摘要
目的系统分析慢性病儿童家庭弹性的概念演变、定义属性、案例、前因和结局,从护理实践角度厘清慢性病儿童家庭弹性的概念内涵。方法系统检索建库起至2022年7月1日发表在PubMed、Web of Science、Embase、Scopus、Cochrane Library、APA PsycNet、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统与慢性病儿童家庭弹性相关文献,应用Walker-Avant概念分析法进行分析。结果慢性病儿童家庭弹性具有5个定义属性:乐观的人生态度、开放的沟通方式、亲密的家庭关系、积极的应对方式和充足的社会支持;前因包括人口学特征、疾病诊断、疾病认知、家庭养育方式和社会文化环境;后果包括家庭层面和个体层面。结论本研究基于概念分析明确了慢性病儿童家庭弹性的概念属性及其相较于成人家庭弹性的独特性,为今后相关研究构建操作性定义、开发测评工具以及开展精准干预提供理论基础。
Objective To systematically analyze the concept evolution,defining attributes,cases,antecedents,and consequences of family resilience in children with chronic diseases,and to clarify the concept connotation of family resilience in children with chronic diseases from the perspective of nursing practice.Methods The article on family resilience in children with chronic diseases was systematically searched in PubMed,Web of Science,Embase,Scopus,Cochrane Library,APA PsycNet,China National Knowledge Infrastructure,WanFang Data,VIP,and SinoMed.The retrieval period was from the establishment of the database to July 1,2022.The Walker Avant concept analysis method was applied to the analysis.Results Family resilience in children with chronic diseases had five defining attributes,including optimistic attitudes towards life,open communication styles,intimate family relationships,positive coping styles,and sufficient social support.The antecedents included demography characteristics,disease diagnosis,disease cognition,family rearing patterns and social and cultural environment.The consequences included both family and individual levels.Conclusions Based on conceptual analysis,this study clarifies the conceptual attributes of family resilience in children with chronic diseases and its uniqueness compared to adult family resilience,providing a theoretical basis for constructing operational definitions,developing evaluation tools,and conducting precise interventions for future related research.
作者
陈美佳
陈雪微
章瑶
张丽萍
董超群
Chen Meijia;Chen Xuewei;Zhang Yao;Zhang Liping;Dong Chaoqun(School of Nursing,Wenzhou Medical University,Wenzhou 325000,China;Clinical Skills Center,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中华现代护理杂志》
2023年第15期1967-1973,共7页
Chinese Journal of Modern Nursing
基金
浙江省自然科学基金项目(LGF21G010007)
教育部人文社会科学研究项目(20YJCZH018)。
关键词
儿童
慢性病
家庭弹性
概念分析
Child
Chronic disease
Family resilience
Conceptual analysis
