Ashford and St Peter's Hospitals NHS Trust, Chertsey, Surrey, UK.
J Clin Nurs. 2009 Jun;18(12):1784-92. doi: 10.1111/j.1365-2702.2008.02674.x.
The study investigated the lived experiences of older patients who had been in hospital, to explore their views on dignity and the factors which promote dignity.
The UK government's new ambition for old age (New Ambition for Old Age: Next Steps in implementing the National Service Framework for Older People: A Report from Professor Ian Philip, DH) states that older people should be treated with dignity. The dignity in Care Campaign ('Dignity in Care'Public Survey, October 2006: Report of the Survey, DH) highlighted the need to raise staff's awareness and understanding of dignity.
A purposive sample of older people took part in semi- structured interviews which focussed on their recent experiences of hospital admission. Qualitative data analysis was used.
Ten participants aged 73-83 were interviewed by a nurse researcher at home. All of the participants had an unplanned admission and were discharged home.
The participants although generally satisfied with their care had strong views on dignity. The following factors had the potential to promote dignity; privacy for the body, cleanliness, independence and being able to exert control, sufficient time from staff, attitudes to older people and communication.
This study suggests that independence and effective communication are of central importance in maintaining dignity through achieving control of their situation. The participants observed that factors such as speaking inappropriately and waiting for personal care undermined older people's perceptions of dignity. Several participants feared for their own dignity should they have cognitive problems later in their lives.
Staff need to be aware that communicating in a way that conveys empathy and responds to the individual as a valued person is an important factor in maintaining dignity. Nurses on hospital wards particularly need to take measures to safeguard the dignity of older people with cognitive problems who have difficulty in making their needs known.
本研究调查了住院老年患者的生活体验，旨在探讨他们对尊严的看法以及促进尊严的因素。
英国政府新的老年愿景（《新老年愿景：实施国家老年人服务框架的下一步：来自 Ian Philip 教授的报告，DH》）指出，老年人应受到尊重。“关爱中的尊严运动”（“尊严在关爱”公众调查，2006 年 10 月：DH 调查报告）强调需要提高员工对尊严的意识和理解。
采用目的性抽样方法，选择最近住院经历的老年患者参与半结构化访谈。使用定性数据分析方法。
由一名护士研究员在家中对 10 名年龄在 73-83 岁的参与者进行访谈。所有参与者均因非计划住院而接受治疗，并被送回家中。
尽管参与者对护理总体上感到满意，但他们对尊严有强烈的看法。以下因素有可能促进尊严：身体的隐私、清洁、独立和控制、从员工那里获得足够的时间、对老年人的态度和沟通。
本研究表明，通过实现对自己处境的控制，独立性和有效的沟通对于维护尊严至关重要。参与者观察到，不当言语和等待个人护理等因素会破坏老年人对尊严的看法。一些参与者担心自己以后认知能力出现问题时，自己的尊严会受到威胁。
护理人员需要意识到，以表达同理心和将个体视为有价值的人的方式进行沟通是维护尊严的一个重要因素。病房护士尤其需要采取措施保护有认知问题、难以表达需求的老年患者的尊严。
