Duggleby Wendy, Wright Karen
College of Nursing, University of Saskatchewan, Saskatoon, Canada.
Can J Nurs Res. 2009 Mar;41(1):204-17.
Hope is important to palliative patients; however, the process by which these patients live with hope is unknown. The purpose of this study was to describe, using a grounded theory approach, the processes by which palliative patients live with hope. Sixteen interviews were conducted with 10 home-care palliative patients (mean age 75 years) in their homes using open-ended questions. The participants defined their hope as expectations such as not suffering more and having a peaceful death.They described their main concern as wanting to "live with hope" and they achieved this through the basic social process of transforming hope. Transforming hope involved acknowledging "life the way it is", searching for meaning, and positive reappraisal. The results of this study provide a foundation for future research and the development of interventions to engender hope in older palliative patients.
希望对姑息治疗患者很重要；然而，这些患者怀揣希望生活的过程尚不清楚。本研究的目的是采用扎根理论方法描述姑息治疗患者怀揣希望生活的过程。通过开放式问题，对10名居家护理的姑息治疗患者（平均年龄75岁）进行了16次访谈。参与者将他们的希望定义为诸如不再遭受更多痛苦和安详离世等期望。他们将主要关注点描述为想要“怀揣希望生活”，并且他们通过转变希望这一基本社会过程实现了这一点。转变希望包括承认“生活的本来面目”、寻找意义和积极重新评价。本研究结果为未来研究以及开发在老年姑息治疗患者中激发希望的干预措施奠定了基础。
