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对女性特质认知的转变:与帕金森病共存

Changing perceptions of womanhood: living with Parkinson's Disease.

作者信息

Fleming Valerie, Tolson Debbie, Schartau Elgin

机构信息

School of Nursing, Midwifery and Community Health, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, Scotland, UK.

出版信息

Int J Nurs Stud. 2004 Jul;41(5):515-24. doi: 10.1016/j.ijnurstu.2003.12.004.

Abstract

This study adopted a multiple case study design to develop our understanding of the experiences and adjustments made by women with Parkinson Disease in relation to womanhood. Nineteen women participated in this investigation telling their stories through a combination of individual interviews, group interviews, reflective diaries, reflective tapes and creative writing. Data were analysed using the framework of Intrapersonal, Interpersonal, Extrapersonal and Metapersonal health proposed by Boddy and Rice (Perspectives on Health and Illness, Dunsmore Press, Palmerston North, 1992). Women reported that major changes were required in their lives in each of these aspects of health. In particular women reported labile emotions, changing body images, changing lifestyles, changing relationships with partner, family and friends, increasing dependence, decreasing role fulfillment and the need for support versus increasing isolation. The findings are of particular relevance to nurses and other health professionals involved with women with Parkinson's Disease as well as social services and voluntary agencies.

摘要

本研究采用多案例研究设计,以增进我们对帕金森病女性患者在女性身份方面的经历和调整的理解。19名女性参与了这项调查,她们通过个人访谈、小组访谈、反思日记、反思录音带和创意写作相结合的方式讲述自己的故事。数据采用博迪和赖斯(《健康与疾病的视角》,邓斯莫尔出版社,北帕默斯顿,1992年)提出的个人、人际、超个人和元个人健康框架进行分析。女性报告称,在健康的这些方面,她们的生活都需要做出重大改变。特别是,女性报告了情绪不稳定、身体形象变化、生活方式改变、与伴侣、家人和朋友的关系变化、依赖性增加、角色成就感降低以及对支持的需求与日益增加的孤立感。这些发现对于参与帕金森病女性患者护理的护士和其他健康专业人员以及社会服务和志愿机构尤为重要。

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