Edvardsson Jan David, Sandman Per-Olof, Rasmussen Birgit H
Department of Nursing, Umeå University, SE-901 87 Umeå, Sweden.
J Clin Nurs. 2003 Jul;12(4):601-9. doi: 10.1046/j.1365-2702.2003.00754.x.
Touch is central to nursing and health care workers frequently touch their patients, consciously or unconsciously in their interactions with them. Most literature has studied touch from a patient perspective, thus inquiry about professionals' experiences are rare. The aim of this study was to illuminate meanings of giving touch in nursing care of older patients. To understand the meaning of lived experiences of giving touch in care of older patients, interviews with 12 health care professionals in northern Sweden were analysed using a phenomenological-hermeneutic approach influenced by the philosophy of Ricoeur. The findings show that giving touch in the care of older patients is a transforming experience, where one suddenly perceives oneself as both a valuable person and professional who no longer powerlessly confronts patients' haunted and disrupted bodies, but who, by means of touch, has gained power to ease this suffering. The experience also transforms the way one regards older patients. Instead of seeing a severely demanding patient suffering from dementia and/or pain, one is able to see the person behind the disease as a human being, like oneself. A relationship described as calm, friendly and humane is created between caregiver and patient when giving touch, a relationship that transcends the moment of touch and influences one's way of caring. This understanding is presented using the theoretical framework of the philosophy of Marcel. Giving touch has the power to shed new light on health care professionals' experiences of caring for older patients suffering from dementia and/or pain, giving them the power to be a valuable person and professional.
触摸对于护理至关重要，医护人员在与患者互动时会频繁地有意识或无意识地触摸他们。大多数文献都是从患者的角度研究触摸，因此关于专业人员经历的探究很少见。本研究的目的是阐明在老年患者护理中给予触摸的意义。为了理解在老年患者护理中给予触摸的生活经历的意义，采用受里科尔哲学影响的现象学 - 诠释学方法，对瑞典北部12名医护人员的访谈进行了分析。研究结果表明，在老年患者护理中给予触摸是一种转变性的经历，在这个过程中，一个人突然将自己视为一个有价值的人以及专业人员，不再无力面对患者饱受困扰和受损的身体，而是通过触摸获得了减轻这种痛苦的力量。这种经历也改变了一个人看待老年患者的方式。不再将其视为患有痴呆症和/或疼痛的苛刻患者，而是能够将疾病背后的人视为人，就像自己一样。给予触摸时，护理人员和患者之间会建立一种被描述为平静、友好和人道的关系，这种关系超越了触摸的瞬间，并影响着一个人的护理方式。这一理解是运用马塞尔哲学的理论框架呈现的。给予触摸能够为医护人员护理患有痴呆症和/或疼痛的老年患者的经历带来新的启示，赋予他们成为有价值的人和专业人员的力量。
