慢性病患者健康信息规避的概念分析
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男,硕士在读,学生

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吉林省教育厅科学研究项目(JJKH20250431KJ)


Concept analysis of health information avoidance among patients with chronic diseases
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    目的 分析和阐述慢性病患者健康信息规避的概念内涵,为临床准确评估及制订个性化健康教育策略提供参考。方法 系统检索中国知网、万方数据知识服务平台、维普网、SinoMed、PubMed、Web of Science、Embase数据库中与慢性病患者健康信息规避相关的文献,采用Walker和Avant概念分析法对该概念进行分析。结果 最终纳入文献36篇。慢性病患者健康信息规避包括信息威胁感知、自我防御意图、多维行为阻断3个定义属性;前置因素包括个人因素、信息特征因素、社会因素;后果包括临床诊疗受阻、心理健康损害、疾病管理恶化、医疗负担增加。其测量工具包括信息回避量表、健康信息规避量表、风险信息规避测量工具和健康信息取向量表。结论 慢性病患者健康信息规避的研究有助于医护人员精准识别患者不配合表象背后的心理防御机制,为开发相关干预方案、引导患者转向适应性应对并提升慢病管理质量提供理论依据。

    Abstract:

    Objective To analyze and clarify the conceptual connotations of health information avoidance in patients with chronic diseases, thereby providing a reference for accurate clinical assessment and the development of personalized health education strategies. Methods A systematic literature search was conducted in CNKI, Wanfang Data, VIP, SinoMed, PubMed, Web of Science, and Embase for articles related to health information avoidance among chronic disease patients. Walker and Avant′s concept analysis method was applied to comprehensively analyze the concept. Results A total of 36 articles were included. Health information avoidance among patients with chronic diseases was characterized by three defining attributes: perceived information threat, self-defensive intention, and multidimensional behavioral blocking. Antecedents included individual factors, information-related factors, and social factors. Consequences included impeded clinical diagnosis and treatment, impaired psychological well-being, deterioration in disease management, and increased healthcare burden. Measurement instruments identified for assessing this concept included the Information Avoidance Scale, Health Information Avoidance Scale, Risk Information Avoidance Measure, and Health Information Orientation Scale. Conclusion Research on health information avoidance among patients with chronic diseases can help healthcare professionals accurately identify the psychological defense mechanisms underlying patients′ apparent noncompliance. It also provides a theoretical foundation for developing targeted interventions, facilitating patients′ transition toward adaptive coping strategies, and improving the quality of chronic disease management.

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张轩博,马一帆,李琳琳,孙文霞,吴锦姬.慢性病患者健康信息规避的概念分析[J].护理学杂志,2026,41(16):97-103

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  • 收稿日期:2026-03-20
  • 最后修改日期:2026-05-20
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  • 在线发布日期: 2026-10-08