摘要
目的了解晚期肿瘤患者对尊严的理解与感悟,探讨尊严模型对我国晚期癌症患者的适用性,为尊严维护护理提供参考。方法对21例晚期肿瘤患者进行半结构式访谈,框架分析采用演绎归纳法。结果尊严模型的3大因素得到支持,新出现主题或副主题:家庭支持、医疗支持、经济支持和参与医疗决策,病耻感、阿Q精神;认知灵敏度在现阶段研究中未得到证据支持;隐私界限有一定差异。结论本研究加强了对我国晚期肿瘤患者尊严的理解,提示尊严模型也适用于我国晚期肿瘤患者,但应形成有我国文化特色的尊严维护护理。
Objective To examine the concept of the dignity in Chinese context,in an effort to offer better dignity conserving care,and to explore the generalizability of the Dignity Model to terminal cancer patients in China. Methods The concept of dignity was explored among 21 patients with terminal cancer. The analysis was both deductive （arising from the Dignity Model） and inductive（arising from participants＇ views）. Results The three categories of the Dignity Model were broadly supported. New emergent themes included family support,medical support,financial support,informed care decision,stigma,and Q spirit. The subtheme of cognitive acuity was not supported,while the theme of privacy boundaries was different in Chinese context. Conclusion The findings improve understandings of dignity for terminal cancer patients in Chinese context. The Dignity Model is also applicable to terminal cancer patients in China,but culturally sensitive dignity conserving care is still needed.
出处
《中华护理杂志》
CSCD
北大核心
2015年第10期1176-1183,共8页
Chinese Journal of Nursing
基金
华中科技大学自主创新研究基金资助项目(2013YQ010)
关键词
肿瘤
姑息疗法
交谈
Neoplasms
Palliative care
Interview
