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[晚期癌症患者对临终关怀的接受体验:一项现象学研究]

[Experience in acceptance of hospice by patients with terminal cancer: a phenomenological research].

作者信息

Kwak Su Young, Lee Byoung Sook

机构信息

Dongsan Medical Center, Keimyung University, Daegu, Korea.

College of Nursing, Keimyung University, Daegu, Korea.

出版信息

J Korean Acad Nurs. 2013 Dec;43(6):781-90. doi: 10.4040/jkan.2013.43.6.781.

Abstract

PURPOSE

The purpose of this study was to further understanding of the experience in acceptance of hospice by patients with terminal cancer and to explore the structure of this experience.

METHODS

A phenomenological methodology was used for the study. Participants were nine patients who were admitted to the hospice unit of a university hospital. In-depth interviews were done for data collection and the data were analyzed using Colaizzi's method.

RESULTS

Four categories, eight theme clusters and 18 themes were identified for the experience in acceptance of hospice by patients with terminal cancer. The three categories were 'Hope for a comfortable death', 'Overcoming barrier of prejudice about hospice', 'Incessant craving for life', 'The last consideration for self and family'.

CONCLUSION

While accepting the hospice care, participants experienced inner conflict between giving up medical treatments that prolong life and choosing a comfortable death, and also experienced an incessant craving for life. By accepting hospice care, they showed a human dignity that entails careful concerns for both self and family members.

摘要

目的

本研究旨在进一步了解晚期癌症患者接受临终关怀的体验,并探索这种体验的结构。

方法

本研究采用现象学方法。参与者为九名入住某大学医院临终关怀病房的患者。通过深度访谈收集数据,并使用科莱齐方法对数据进行分析。

结果

确定了晚期癌症患者接受临终关怀体验的四个类别、八个主题群和18个主题。这四个类别分别是“对舒适死亡的希望”“克服对临终关怀的偏见障碍”“对生命的持续渴望”“对自我和家庭的最后考量”。

结论

在接受临终关怀时,参与者在放弃延长生命的医疗治疗和选择舒适死亡之间经历了内心冲突,同时也经历了对生命的持续渴望。通过接受临终关怀,他们展现了对自我和家庭成员都予以悉心关怀的人性尊严。

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