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接受暴露——老年人讲述的在养老院接受身体护理援助的意义。

Assenting to exposedness - meanings of receiving assisted bodily care in a nursing home as narrated by older persons.

作者信息

Holmberg Bodil, Hellström Ingrid, Norberg Astrid, Österlind Jane

机构信息

Department of Health Care Sciences/Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.

Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.

出版信息

Scand J Caring Sci. 2019 Dec;33(4):868-877. doi: 10.1111/scs.12683. Epub 2019 Mar 19.

Abstract

Most older persons moving to a nursing home need to receive assisted bodily care, which means being in a position of vulnerability. However, few studies have explicitly focused on the meanings of receiving assisted bodily care from the older persons' perspective. This study aimed to elucidate meanings of receiving assisted bodily care, as narrated by older persons living in a nursing home. Twelve men and women, aged 80 or older, living in a Swedish nursing home, participated in the study. Data were generated by narrative interviews and analysed with a phenomenological-hermeneutical method. The regional ethics committee approved the study. In the analysis, one main theme emerged: 'Assenting to exposedness'. This theme comprised five themes, 'To have hope in hopelessness', 'To relinquish one's body into others' hands', 'To be between power and powerlessness', 'To oscillate between one's own responsibility and demands', 'To be in an ongoing interaction', and ten subthemes. In conclusion, receiving assisted bodily care means to be exposed, but not passively. Rather, it means to be self-determinant for as long as possible, to perceive the body as lived. When the body must be relinquished to others, it might be objectified, leading to care-suffering. To avoid this, the older persons use a certain competence, acquired through life, to decide when to take action or when to assent. However, this is but one of the several possible interpretations, which may be considered a limitation.

摘要

大多数搬入养老院的老年人需要接受身体护理协助,这意味着他们处于一种脆弱的境地。然而,很少有研究明确从老年人的角度关注接受身体护理协助的意义。本研究旨在阐明居住在养老院的老年人所讲述的接受身体护理协助的意义。12名年龄在80岁及以上、居住在瑞典一家养老院的男性和女性参与了该研究。数据通过叙事访谈收集,并采用现象学诠释学方法进行分析。地区伦理委员会批准了该研究。分析中出现了一个主要主题:“同意暴露”。这个主题包含五个主题,即“在绝望中怀有希望”“将自己的身体交给他人之手”“处于权力与无力之间”“在自身责任与他人要求之间摇摆”“处于持续的互动中”,以及十个子主题。总之,接受身体护理协助意味着暴露,但并非被动暴露。相反,这意味着尽可能长时间地保持自主,将身体视为有生命体验的。当身体必须交给他人时,它可能会被客体化,从而导致护理痛苦。为避免这种情况,老年人运用通过生活获得的某种能力来决定何时采取行动或何时同意。然而,这只是几种可能的解释之一,这可能被视为一种局限性。

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