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探索慢性病患者痛苦的现象学维度:定性证据综合分析

Dimensions of Phenomenology in Exploring Patient's Suffering in Long-Life Illnesses: Qualitative Evidence Synthesis.

作者信息

Al Kalaldeh Mahmoud, Shosha Ghada Abu, Saiah Najah, Salameh Omar

机构信息

Al-Zaytoonah University of Jordan, Amman, Jordan.

Zarqa Private University, Zarqa, Jordan.

出版信息

J Patient Exp. 2018 Mar;5(1):43-49. doi: 10.1177/2374373517723314. Epub 2017 Aug 23.

Abstract

BACKGROUND

Patients' suffering has been increasingly investigated by health-care researchers especially in the chronically ill. Suffering is viewed as a progressive negative consequence that associated with pain, impaired self-esteem, and social alienation. This qualitative evidence synthesis aimed to provide further insights into the application of phenomenology in explaining suffering among patients with chronic illnesses.

METHODS

Studies included in this qualitative evidence synthesis study were retrieved by searching from the following electronic databases: CINAHL, PubMed Central, and EBSCO.

FINDINGS

Phenomenology is regarded as influential to generate in-depth evidence about suffering that are grounded in chronically ill patients' perspectives. The philosophical constructs of suffering suggested fundamental dimensions such as stress, distress, hopelessness, and depression along with pain. Evidence encompasses the entire manifestation of suffering in which all interrelated meanings are understood and referred to a unique structure. Hermeneutic phenomenology was adopted as an effective strategy to elucidate human experience leading to the discovery of the embedded meanings of life experience.

CONCLUSION

The phenomenological approach provides nursing research with the pathway to explore patients' suffering experiences in the chronically ill.

摘要

背景

医疗保健研究人员越来越多地对患者的痛苦进行调查,尤其是在慢性病患者中。痛苦被视为一种渐进性的负面后果,与疼痛、自尊受损和社会疏离感相关。本定性证据综合分析旨在进一步深入了解现象学在解释慢性病患者痛苦方面的应用。

方法

通过检索以下电子数据库获取本定性证据综合分析研究中纳入的研究:护理学与健康领域数据库(CINAHL)、美国国立医学图书馆的生物医学与生命科学期刊文献数据库(PubMed Central)和EBSCO数据库。

研究结果

现象学被认为有助于从慢性病患者的角度生成关于痛苦的深入证据。痛苦的哲学构建提出了诸如压力、痛苦、绝望和抑郁以及疼痛等基本维度。证据涵盖了痛苦的全部表现形式,其中所有相互关联的意义都得到理解并指向一个独特的结构。诠释现象学被用作一种有效的策略来阐释人类体验,从而发现生活经历中隐含的意义。

结论

现象学方法为护理研究提供了探索慢性病患者痛苦经历的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd7/5862380/9bc3e9a96d59/10.1177_2374373517723314-fig1.jpg

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