基于Kumpfer模型的炎症性肠病患者心理弹性保护性因素的质性研究  

Protective factors of psychological resilience in patients with inflammatory bowel disease based on the Kumpfer model:a qualitative study

作　　者：尤丽丽[1] 王阳阳 王思瑶 朱玲玲 王田田 余翔 张艺丰 董静 关玉霞[4] You Lili;Wang Yangyang;Wang Siyao;Zhu Lingling;Wang Tiantian;Yu Xiang;Zhang Yifeng;Dong Jing;Guan Yuxia(Department of Gastroenterology,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Nursing Department,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing,Peking Union Medical College,Beijing 100144,China;Nephrology Department,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院消化内科,北京100730 [2]中国医学科学院北京协和医院护理部,北京100730 [3]北京协和医学院护理学院,北京100144 [4]中国医学科学院北京协和医院肾内科,北京100730

出　　处：《中华现代护理杂志》2022年第6期732-738,共7页Chinese Journal of Modern Nursing

基　　金：北京协和医院护理科研课题(XHHLKY202003)。

摘　　要：目的了解炎症性肠病患者心理弹性的保护性因素,为提高患者心理弹性水平提供依据。方法于2020年12月—2021年3月采用目的抽样法选择在北京协和医院消化内科病房住院的16例炎症性肠病患者为研究对象,对其进行半结构式深入访谈,使用定向内容分析法对访谈资料进行整理和分析。结果共提炼出个体内在特征、社会支持网络、环境感知及主动改造3个主题及10个亚主题。其中个体内在特征包括坦然接受疾病、积极的疾病认知、恰当的情绪调节、明确的目标动机,社会支持网络包括坚实的家庭支持、专业的医疗照护、稳定的人际关系、如常的工作状态,环境感知及主动改造包括选择性感知环境和积极的行为应对。结论医护人员应与患者的家人、朋友等多方协同配合,实施认知干预,完善支持体系,促进积极行为,从而提高患者的心理弹性。Objective To explore the protective factors of psychological resilience in patients with inflammatory bowel disease(IBD),so as to provide a basis for improving the psychological resilience of patients.Methods From December 2020 to March 2021,16 IBD patients in the Department of Gastroenterology of Peking Union Medical College Hospital were selected as the research object by purpose sampling,and the semi-structured in-depth interview was conducted with them.The interview data was organized and analyzed using the directed content analysis method.Results A total of 3 themes and 10 sub-themes were extracted,including internal characteristics of individuals,social support network,environmental perception and active transformation.Among them,the internal characteristics of individuals included calm acceptance of the disease,positive disease cognition,appropriate emotion regulation,and clear goal motivation.Social support network consisted of solid family support,professional medical care,stable relationships,normal work status.Environmental perception and active transformation comprised selective perception of the environment and active behavioral coping.Conclusions Medical and nursing staff should cooperate with the patient's family,friends and other parties to implement cognitive intervention,perfect the support system,and promote positive behaviors,thereby improving the patients'psychological resilience.

关 键 词：炎症性肠病 Kumpfer模型 结肠炎 溃疡性 克罗恩病 弹性 心理 质性研究 

分 类 号：R473.5[医药卫生—护理学]