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護理雜誌 MEDLINEScopus

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篇名 舒適之概念分析
卷期 59:1
並列篇名 Comfort: A Concept Analysis
作者 蔡佳玲李雅玲胡文郁
頁次 077-082
關鍵字 舒適概念分析先決條件屬性後果comfortconcept analysisantecedentattributeconsequenceMEDLINEScopusTSCI
出刊日期 201202

中文摘要

「 舒適」是護理的重要概念與基本的核心價值,也在護理過程及文獻中一再地被使用與肯定,但對於此概念的定義性屬性、先決條件、產生的後果、及測量舒適的護理研究仍有待分析與探討。本文運用Walker及Avant(2005)所描述的概念分析步驟,統整相關文獻後重新賦予舒適概念更明確的定義。歸納其定義性屬性包括:⑴有效溝通,⑵具家庭與有意義的關係,⑶功能的維持,⑷自我特性的展現,⑸生理症狀的緩解、狀態與措施,⑹心理和靈性活動與狀態,及⑺安全感與保障感。舒適的先決條件包含不舒適、痛苦或受苦的情境,處置後的後果則包含:⑴需求獲得滿足,⑵控制感增加,⑶內在平和的感受,⑷有一種愉快的經驗,⑸有被關懷的感覺,⑹症狀緩解,⑺受苦程度減低,⑻不平衡感減少,及⑼沒有不舒適。接著運用不同案例說明與分析舒適概念,最後提供整理所得的常見實證性參考指標與測量工具。藉由本文的概念分析,更加確認舒適為多面向且需被重視的臨床議題,且有助於增進護理人員對舒適概念的瞭解,並能依據實證性工具評估舒適的程度及追蹤其變化,發展舒適措施或舒適護理方案,以確保病患獲得優質照護。

英文摘要

Comfort is an important concept and core value of nursing. The defining attributes, antecedents and consequences of comfort need further analysis and exploration, even though the concept of comfort has been addressed previously in nursing literature. We employed the strategies of concept analysis as described by Walker & Avant (2005) to analyze the concept of comfort. The defining attributes of comfort include: 1) effective communication; 2) family and meaningful relationships; 3) maintaining
functionality; 4) self-characteristics; 5) physical symptom relief, states, and interventions; 6) psychological,spiritual activities and states; and 7) a sense of safety and security. Antecedents consist
of discomfort, distress and suffering. Consequences consist of (1) met / satisfied needs; (2) increased sense of control; (3) sense of inner peace; (4) a pleasant experience; (5) feeling cared for; (6) relief of
symptoms; (7) reduced suffering; (8) decreased disequilibrium; and (9) absence of discomfort. We also outline the construction of cases, empirical references and comfort measurement tools. Analysis
found comfort to have multiple dimensions and confirmed it as a clinical issue that should receive greater emphasis and valuation. Findings are hoped to increase nurse understanding of the concept of comfort and enable nurses to evaluate level of comfort and follow up on variations in such using empirical tools. Concept analysis can guide further comfort related interventions and research to benefit patients.

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