Ebbeskog B, Ekman S L
Department of Clinical Neuroscience, Occupational Therapy and Elderly Care Research, Division of Geriatric Medicine, Centre for Elderly Care Research, Karolinska Institute, Stockholm, Sweden.
Scand J Caring Sci. 2001;15(3):235-43. doi: 10.1046/j.1471-6712.2001.00018.x.
The aim was to illuminate elderly persons' experiences of living with venous leg ulcer. Fifteen persons 74-89 years of age with active leg ulcer were interviewed. Data were analysed utilizing a phenomenological-hermeneutic approach inspired by Ricoeur. The analysis includes dialectic movement between understanding and explanation of the text as a whole and its parts. In the structural analysis four themes were identified: emotional consequences of altered body image, living a restricted life, achievement of well-being in connection with a painful wound and bandage, and struggle between hope and despair with regard to a lengthy healing process. The comprehensive understanding indicated that the meaning of living with venous leg ulcer can be understood as a dialectal relationship between, on the one hand the feeling of being imprisoned in the body, the bandage and the home, and on the other hand, hope of freedom from a burdensome body. The results indicate that the concept, body of image, is vitally relevant to the caring of elderly people with venous leg ulcer. The study shows the importance of recognizing the persons' perceptions of their leg ulcers and the impact of these perceptions on well-being. Nurses can thereby anticipate problems and provide more sensitive care.
目的是阐明老年人患有下肢静脉溃疡的生活体验。对15名年龄在74至89岁、患有活动性腿部溃疡的患者进行了访谈。采用受利科启发的现象学-诠释学方法对数据进行分析。分析包括对文本整体及其各部分的理解与解释之间的辩证运动。在结构分析中，确定了四个主题：身体形象改变的情感后果、受限的生活、与疼痛伤口及绷带相关的幸福感的实现，以及在漫长愈合过程中希望与绝望的挣扎。全面理解表明，患有下肢静脉溃疡的生活意义可理解为一种辩证关系，一方面是被困于身体、绷带和家中的感觉，另一方面是摆脱沉重身体的希望。结果表明，身体形象这一概念与护理患有下肢静脉溃疡的老年人密切相关。该研究表明认识到患者对其腿部溃疡的认知以及这些认知对幸福感的影响非常重要。护士由此可以预见问题并提供更贴心的护理。
