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颅脑损伤患者的生命尊严。

Dignity in the life of people with head injuries.

机构信息

Faculty of Nursing Education, Oslo University College, and Faculty of Health and Sport, University of Agder, Arendal, Norway.

出版信息

J Adv Nurs. 2009 Nov;65(11):2426-33. doi: 10.1111/j.1365-2648.2009.05110.x. Epub 2009 Sep 11.

Abstract

TITLE

Dignity in the life of people with head injuries.

AIM

This paper is a report of a study conducted to determine how people who suffer from head injuries perceive respect for their dignity and to discover what patients mean by the concept of 'dignity'.

BACKGROUND

We know something about what the phenomenon of dignity means. However, we still lack knowledge about how patients perceive dignity in their lives and how dignity may be fostered and supported.

METHODS

Qualitative interviews were carried out during 2007 with 14 patients suffering from head injuries, diagnosed as having mild to moderate disability. The study was explorative and descriptive, with a content analysis.

FINDINGS

Patients experienced their dignity as maintained when they were taken seriously, received appropriate information and were reality-oriented. They experienced their dignity as violated if they had been neglected or had encountered healthcare personnel who lacked knowledge, were sceptical about their stories, and where the patient experienced extra burden when they were mistrusted. The importance of adequate information was underscored. As interviewees said, head injuries do not show on the outside and people with head injuries do not have a high status in society.

CONCLUSION

Patients living with head injuries should be informed about consequences and be taught strategies for how to live with head injuries as early as possible after the injury in order to maintain dignity.

摘要

标题

头部损伤患者的生命尊严。

目的

本文是一项研究报告,旨在确定头部损伤患者如何感知对其尊严的尊重,并发现患者对“尊严”概念的含义。

背景

我们对尊严现象意味着什么有一定的了解。但是,我们仍然缺乏关于患者如何感知生活中的尊严以及如何培养和支持尊严的知识。

方法

2007 年,对 14 名被诊断为轻度至中度残疾的头部损伤患者进行了定性访谈。该研究具有探索性和描述性,采用内容分析法。

结果

当患者被认真对待、获得适当的信息并具有现实意识时,他们会感到自己的尊严得到维护。当他们被忽视或遇到缺乏知识、对他们的故事持怀疑态度、不信任患者并给他们带来额外负担的医护人员时,他们会感到自己的尊严受到侵犯。充分的信息至关重要。正如受访者所说,头部损伤不会表现在外表上,头部损伤患者在社会中的地位并不高。

结论

头部损伤患者应尽早在受伤后获得有关后果的信息,并教授应对头部损伤的策略,以维护尊严。

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