慢性病患者内感知的概念分析  

Concept analysis of interoception among patients with chronic diseases

作　　者：沈向捷 刘巧艳 尹卫[1] Shen Xiangjie;Liu Qiaoyan;Yin Wei(Department of Endocrine Metabolism,Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院内分泌代谢科,江苏镇江212001

出　　处：《护理学杂志》2025年第5期32-36,共5页Journal of Nursing Science

基　　金：2023年度镇江市科技创新资金重点研发计划—社会发展项目(SH2023053)。

摘　　要：目的分析并阐述慢性病患者内感知的概念内涵,以期为护理实践提供参考。方法系统检索PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中与慢性病患者内感知相关的文献,并采用Rodgers演化概念分析法对纳入文献进行分析。结果共纳入37篇文献,其中6篇中文文献,31篇英文文献。慢性病患者的内感知概念属性包括体内生理信号的准确解读、生理状态波动的敏锐感知、基于情境的感知动态变化3个方面;其前因变量包括人口学因素、疾病相关特征、心理因素、社会支持;后果包括优化情绪状态、提升自我护理能力、改善临床结局。结论明确慢性病患者内感知的概念,可为以后国内研制不同慢性疾病患者内感知特异性评估工具,构建本土化的干预策略提供思路。Objective To analyze and clarify the concept of interoception among patients with chronic diseases,in order to provide reference for nursing practice.Methods Literature related to interoception in patients with chronic diseases in PubMed,Cochrane Library,CINAHL,Web of Science,Embase,CNKI,Wanfang Data,VIP.com,and SinoMed were systematically searched,and the included literature was analyzed by using Rodgers′evolutionary concept analysis method.Results A total of 37 literature were included,containing 6 Chinese literature and 31 English literature.The conceptual attributes of interoception among patients with chronic diseases encompass three aspects:accurate interpretation of physiological signals in the body,acute perception of fluctuations in physiological states and context-based dynamic changes in perception.Antecedent variables comprise demographic factors,disease related characteristics,psychological factors,and social support.Consequences involve optimizing emotional states,enhancing self-care abilities,and improving clinical outcomes.Conclusion Clarifying the concept of interoception in patients with chronic diseases may provide ideas for the future development of specific assessment tools for interoception in patients with different chro-nic diseases and the construction of localized intervention strategies in China.

关 键 词：慢性病 内感知 Rodgers演化概念分析法 自我护理能力 社会支持 护理心理学 

分 类 号：R47[医药卫生—护理学]