Tū Kaha: he mōhio ki ngā Māori o te kōmaoa waewae(坚强地站起来:新西兰奥特亚罗瓦毛利人腿部静脉溃疡定性研究》。)

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2024-10-18 DOI:10.1177/13591053241289049
Jacquie Kidd Ngāpuhi, Mary-Kaye Wharakura Tainui/Ngāpuhi, George Laking Te Whakatōhea, Dianna McGregor Ngāpuhi, Rosie Dobson, Andrew Jull
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引用次数: 0

摘要

腿部静脉溃疡对人们生活的影响远远超出了皮肤损伤,但这些影响尚未从原住民的角度进行探讨。我们采用以毛利人为中心的叙事方法,采访了新西兰奥特亚罗瓦13名患有腿部静脉溃疡的毛利人。数据分析采用了反思性主题方法,并确定了四个主题:Ko waewae ahau(我穿着这条腿);Ngā mea hōhā(恼人的事情);Ka tangi te ngākau(发自内心的悲伤);Mamae(疼痛、酸痛、伤害)。认识到患者对自身病情的专业知识,让家人参与护理规划和提供,同时提供一致的建议和资源获取途径,这些都将改善静脉溃疡患者的护理体验。腿部静脉溃疡护理培训需要超越对腿部的关注,转而采用更全面的方法,在管理静脉溃疡时更广泛地了解患者的经历和文化背景。
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Tū Kaha: he mōhio ki ngā Māori o te kōmaoa waewae (Stand Strong: A qualitative study of Māori with venous leg ulcers in Aotearoa New Zealand).

Venous leg ulcers have impact on people's lives far beyond that of a skin lesion but these impacts have not been explored from an Indigenous perspective. We used a Māori-centered narrative approach to interview 13 Māori in Aotearoa New Zealand with venous leg ulcers. Data analysis was informed by a reflexive thematic approach and four themes were identified: Ko waewae ahau (I wear the leg); Ngā mea hōhā (annoying things); Ka tangi te ngākau (heartfelt grief); and Mamae (pain, sore, hurt). Recognizing patients' expertise in their condition, the inclusion of whānau (family) in care planning and provision, while providing consistent advice and resource access, would all enhance the experience of venous ulcer management. Training in venous leg ulcer care needs to move beyond a focus on the leg and toward a more holistic approach that encompasses a broader understanding of patient experiences and cultural contexts when managing venous ulcers.

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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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