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置身于一个失调的世界:陪伴一位老年住院患者

Participating in a world that is out of tune: shadowing an older hospital patient.

作者信息

van der Meide Hanneke, Olthuis Gert, Leget Carlo

机构信息

Tilburg University, Warandelaan 2, PO Box 90153, Tilburg, The Netherlands.

Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.

出版信息

Med Health Care Philos. 2015 Nov;18(4):577-85. doi: 10.1007/s11019-015-9621-1.

Abstract

Hospitalization significantly impacts the lives of older people, both physically and psychosocially. There is lack of observation studies that may provide an embodied understanding of older patients' experiences in its context. The aim of this single case study was to reach a deeper understanding of one older patient's lived experiences of hospitalization. The study followed a phenomenological embodied enquiry design and the qualitative observation method of shadowing was used. In April 2011, one older patient was shadowed for 7 days, 5-7 h per day. To facilitate understanding in the reader the experiences are first presented in a story and subsequently analyzed by means of the lifeworld framework. The findings show that hospitalization is experienced as ambiguous safety, disconnected time, the feeling of being partially involved, and the struggle to re-attune to the body.

摘要

住院对老年人的生活在身体和心理社会方面都有重大影响。缺乏观察性研究,而这类研究可能会让我们在实际情境中切实了解老年患者的经历。本单病例研究的目的是更深入地理解一位老年患者的住院生活经历。该研究采用现象学具身探究设计,并运用了跟踪观察的定性观察方法。2011年4月,对一位老年患者进行了为期7天的跟踪观察,每天观察5至7小时。为便于读者理解,这些经历首先以故事形式呈现,随后借助生活世界框架进行分析。研究结果表明,住院被体验为一种模糊的安全感、脱节的时间感、部分参与感以及重新适应身体的挣扎。

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