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存在性无聊:接受血液透析治疗的生活体验。

Existential boredom: the experience of living on haemodialysis therapy.

作者信息

Moran A, Scott P A, Darbyshire P

机构信息

Dublin City University, Dublin, Ireland.

出版信息

Med Humanit. 2009 Dec;35(2):70-5. doi: 10.1136/jmh.2009.001511.

Abstract

Empathy is an essential component of professional nursing practice. In order to empathise appropriately with patients, it is crucial that nurses appreciate, understand and respond to their patients' experience of illness. This study sought to explore the experiences of 16 people with end stage renal disease on haemodialysis therapy in Ireland. A hermeneutical phenomenological methodology was employed incorporating qualitative interviews. The data were analysed using qualitative interpretive analysis. The experience of waiting was significant for the participants in the study. The experience of waiting was constituted by two themes labelled killing time and wasting time. It is suggested that the participants' experience of waiting is reminiscent of Heidegger's existential account of boredom. Moreover, the existential perspective of boredom contained within the participants' accounts is also depicted by Beckett in his play Waiting for Godot. Consequently, the literature of both existential writers is incorporated to provide a more in-depth description of the participants' experience of waiting. It is hoped that the insights provided in this paper will enable practitioners to gain a new awareness and understanding of patients' experiences of end stage renal disease and haemodialysis therapy. This would subsequently enable these professionals to empathise more effectively with their patients' situation and respond more appropriately to their care needs.

摘要

同理心是专业护理实践的重要组成部分。为了恰当地对患者产生同理心,护士理解、明白并回应患者的患病体验至关重要。本研究旨在探究爱尔兰16位接受血液透析治疗的终末期肾病患者的经历。采用了诠释现象学方法,纳入了定性访谈。数据运用定性解释性分析进行分析。等待的经历对研究中的参与者意义重大。等待的经历由“消磨时间”和“浪费时间”这两个主题构成。研究表明,参与者的等待经历让人联想到海德格尔对无聊存在主义的阐释。此外,贝克特在其戏剧《等待戈多》中也描绘了参与者叙述中所包含的无聊存在主义视角。因此,将两位存在主义作家的文献纳入,以更深入地描述参与者的等待经历。希望本文提供的见解能使从业者对终末期肾病患者及血液透析治疗的经历有新的认识和理解。这随后将使这些专业人员能更有效地对患者的情况产生同理心,并更恰当地回应他们的护理需求。

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