Sorrenti Alessia, Arcadi Paola
Hospice Cascina Brandezzata, Milano.
Corso di Laurea in Infermieristica, Università di Milano, ASST Melegnano-Martesana.
Recenti Prog Med. 2022 Apr;113(4):263-271. doi: 10.1701/3792.37767.
Temporal dimension in hospice has an essential role, because the perception of time by the patients is influenced by the perspective of death. There are few international scientific studies and even fewer Italian studies about the perception of time by the patients, especially in palliative care. Therefore it's important to implement studies in this area with the purpose of giving more respectful and appropriate caring.
This study aimed to explore the perception of time by hospice patients and the implications that the perception of time has on the quality of life, and propose a time reading model.
Qualitative approach was used. Semistructured interviews were conducted with 25 hospice patients, enrolled with purposeful sampling. Data analysis was conducted using Qualitative Content Analysis.
The perception of time by patients in palliative care was described through three main themes: "time has quality and value", "time can be governed by people or dominate the person", "time has a present dimension that passes quickly or slowly and a future dimension made up of expectation and hopes". Was proposed a time reading model about connection between Aiòn, Chronos and Kairòs.
Through interviews was explored perception of time by patient obtaining useful elements for nursing care. This study suggests possible future directions for research about further elements that influence the experience of time and about the healthcare professional perspective about this theme.
临终关怀中的时间维度具有至关重要的作用,因为患者对时间的感知会受到死亡观念的影响。关于患者对时间的感知,尤其是在姑息治疗方面,国际上的科学研究较少,意大利的研究更是寥寥无几。因此,开展这一领域的研究很重要,目的是提供更具尊重性和恰当性的护理。
本研究旨在探讨临终关怀患者对时间的感知以及时间感知对生活质量的影响,并提出一种时间解读模型。
采用定性研究方法。通过目的抽样选取了25名临终关怀患者进行半结构化访谈。使用定性内容分析法进行数据分析。
姑息治疗患者对时间的感知通过三个主要主题进行描述:“时间具有质量和价值”、“时间可以由人掌控或支配人”、“时间有一个当下维度,过得快或慢,还有一个由期望和希望构成的未来维度”。提出了一个关于埃翁、克洛诺斯和凯洛斯之间联系的时间解读模型。
通过访谈探讨了患者对时间的感知,为护理获得了有用的要素。本研究为未来关于影响时间体验的进一步要素以及医疗专业人员对这一主题的看法的研究提出了可能的方向。