Chang S O
College of Nursing, Korea University, Seoul, Korea.
J Adv Nurs. 2001 Mar;33(6):820-7. doi: 10.1046/j.1365-2648.2001.01721.x.
This study was conducted to clarify and to conceptualize the phenomena of physical touch in caring.
Physical touch occurs frequently in patient care situations and has specific meanings within the context of caring. However, the concept of physical touch in caring has not been well articulated in the literatures, although the phenomena of touch and physical touch have been studied in relation to comfort, sense of well-being and connectedness.
DESIGN/METHOD: The Hybrid Model of concept development was applied to develop a conceptual structure of physical touch in caring, which included a field study carried out in Seoul, South Korea using in-depth interviews with 39 adult subjects consisting of health-care professionals, in-patients, and healthy persons.
RESULTS/FINDINGS: The concept of physical touch in caring emerged as a complex phenomenon having meanings on several different dimensions which were encompassed several attributes and the conceptual structure of physical touch in caring centred around five aspects of goals for physical touch: promoting physical comfort, promoting emotional comfort, promoting mind-body comfort, performing social role, and sharing spirituality.
Physical touch in caring as a concept having the dimensions of physical, emotional, social, and spiritual significance needs to be treated in a holistic way and it is possible to enrich the meanings and methods of physical touch in nursing so that its application may have effects that have positive impacts on patients' well-being and comfort.
本研究旨在阐明并概念化关怀中身体接触的现象。
身体接触在患者护理情境中频繁发生,且在关怀背景下具有特定含义。然而,尽管已经针对接触和身体接触与舒适感、幸福感及联系感的关系进行了研究,但关怀中身体接触的概念在文献中尚未得到充分阐述。
设计/方法:应用概念发展的混合模型来构建关怀中身体接触的概念结构,其中包括在韩国首尔进行的一项实地研究,对39名成年受试者进行深入访谈,这些受试者包括医护专业人员、住院患者和健康人。
结果/发现:关怀中身体接触的概念呈现为一种复杂现象,在几个不同维度上具有意义,这些维度包含若干属性,且关怀中身体接触的概念结构围绕身体接触的五个目标方面展开:促进身体舒适、促进情感舒适、促进身心舒适发挥社会作用以及分享精神层面的感受。
关怀中的身体接触作为一个具有身体、情感、社会和精神层面意义的概念,需要以整体的方式对待,并且有可能丰富护理中身体接触的含义和方法,使其应用能够对患者的幸福感和舒适度产生积极影响。