应用帕斯的 "人成为人 "理论护理 COVID-19 后自发性气胸的老人:案例研究。

Journal of caring sciences Pub Date : 2023-10-10 eCollection Date: 2024-02-01 DOI:10.34172/jcs.2023.33017
Fatemeh Mansouri, Azar Darvishpour
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引用次数: 0

摘要

导言:老年人是感染 COVID-19 的主要高危人群之一。在实践中运用帕斯的 "人类成为 "理论可以使人的健康发生重要变化。本研究旨在将这一理论应用于护理一名因 COVID-19 而自发性气胸的老年患者:本研究是一项案例研究,于 2023 年在吉兰(伊朗)进行。本研究基于帕尔斯理论的三个原则(意义、节奏和超越),采用目的取样法进行。护理干预根据 PRISM 模型(存在、尊重、信息、服务和移动)进行。数据分析根据帕尔斯研究方法(2011 年)的定性分析-综合过程进行:基于帕尔斯理论的第一条原则的研究结果表明,COVID-19 的含义从 "致命 "转变为 "可治愈的疾病"。在第二个原则中,发现了 "不相信/震惊-积极参与康复"、"绝望-希望 "和 "无知-求知 "的悖论。根据第三条原则,患者和她的女儿学会了如何走超越之路,如何处理疾病冲突,如何在处理悖论时进行必要的改变:结果表明,帕尔斯理论可用于改善自发性气胸老年患者的健康状况和处理矛盾。建议在今后的研究中将该理论用于其他患者的护理中。
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Applying Parse's Human Becoming Theory for Caring of an Elderly with Spontaneous Pneumothorax Following the COVID-19: A Case Study.

Introduction: The elderly are one of the main groups at risk of contracting COVID-19. Using Parse's human becoming in practice can lead to important changes in a person's health. This study aimed to apply this theory in caring of an elderly patient with spontaneous pneumothorax following COVID-19.

Methods: This research was a case study which was conducted in 2023 in Guilan (Iran). This study was conducted based on the three principles of Parse's theory (meaning, rhythmicity, and transcendence) using Purposive sampling. Nursing interventions were performed based on the PRISM model (presence, respect, information, services, and movement). The data analysis was done based on the qualitative analysis-synthesis process of Parse's research methodology (2011).

Results: Findings based on the first principle of Parse's theory showed that the meaning of COVID-19 changed from "lethal" to "curable disease". In the second principle, the paradoxes of "disbelief/shock-active participation for recovery", "despair-hope", and "ignorance- searching for knowledge" were identified. According to the third principle, the patient and her daughter had learned how to take the path of transcendence and deal with disease conflicts and create the necessary change in dealing with paradoxes.

Conclusion: The results showed that Parse's theory could be used to improve health status and deal with paradoxes in elderly patients suffering from spontaneous pneumothorax. It is suggested that this theory will be used in future studies in the care of other patients.

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