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多发性硬化症新确诊患者陪护人员的经历:一项诠释现象学研究。

The experiences of support persons of people newly diagnosed with multiple sclerosis: an interpretative phenomenological study.

作者信息

Strickland Karen, Worth Allison, Kennedy Catriona

机构信息

School of Nursing, & Midwifery, Robert Gordon University, Aberdeen, UK.

Wellcome Trust Clinical Research Facility, The University of Edinburgh, UK.

出版信息

J Adv Nurs. 2015 Dec;71(12):2811-21. doi: 10.1111/jan.12758. Epub 2015 Sep 4.

Abstract

AIM

This study explores the experience of the diagnosis of Multiple Sclerosis for the support person and identifies the impact on their lives.

BACKGROUND

At the time of diagnosis, the support person may not be readily identified in a traditional caring role; however, the diagnosis itself brings with it the possibility of changes to the roles in the relationship and possible consequences for biographical construction.

DESIGN

A hermeneutic phenomenological study.

METHODS

A convenience sample of nine support persons was interviewed between December 2008-March 2010. The data were analysed using interpretative phenomenological analysis.

FINDINGS

The participants in this study were often not readily identifiable as 'carers'; however, the diagnosis of Multiple Sclerosis implied a shift towards a caring role at some point in the future. The uncertainty surrounding the nature and progression of the condition left this identity hanging, incomplete and as such contributed to a liminal way of being.

CONCLUSIONS

This paper reveals that biographical disruption is not limited to the person diagnosed with Multiple Sclerosis but that the support person also undergoes a transition to their sense of self to that of 'anticipatory carer'. The findings provide insight into the biographical and emotional impact of Multiple Sclerosis on the support persons early in the development of the condition.

摘要

目的

本研究探讨多发性硬化症患者的照料者在诊断过程中的经历,并确定其对生活的影响。

背景

在诊断之时,照料者可能并未被视为传统意义上的照料角色;然而,诊断本身却带来了关系中角色变化的可能性以及对个人经历构建的潜在影响。

设计

一项诠释现象学研究。

方法

2008年12月至2010年3月期间,对9名照料者进行了便利抽样访谈。采用诠释现象学分析法对数据进行分析。

结果

本研究中的参与者通常并不容易被视为“照料者”;然而,多发性硬化症的诊断意味着在未来某个时刻会朝着照料角色转变。病情性质和发展的不确定性使这种身份处于悬而未决、不完整的状态,从而导致一种阈限状态。

结论

本文揭示,个人经历的中断不仅限于被诊断为多发性硬化症的患者,照料者也会经历从自我认知到“预期照料者”的转变。研究结果深入了解了多发性硬化症在病情发展早期对照料者个人经历和情感的影响。

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