Joolaee S, Joolaei A, Tschudin V, Bahrani N, Nikbakht Nasrabadi A
Assistant Professor, Nursing Care Research Center and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2010 Oct 9;3:4. Print 2010.
The aim of this article is to describe how Iranian patients and their companions explain their lived experiences with caring relationships in a central teaching hospital in Tehran, Iran. Despite a large number of theoretical articles on this topic, the meaning of caring is still ambiguous, particularly in specific cultures. In Iran, there is not enough qualitative evidence on this topic to indicate what patients actually mean when they refer to caring relationship. This article explores how Iranian patients and their companions perceive and describe caring relationships as an element of patients' rights practice. This is part of a phenomenological research on patients' rights practice in Iran conducted during 2003-2006. Semi-structured interviews were conducted with 16 patients/companions, and van Mannen's approach was used for thematic analysis. The ethics committee of Tehran University of Medical Sciences approved the study. Patient-centered care, compassion, effective communication, support/advocacy, informed participation and meeting patients' basic needs were found to be the key elements in defining caring relationships. These themes were all described as elements of patients' rights practice issues. The results indicated that it is necessary for care givers/nurses to understand the person who will receive care in order to provide zealous and authentic care, because feeling "to be cared for" is even more important than providing the "care" itself.
本文旨在描述伊朗患者及其同伴如何阐释他们在伊朗德黑兰一家中心教学医院中有关关怀关系的生活经历。尽管关于这一主题有大量的理论文章，但关怀的含义仍然模糊不清，尤其是在特定文化背景下。在伊朗，关于这个主题缺乏足够的定性证据来表明患者在提及关怀关系时实际所指的含义。本文探讨伊朗患者及其同伴如何将关怀关系视为患者权利实践的一个要素来加以理解和描述。这是2003年至2006年期间在伊朗开展的一项关于患者权利实践的现象学研究的一部分。对16名患者/同伴进行了半结构化访谈，并采用范曼恩的方法进行主题分析。德黑兰医科大学伦理委员会批准了该研究。以患者为中心的护理、同情心、有效的沟通、支持/倡导、知情参与以及满足患者的基本需求被发现是界定关怀关系的关键要素。所有这些主题都被描述为患者权利实践问题的要素。结果表明，护理人员/护士有必要了解即将接受护理的人，以便提供热忱且真诚的护理，因为感受到“被关怀”甚至比提供“护理”本身更为重要。
