基于罗伊模式的慢性病适应护理中域理论的构建

doi:10.3761/j.issn.0254-1769.2021.08.012

摘要/Abstract

摘要：

目的基于罗伊模式,在六步中域理论构建法的指导下,构建慢性病适应护理中域理论。方法在罗伊模式的基础上,通过检索文献、分类资料、归纳概念、形成图示、提出命题和建立实证证据,构建了慢性病适应护理中域理论。结果慢性病适应护理中域理论包括阐释慢性病适应现象;提炼刺激、认知适应过程、生理功能、自我概念、角色功能、互相依赖、适应/适应不良为核心概念并确立观察变量;建立了理论图示、理论命题和实证证据。结论基于罗伊模式慢性病适应护理中域理论的构建方法科学,实用性较好,为慢性病相关护理研究、教育和实践提供指导。

关键词: 罗伊模式, 慢性病, 六步构建法, 中域理论, 护理

Abstract:

Objective This study aimed to develop a middle-range theory of adaptation to chronic illness derived from the Roy’s Model using a six-steps approach. Methods Based on an analysis of the Roy’s Model, methods of literature search, literature categorization,concepts synthesis,schema formation,statements illustration, and empirical evidence were adopted as operational strategies for theory development. Results This study generated a middle-range theory of adaptation to chronic illness to explain a nursing phenomenon of adaptation in chronic care. Core elements of the middle-range theory of adaptation to chronic illness were refined, namely stimuli,cognition and adaptation processing, physical function, self-concept, role function, interdependence, adaptation, and maladaptation,with observable variables. Besides,theory schema,statements, and empirical evidence were established. Conclusion Using reasonable strategies, this generated theory with good utility is expected to provide guidance of nursing research,education,and practice for chronic care.

Key words: Roy’s Model, Chronic Illness, A Six-Step Approach, Middle-Range Theory, Nursing Care

王喜益,叶志弘. 基于罗伊模式的慢性病适应护理中域理论的构建[J]. 中华护理杂志, 2021, 56(8): 1193-1200.

WANG Xiyi,YE Zhihong. Development of a middle-range theory of adaptation to chronic illness based on the Roy’s Model[J]. Chinese Journal of Nursing, 2021, 56(8): 1193-1200.

图/表 6

图1 六步中域理论构建流程

Figure 1 Operational flowchart of the six-step approach for middle-range theory

图2 文献筛选流程图

Figure 2 Flowchart of the literature selection

表1 主要刺激、相关刺激、固有刺激和认知适应过程的观察变量和内容描述

Table 1 Empirical variables and descriptions of focal stimuli,contextual stimuli, residual stimuli,and cognition and adaptation processing

表2 四类适应方式的观察变量和内容描述

Table 2 Empirical variables and descriptions of four adaptive modes

图3 慢性病适应护理中域理论的概念图

Figure 3 Theoretical schema of the middle-range theory of adaptation to chronic illness

图4 慢性心力衰竭照护场景下的概念-理论-实证结构化框架

Figure 4 Conceptual-theoretical-empirical structure of adaptation to heart failure

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