Artioli Giovanna, Cosentino Chiara, Taffurelli Chiara, Ferri Paola, Foà Chiara
Azienda USL-IRCCS of Reggio Emilia, Italy.
Acta Biomed. 2019 Jul 8;90(6-S):7-16. doi: 10.23750/abm.v90i6-S.8640.
If it is true that the impact of the symptoms of the disease is differently perceived by each person and that there is an incommunicability of the experiences of suffering, it is equally true that the narration provides an understandable representation, which derives from the network of representations that are part of a personal history. The aim of this study was to offer an in-depth analysis of the "narrative interview" collected during the assessment of a 74 years old diabetic woman.
A case study was conducted by a nurse with advanced expertise in conducting narrative interview. Content analysis and Meaning analysis were performed using a Grounded theory approach and according with Gee's Poetic Method.
The patient after the diagnosis felt disbelief, anger and confusion. The illness forces her to change her life, habits and social role, with high suffering. However she adjusted to this new condition and thanks to her strong and positive attitude and the social support she received, she has succeeded in activating her "post traumatic growth".
A good narrative interview starts long before the interview itself and it requires: a specific training in the use of the instrument; the strengthening of specific skills (e.g. the active listening); the choice of optimal setting and timing for the patient; the ability to offer encouragement in the expression of the subjective experience and to conduct an analysis of the patient's words with a subjective lens, reflecting the uniqueness of each illness experience.
如果疾病症状对每个人的影响确实存在差异，且痛苦经历存在难以言传之处，那么同样正确的是，叙述能提供一种可理解的呈现，它源自个人历史所包含的表象网络。本研究的目的是对一名74岁糖尿病女性评估过程中收集的“叙事访谈”进行深入分析。
由一名在进行叙事访谈方面具有高级专业知识的护士开展一项案例研究。采用扎根理论方法并依据吉的诗性方法进行内容分析和意义分析。
诊断后，患者感到怀疑、愤怒和困惑。疾病迫使她改变生活、习惯和社会角色，承受巨大痛苦。然而，她适应了这种新状况，多亏其坚定积极的态度以及所获得的社会支持，她成功实现了“创伤后成长”。
一次良好的叙事访谈早在访谈本身之前就已开始，它需要：在使用该工具方面进行专门培训；强化特定技能（如积极倾听）；为患者选择最佳的环境和时机；有能力鼓励患者表达主观体验，并以主观视角对患者的话语进行分析，体现每种疾病经历的独特性。
