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物理治疗师的伦理:基于老年患者体验的触摸、身体性与亲密关系

Ethics of a Physiotherapist: Touch, Corporeality, Intimacy-Based on the Experience of Elderly Patients.

作者信息

Długołęcka A, Jagodzińska M, Bober W J, Przyłuska-Fiszer A

机构信息

Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Marymoncka 34, 00-968, 45, Warsaw, Poland.

出版信息

J Bioeth Inq. 2024 Sep;21(3):461-474. doi: 10.1007/s11673-023-10323-x. Epub 2024 May 15.

DOI:10.1007/s11673-023-10323-x
PMID:38748337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11652398/
Abstract

This paper presents a qualitative study investigating the application of physiotherapists' professional ethics in practice with respect to touch, intimacy, and corporeality during therapy, based on the experiences of elderly patients. As the relationship in a physiotherapy session is multidimensional, the study considered three levels: physical contact, verbal contact, and the conditions in which the therapy took place. The aim of this study was to find out what values are of importance to older people during a physiotherapy session, with emphasis on the categories of touch, corporeality, and intimacy. The studied group consisted of sixteen male and female physiotherapy patients aged between sixty-six and ninety-two years. The study was conducted according to the grounded theory methodology. The research material consisted of transcriptions of free targeted interviews, which were subjected to a process of coding and analysis. As a result of data analyses, three superior categories have been identified-safety, anxiety, interpersonal relationship-and three a priori categories stemming from the characteristic features of the study area-touch, corporeality, and intimacy. The a priori categories did not appear independently in statements made by the respondents, but instead seemed to be components of superior categories. The most important values indicated by the respondents concerned the interpersonal relationship with their physiotherapist and the feeling of safety and care. In terms of touch, corporeality, and intimacy, the respondents indicated, among others, the importance of predictability, a sense of security, privacy, and acceptance of the body.

摘要

本文基于老年患者的经历,呈现了一项定性研究,该研究调查了物理治疗师在治疗过程中关于触摸、亲密性和身体性方面的职业道德在实践中的应用。由于物理治疗过程中的关系是多维度的,该研究考虑了三个层面:身体接触、言语接触以及治疗发生的条件。本研究的目的是找出在物理治疗过程中对老年人来说哪些价值观是重要的,重点关注触摸、身体性和亲密性等类别。研究对象包括16名年龄在66岁至92岁之间的男性和女性物理治疗患者。该研究是根据扎根理论方法进行的。研究材料包括自由定向访谈的文字记录,这些记录经过了编码和分析过程。数据分析的结果确定了三个上级类别——安全、焦虑、人际关系——以及三个源于研究领域特征的先验类别——触摸、身体性和亲密性。先验类别并未在受访者的陈述中独立出现,而是似乎是上级类别的组成部分。受访者指出的最重要的价值观涉及与物理治疗师的人际关系以及安全感和关怀感。在触摸、身体性和亲密性方面,受访者指出了可预测性、安全感、隐私以及对身体的接受等方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/291428c82bde/11673_2023_10323_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/d97d65d974f3/11673_2023_10323_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/811333ece40a/11673_2023_10323_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/082a03cddc2f/11673_2023_10323_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/291428c82bde/11673_2023_10323_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/d97d65d974f3/11673_2023_10323_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/811333ece40a/11673_2023_10323_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/082a03cddc2f/11673_2023_10323_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efdd/11652398/291428c82bde/11673_2023_10323_Fig4_HTML.jpg

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本文引用的文献

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Touch in health professional practice: a review.医疗专业实践中的触碰:一项综述
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Experience of Touch in Health Care: A Meta-Ethnography Across the Health Care Professions.医疗保健中的触觉体验:跨越医疗保健专业的元民族志研究。
Qual Health Res. 2018 Jan;28(2):200-212. doi: 10.1177/1049732317707726. Epub 2017 May 11.
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Ethical problems and moral sensitivity in physiotherapy: a descriptive study.物理治疗中的伦理问题与道德敏感性:一项描述性研究。
Nurs Ethics. 2013 Aug;20(5):568-77. doi: 10.1177/0969733012468462. Epub 2013 Jan 17.
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Discipline, desire, and transgression in physiotherapy practice.理疗实践中的纪律、欲望和越轨。
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5
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Age-ism: another form of bigotry.年龄歧视:另一种偏见形式。
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