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新臺北護理期刊

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篇名 肝硬化合併腹水病患之調適經驗
卷期 14:2
並列篇名 Adjusting Experience of Patients with Liver Cirrhosis Ascites
作者 陳怡呈蔡淑玲蔡昌雄黃珊
頁次 013-022
關鍵字 肝硬化合併腹水病患調適經驗詮釋現象學Liver cirrhosis with ascitesAdjusting experienceHermeneutic-phenomenology
出刊日期 201209

中文摘要

本研究目的以探討肝硬化合併腹水病患的調適經驗爲主題。透過詮釋現象學方法的引導,以立意取樣選取 五位研究參輿者。資料取得透過半結構式的深度訪談以及田野的參輿觀察。錄音内容逐字謄爲文本資料後,輿 田野觀察紀錄综合分析,以瞭解研究對象在病身處境中,最深層的内在感受輿自我反思。結果得出肝硬化合併 腹水病患的調適作爲,主要表現在四個交錯的經驗脈絡上:(1 )面對身體失序,(2 )學習輿疾病共處,(3 )家 庭關係的支持輿維繫,以及(4)自我調整後的生存樣態。研究結果顯示肝硬化合併腹水病患雖因身體失序引發 情緒輿生活等適應問題,但亦學習輿疾病共處;此外,家庭關係的支持,有助於生存意義輿樣態的調適。本研 究可增進對其調適經驗内涵的瞭解,亦可提供護理人員在臨床照顧的參照,建立輿病人疾病輿共的照護模式。

英文摘要

The purpose of this research was to explore the adjusting experience of patients diagnosed as liver cirrhosis with ascites. This research purposively selected 5 participants in accordance with the hermeneutic-phenomenological method. The data were collected by semi-structured in-depth interviews and participant observations in the field. The verbatim text of interviews was then analyzed along with the field notes in order to realize the deepest inner feeling and self-reflections of the subjects who were physically ill. The result showed that the patients’ adjusting behavior was mainly presented in four interacted experiential contexts: 1. facing the bodily disorder, 2. learning to live with the disease, 3. supporting and maintaining family relationship, 4. self-adjusting the mode of life. The results demonstrated that patients with liver cirrhosis ascites learned to live with the disease although they faced the adjusting problems of emotion. In addition, family support was helpful to the adjustment of existential meaning and mode of life. This research can help improve understanding on the meanings of the patients’ adjusting experience. It can also serve as a reference for nurses in clinical care and establish a care model in which caregivers are in tune with the illness of patients.

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