Yang Yueh-Ying, Lee Feng-Ping
Department of Nursing, Shu Zen College of Medicine and Management & Graduate Student, Graduate Institute of Nursing, Fooyin University, ROC.
Hu Li Za Zhi. 2012 Aug;59(4):99-104. doi: 10.6224/JN.59.3.99.
Loss is a phenomenon common to the human experience. Feelings of loss represent an emotional response to separation from subjectively important person(s) or things. Loss often leaves nursing home elderly residents feeling abandoned, insecure, lonely, and hopeless and may affect their perception of the meaning of life. Those who are unable to adjust may slip into a depressed mood, which may lead to suicidal ideations. No systematic analysis of loss has been conducted. The purpose of this paper is to expand understanding of the concept of loss. The authors intend to clarify the defining attributes of loss, identify the antecedents that influence the perception of loss and discuss the possible consequences of loss using Walker and Avant's (2005) concept analysis. A model case is used to demonstrate how loss is tied to these critical attributes. Borderline and contradictory cases are presented to differentiate between the concept of loss and other concepts. It is believed that this analysis will help nursing staff to gain a better understanding of the concept of loss and help them apply this knowledge in clinical practice.
丧失是人类经历中常见的一种现象。丧失感代表着对与主观上重要的人或事物分离的一种情绪反应。丧失常常让养老院的老年居民感到被抛弃、缺乏安全感、孤独和绝望，并且可能影响他们对生命意义的认知。那些无法调整的人可能会陷入抑郁情绪，这可能导致自杀念头。目前尚未对丧失进行系统的分析。本文的目的是拓展对丧失概念的理解。作者们打算通过运用沃克和阿万特（2005年）的概念分析法，阐明丧失的定义属性，确定影响丧失认知的先行因素，并讨论丧失可能产生的后果。一个典型案例用于说明丧失如何与这些关键属性相关联。还呈现了边缘案例和矛盾案例，以区分丧失概念与其他概念。相信这种分析将有助于护理人员更好地理解丧失概念，并帮助他们将这一知识应用于临床实践。
