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住院患者因身患绝症而遭受着生活的痛苦。

Hospitalized patients experienced suffering in life with incurable cancer.

作者信息

Rydahl-Hansen Susan

机构信息

The Research Unit, Department of Palliative Medicine, Bispebjerg Hospital, Copenhagen NV, Denmark.

出版信息

Scand J Caring Sci. 2005 Sep;19(3):213-22. doi: 10.1111/j.1471-6712.2005.00335.x.

Abstract

The concept 'suffering' has been central within nursing since Florence Nightingale. But few researchers have made empirical studies about the lived phenomenon. Several researchers within nursing agree that more research concerning individual groups of patients has to be initiated. Within research about patients with incurable cancer focus has been on death, the terminal period and patients experience of being dying. This qualitative study was initiated to describe the characteristics of a group of Danish hospitalized patients' experienced suffering in life with incurable cancer. Twenty-five semi-structured interviews were arranged with 12 patients ones a week within a period of 4 weeks. In week 2 and 4, the interviews were supplemented by questions developed on the basis of the potential signs of suffering which appeared during the participant observations that took place the day before each interview. C. S. Peirce's semiotic and phenomenological grounded theory of signs was used in order to identify the potential signs. A phenomenological methodology developed by A. Giorgi was used to develop and describe the general structure of the phenomenon. The phenomenon is described as: 'The experience of living in an increasingly unpredictable existents at the mercy of the body, the consciousness, the illness, the death, the treatment, the professionals, one's articulateness, the past, the present and the future, influenced by increasing powerlessness, loneliness and isolation, and the experience of existing in an persistent, and with time, unconquerable struggle to maintain and regain control'.

摘要

自弗洛伦斯·南丁格尔以来,“痛苦”这一概念在护理领域一直处于核心地位。但很少有研究者对这一实际现象进行实证研究。护理领域的一些研究者一致认为,必须针对不同患者群体开展更多研究。在关于无法治愈癌症患者的研究中,重点一直放在死亡、末期阶段以及患者对濒死的体验上。这项定性研究旨在描述一组丹麦住院的无法治愈癌症患者在生活中所经历痛苦的特征。在4周内,每周对12名患者进行一次访谈,共安排了25次半结构化访谈。在第2周和第4周,访谈通过基于每次访谈前一天进行的参与观察中出现的潜在痛苦迹象所提出的问题加以补充。运用了C.S.皮尔斯的符号学和现象学基础的符号理论来识别潜在迹象。采用了A.乔吉所发展的现象学方法来发展和描述该现象的一般结构。该现象被描述为:“生活在一个越来越不可预测的生存状态中,受身体、意识、疾病、死亡、治疗、专业人员、自身表达能力、过去、现在和未来所左右,受到日益增加的无力感、孤独感和孤立感的影响,以及体验到处于一种持续的、随着时间推移难以战胜的为维持和重新获得控制的挣扎之中”。

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