Linnaeus University, Kalmar, Sweden.
Qual Health Res. 2020 Nov;30(13):1989-2000. doi: 10.1177/1049732320938343. Epub 2020 Jul 10.
Research results suggest that illness can undermine patients' dignity and that dignity can be understood as an experience formed in communion with others. The aim of this study was, therefore, to illuminate the meanings of lived experiences of dignity as an intersubjective phenomenon from the perspective of dyads in palliative care. The authors analyzed transcripts from interviews with nine dyads using a phenomenological-hermeneutical method. Within the contexts of the dyadic relationship and the dyadic-health care professional relationship, the authors' interpretation revealed two meanings based on the participants' lived experiences: "Being available," related to responding and being responded to in terms of answerability and we-ness, and "Upholding continuity," linked to feeling attached through the maintenance of emotional bonds and being connected through upholding valued activities and qualities in daily living. The authors further reflected on the meanings in relation to philosophically grounded concepts such as presence, objectification, dependence, and dyadic body.
研究结果表明,疾病可能会损害患者的尊严,而尊严可以被理解为一种在与他人交往中形成的体验。因此,本研究的目的是从姑息治疗中二人组的角度阐明尊严的主观体验的意义。作者采用现象学-解释学方法,对 9 对二人组的访谈记录进行了分析。在二人关系和二人医患关系的背景下,作者的解释揭示了基于参与者的生活经验的两个意义:“在场”,与可回答性和我们感相关,涉及响应和被响应;“保持连续性”,与通过维护情感纽带而产生的依恋感以及通过坚持日常生活中具有价值的活动和品质而产生的联系感相关。作者进一步从哲学基础概念(如在场、客观化、依赖性和二人体)的角度反思了这些意义。