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“这让我感觉自己像个人了”——一项关于老年患者参与团队会议体验的现象学研究。

"It made me feel human"-a phenomenological study of older patients' experiences of participating in a team meeting.

机构信息

School of Health Sciences, University of Borås, Boras, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2013 May 28;8:20714. doi: 10.3402/qhw.v8i0.20714.

Abstract

This study focused on older patients participating in a team meeting (TM) in a hospital ward in Sweden. A process had taken place on the ward, in which the traditional round had developed into a TM and understanding what participating in a TM means for the older patient is necessary for the development of care that facilitates older patient's participation. The aim of this study was to describe the caring, as experienced by the older patients on a ward for older persons, with a specific focus on the team meeting. A reflective lifeworld research (RLR) design was used. Fifteen patients, 12 women and three men (mean age of 82 years) were interviewed while they were hospitalized in a hospital ward for older people. In the essential meaning of the phenomenon, the TM is described as being a part of a wider context of both caring and life. The need for hospitalization is an emotional struggle to overcome vulnerability and regain everyday freedom. The way in which the professionals are able to confirm vulnerability and create a caring relationship affects both the struggle for well-being and the possibilities for maintaining dignity. The essence is further explicated through its constituents; Vulnerability limits life; Life is left in the hands of someone else; Life is a whole and Space for existence. The result raises concern about how the care needs to be adjusted to older people's needs as lived bodies. The encounter between the carer and the patient needs to be developed in order to get away from the view of the patient as object. An expanded vision may open up for existential dimensions of what brings meaning to life. One way, as described by the patients, is via the patient's life stories, through which the patients can be seen as a whole human being.

摘要

本研究关注的是参与瑞典医院病房团队会议的老年患者。病房里发生了一个过程,传统的查房变成了团队会议,了解参与团队会议对老年患者意味着什么,对于促进老年患者的参与式护理是必要的。本研究的目的是描述老年人病房中老年人的护理体验,特别关注团队会议。采用反思生活世界研究(RLR)设计。在 15 名患者住院期间对他们进行了采访,其中 12 名女性,3 名男性(平均年龄 82 岁)。在现象的本质意义上,团队会议被描述为关怀和生活的更广泛背景的一部分。住院的需要是一种情感斗争,以克服脆弱性并重新获得日常生活的自由。专业人员能够确认脆弱性并建立关怀关系的方式,既影响了对幸福感的争取,也影响了维持尊严的可能性。本质通过其组成部分进一步说明;脆弱性限制生命;生命掌握在别人手中;生命是一个整体,存在的空间。结果引起了人们对护理如何适应老年人的生活需求的关注。为了摆脱将患者视为对象的观点,护理人员与患者之间的相遇需要进一步发展。更广阔的视野可能会为生活带来意义的存在维度打开空间。正如患者所描述的那样,一种方式是通过患者的生活故事,通过这些故事可以看到患者作为一个完整的人。

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