Cowdell Fiona, Galvin Kathleen T
Faculty of Health, Education and Life Science, Birmingham City University, Birmingham, UK.
School of Health Science, University of Brighton, Brighton, UK.
Nurs Inq. 2018 Oct;25(4):e12251. doi: 10.1111/nin.12251. Epub 2018 Jun 21.
Understanding people's experience of skin ageing as it is lived can enable sensitive approaches to promoting healthy skin and to care in general. By understanding the insider perspective, what it is like for individuals, a way to sensitise practice for more humanly sensitive care is offered. Through interviews with seventeen community-dwelling older people, the essential meaning of living within ageing skin was illuminated as a state of managed inevitability. The skin is inevitably changing, and ageing skin is a marker of change over time but the person within remains. Constituents of the phenomenon comprise the experience of unfamiliar sights and sensations given by ageing skin; facing and accepting bodily changes and seeing this back and forth in family connections; taking care of the skin "to face" the world; and to present oneself to others and a different place in the world, same person, changed body. Findings point to why and how nurses can treat older people as persons by not over emphasising a view on ageing bodies or bodies with aged skin alone, but in tempering this view with deeper existential insights, meeting the older person with a skin care need as a person and not just as a physical entity.
了解人们在实际生活中皮肤衰老的体验，有助于采取敏感的方法来促进皮肤健康及整体护理。通过了解内部视角，即个体的感受，提供了一种使护理实践更具人文关怀的方法。通过对17位社区居住的老年人进行访谈，揭示了在衰老皮肤中生活的本质意义是一种可控的必然性状态。皮肤不可避免地在变化，衰老的皮肤是随时间变化的标志，但内在的人依然存在。该现象的构成要素包括衰老皮肤带来的陌生视觉和感觉体验；面对并接受身体变化，并在家庭关系中反复审视这一点；护理皮肤以“面对”世界；向他人展示自己以及在世界上占据不同位置，同一个人，身体却已改变。研究结果指出了护士为何以及如何将老年人视为人，而不是仅仅过度强调对衰老身体或仅有衰老皮肤的身体的看法，而是要用更深刻的存在主义见解来调和这种看法，将有皮肤护理需求的老年人视为人，而不仅仅是一个物理实体。
