Robison Darlene, McInnis-Perry Gloria, Weeks Lori E, Foley Vicki
J Psychosoc Nurs Ment Health Serv. 2018 Feb 1;56(2):20-28. doi: 10.3928/02793695-20170929-01. Epub 2017 Oct 9.
There is a lack of nursing literature on older adults' perceptions of dignity, specifically those of older adults with schizophrenia. With the aging population, mental health services and support for older adults with schizophrenia will become a greater priority. The purpose of the current descriptive phenomenological study was to describe the meaning of the lived experience of dignity for older adults with schizophrenia residing in assisted living facilities. A purposive sample of eight older adults with schizophrenia residing in assisted living facilities participated in semi-structured interviews following the descriptive phenomenological psychological method. Five intertwined constituents were identified: (1) dignity is an intrinsic or self-regarding experience; (2) dignity is an experience that is reciprocal, extrinsic, and regards others, and is embedded in social relationships; (3) dignity can be eroded by ageism, stigma, discrimination, and alienation; (4) dignity can be interrupted when positive and negative symptoms of schizophrenia are present and misunderstood by others; and (5) dignity can be enhanced when oneself and others embrace a recovery-focused relationship. Implications for mental health nursing are provided. [Journal of Psychosocial Nursing and Mental Health Services, 56(2), 20-28.].
关于老年人对尊严的认知，尤其是患有精神分裂症的老年人的尊严认知，护理文献较为匮乏。随着人口老龄化，为患有精神分裂症的老年人提供心理健康服务和支持将变得更加重要。当前这项描述性现象学研究的目的是描述居住在辅助生活设施中的患有精神分裂症的老年人尊严的生活体验的意义。按照描述性现象学心理学方法，对居住在辅助生活设施中的八名患有精神分裂症的老年人进行了有目的抽样，并参与了半结构化访谈。确定了五个相互交织的要素：（1）尊严是一种内在的或关乎自身的体验；（2）尊严是一种相互的、外在的、关乎他人的体验，且融入社会关系之中；（3）尊严会因年龄歧视、污名、歧视和疏离而受到侵蚀；（4）当精神分裂症的阳性和阴性症状出现并被他人误解时，尊严会被打断；（5）当自己和他人建立以康复为重点的关系时，尊严会得到增强。文中还给出了对心理健康护理的启示。[《心理社会护理与心理健康服务杂志》，第56卷第2期，20 - 28页。]
