Davies H
Axone. 1993 Dec;15(2):40-6.
This case study described how one spinal cord injured individual used hope as a coping strategy. Using observations and unstructured interviews, the indicators of hope were explored, as well as how hope was sustained over time and during crises. Data were gathered while nursing the individual, and his family using the McGill Model of Nursing. Qualitative data analysis revealed four categories which reflected indicators of hope (focusing on progress, positive interpretation, selective attention, goal setting), and seven categories of how hope was sustained (family responsibility, meaning in life, significant others, uncertainty of physiological status, past experience, goal attainment). Analysis of data also revealed that hope was goal directed, and hope was based on the reality perceptions of the individual. Over time, all indicators of hope were gradually displayed more often, and there was a gradual increase in focus on the meaning in life, family responsibility and goal achievement to sustain hope. Implications for nursing and research are suggested.
本案例研究描述了一名脊髓损伤患者如何将希望作为一种应对策略。通过观察和非结构化访谈，探讨了希望的指标，以及希望如何随着时间推移和在危机期间得以维持。在运用麦吉尔护理模式护理该患者及其家人的过程中收集了数据。定性数据分析揭示了反映希望指标的四个类别（关注进展、积极解读、选择性注意、目标设定），以及希望得以维持的七个类别（家庭责任、生活意义、重要他人、生理状态的不确定性、过去经历、目标达成）。数据分析还表明，希望是目标导向的，且希望基于个体的现实认知。随着时间推移，所有希望指标逐渐更频繁地显现，并且为维持希望，对生活意义、家庭责任和目标达成的关注逐渐增加。文中提出了对护理和研究的启示。
