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内在力量、体力与日常生活中的生存幸福感:亲属在姑息家庭护理中接受软组织按摩的体验

Inner power, physical strength and existential well-being in daily life: relatives' experiences of receiving soft tissue massage in palliative home care.

作者信息

Cronfalk Berit Seiger, Strang Peter, Ternestedt Britt-Marie

机构信息

Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.

出版信息

J Clin Nurs. 2009 Aug;18(15):2225-33. doi: 10.1111/j.1365-2702.2008.02517.x.

Abstract

AIM AND OBJECTIVES

This article explores relatives' experiences of receiving soft tissue massage as a support supplement while caring for a dying family member at home.

BACKGROUND

In palliative home care, relatives play an important role as carers to seriously ill and dying family members. To improve their quality of life, different support strategies are of importance. Complementary methods, such as soft tissue massage have become an appreciated supplement for these patients. However, only few studies focus on relatives experiences of receiving soft tissue massage as a supplemental support.

DESIGN

Qualitative design

METHOD

Nineteen relatives received soft tissue massage (hand or foot) nine times (25 minutes) in their homes. Open-ended semi-structured tape-recorded interviews were conducted once per relative after the nine times of massage, using qualitative content analysis.

RESULTS

Soft tissue massage gave the relatives' feelings of 'being cared for', 'body vitality' and 'peace of mind'. For a while, they put worries of daily life aside as they just experienced 'being'. During massage, it became apparent that body and mind is constituted of an indestructible completeness. The overarching theme was 'inner power, physical strength and existential well-being in their daily lives'.

CONCLUSION

All relatives experienced soft tissue massage positively, although they were under considerable stress. Soft tissue massage could be an option to comfort and support relatives in palliative home care.

RELEVANCE TO CLINICAL PRACTICE

In palliative nursing care, soft tissue massage could present a worthy supplement in supporting caring relatives.

摘要

目的与目标

本文探讨亲属在家中照顾临终家庭成员时接受软组织按摩作为一种支持补充措施的体验。

背景

在姑息性家庭护理中,亲属作为重病和临终家庭成员的照顾者发挥着重要作用。为了提高他们的生活质量,不同的支持策略至关重要。诸如软组织按摩等补充方法已成为这些患者受欢迎的补充措施。然而,只有少数研究关注亲属接受软组织按摩作为补充支持的体验。

设计

质性设计

方法

19名亲属在家中接受了9次(每次25分钟)的软组织按摩(手部或足部)。在9次按摩后,对每位亲属进行了一次开放式半结构式录音访谈,并采用质性内容分析法。

结果

软组织按摩给亲属带来了“被关爱”“身体活力”和“内心平静”的感觉。有一段时间,他们把日常生活中的担忧放在一边,只专注于“存在”的体验。在按摩过程中,身体和心灵构成一个不可分割的整体这一点变得很明显。总体主题是“他们日常生活中的内在力量、体力和生存幸福感”。

结论

尽管亲属承受着巨大压力,但他们都对软组织按摩有积极的体验。软组织按摩可以作为一种在姑息性家庭护理中安慰和支持亲属的选择。

与临床实践的相关性

在姑息护理中,软组织按摩可以成为支持照顾亲属的一项有价值的补充措施。

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