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護理暨健康照護研究 Scopus

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篇名 伴侶的身體接觸對慢性病人效用之研究
卷期 5:1
並列篇名 Efficacy of Spousal Body Touch on Patients With Chronic Diseases
作者 蔡麗琴簡上淇阮芳賦謝秀芳
頁次 42-50
關鍵字 身體接觸慢性病人伴侶效用body touchpatients with chronic diseasepartnerefficacy
出刊日期 200903

中文摘要

本研究旨在瞭解透過身體接觸對慢性病人的效用。研究樣本來自南部某醫學中心,以質性研究法深度訪談,研究樣本數5位男性病人及5位女性病人與其伴侶。研究的結果發現,共歸納出兩個方面:一、慢性病人身體的處境:一無用的身體;二有用的身體。二、身體接觸的成效:一身體功能方面:1.降低身體症狀的干擾;2.增進睡眠品質;二心理功能方面:1.增進自信心;2.提升安全感;3.提升輕鬆感;4.降低疼痛感;三靈性功能方面:1.愛;2.責任;3.承諾;四社會功能方面:1.增進慢性病人的人際關係;2.協助降低自殺的意念。因此,「身體接觸」,不僅對於慢性病人在身、心、靈及社會功能上有實質的助益,對其伴侶也是一種心靈上的撫慰與支持。研究結果證實臨床護理人員可以運用治療性觸摸的理論,主動教導伴侶,協助慢性病人身體清潔及乳液擦拭,實際落實關懷,有效地促進慢性病人與伴侶之間的親密關係,達成身、心、靈及社會的全人照護。

英文摘要

The purpose of this study was to describe the efficacy of spousal body touch on improving the condition of chronic disease patients. Participants included five male and five female patients diagnosed with chronic diseases and their spouses in a medical center in southern Taiwan. Through one-on-one interviews, the study found that body touch benefited chronic ill patients in the following aspects: (1)physical functions (including symptom reduction and sleep quality improvement); (2) psychological functions (including improvements in confidence, safety, ease, and pain); (3) spirituality functions (including enhanced feelings of being loved, responsible, and commited) and (4) social functions (including improved interpersonal relationships and reduced suicide intentions). Another main finding was that patients with chronic diseases faced a physical predicament in terms of the usefulness of their body. In conclusion, body touch administered by the chronic patient’s spouse helped improve their physical,psychological, and social functions as well as provided spiritual comfort and support. It is suggested that nurses who take care of patients with chronic diseases employ body touch as an effective intervention to improve the relationship between the patients and their spouses and to facilitate holistic nursing care that embraces physical, psychological, spiritual and social aspects.

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