A concept analysis of “patient anguish”

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  • 「患者の苦痛」の概念分析

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Abstract

AIM: To clearly define the term “patient anguish” and improve guidance for nursing based on this definition. METHODS: We conducted a literature review of the Ichushi-Web database. This study targeted 22 articles referring to patient anguish in the results and discussion sections of the 67 studies extracted. Additionally, 22 studies were analyzed using Walker & Avant's conceptual analysis method (2008) . RESULTS: A conceptual analysis of “patient anguish” in the literature produced 13 categories of attributes, 7 of antecedents, and 6 of consequences. Patient anguish was defined from the constructed conceptual model as follows: Unpleasant emotions that include physical, mental, social, and spiritual aspects affected by personal or external circumstances; that are difficult to self-regulate;and have a chronic, negative effect on quality of life. DISCUSSION: It was again suggested that nurses should improve their knowledge and skills and build relationships with their patients to reduce “patient anguish.”

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