletion theory,using descriptive phenomenology research method,a semi-structured in-depth interview was conducted on 16 patients with heart failure in the cardiovascular ward of a tertiary A general hospital in Nanjing from September to November 2022,and the data were analyzed and refined by the Colaizzi seven-step method.Results 4 themes were extracted:acute ego-depletion sources(including psychological stress caused by role transition,and mental resource crisis caused by physical pain),chronic ego-depletion sources(including physical symptoms leading to changes in old habits,patients suffering from persistent discomfort symptoms,patients mired in rumination due to uncertainty,and the cost of treatment increasing the economic burden),ego-depletion(including negative thinking patterns and shallow cognitive processing,complex mixed adverse emotions,and weak performance of behavior),mental resource recovery(including seeking self-healing and providing a healing environment).Conclusion There are acute and chronic ego-depletion sources in the course of heart failure patients,which can lead to a variety of ego-depletion manifestations,depletion and recovery coexist,and change dynamically.Medical staff should pay attention to the impact of ego-depletion sources on patients,evaluate the performance and severity of ego-depletion,and take timely recovery measures to maintain the balance of patients'mental resource and improve the ability of self-regulation.

关键词

自我损耗/自我调节/心理资源/心力衰竭/质性研究/心理护理

Key words

Ego-Depletion/Self-Regulation/Mental Resource/Heart Failure/Qualitative Study/Psychological Nursing

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基金项目

国家自然科学基金(72074124)

江苏高校优势学科建设工程项目(JX10631804)

出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
参考文献量23
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