A qualitative study on the dual coping experience of nursing dependence among middle-aged and young patients with enterostomy and their primary caregivers
10.3761/j.issn.0254-1769.2025.04.001
- VernacularTitle:中青年肠造口患者及其主要照护者护理依赖二元应对体验的质性研究
- Author:
Yang YANG
1
;
Mei LIU
1
;
Mo XIONG
1
;
Lijuan FENG
1
;
Chunzi YANG
1
Author Information
1. 430030 武汉市 华中科技大学同济医学院附属同济医院护理部
- Publication Type:Journal Article
- Keywords:
Enterostomy;
Nursing Dependency;
Family Resilience;
Caregivers;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(4):389-395
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the dual coping experience of nursing dependence among middle-aged and young patients with enterostomy and their primary caregivers from the perspective of family resilience,in order to provide evidence for improving the experience of nursing dependence and promoting family resilience.Methods Us-ing the phenomenological research method in qualitative research,18 young and middle-aged enterostomy patients and their primary caregivers were selected for semi-structured interviews with purpose sampling method,and the in-terview data were analyzed by content analysis method.Results A total of 4 themes and 8 sub-themes were ex-tracted.Theme 1:heavy dependence-elastic fatigue-weak resilience(patients avoid stomas,depression,caregivers help-lessly accepting;patients role reinforcement,excessive dependence,caregivers exhaustion);theme 2:moderate depen-dence-elastic adjustment-strong resilience trend(active exploration,mutual understanding,perceived support;focus ad-justment,mutual dependence,positive relationship);theme 3:mild dependence-elastic space-strong resilience(self-con-trollable feeling,quick adaptation,mutual growth;facing calmly,cherishing life,reshaping value);theme 4:no depen-dence-gradual loss of elasticity-weak resilience trend(refusal to seek help,self isolation,relationship cracks;frustration in seeking help,self-protection,relationship alienation).In this article,we proposed a preliminary family resilience model for patients with enterostomy.Conclusion The dual coping and family resilience of the patients with en-terostomy and their primary caregivers are different and dynamic.Family-centered support should be applied to strengthen the positive coping and improve the level of family resilience.In addition,this study also tried to pro-pose a family resilience model for patients with enterostomy based on nursing dependence,in order to enrich the connotation of family resilience.
