牆邊的等待─加護病房癌症病患家屬的陪病經驗

NHUIR > College of Humanities > Department of Life-and-Death Studies > Disserations and Theses(M. A. Program in Life-and-Death Studies) > Item 987654321/22682

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Title:	牆邊的等待─加護病房癌症病患家屬的陪病經驗
Other Titles:	Nearby Wall Waiting: The Accompanying Experiences of ICU Cancer Patients Family Members
Authors:	陳怡靜 Chen, Yi-ching
Contributors:	生死學研究所蔡昌雄 Chiang-hsiung Tsai
Keywords:	加護病房;陪病經驗;癌症病患家屬 cancer patients' family Members;accompanying experience;intensive care unit
Date:	2007
Issue Date:	2015-08-05 16:29:37 (UTC+8)
Abstract:	本研究旨在探討加護病房癌症病患家屬的陪病經驗。以詮釋現象學方法為取向，從病房田野參與觀察及三位研究參與者的深度訪談，取得文本資料。在文本的視域化綜合分析之後，分別針對加護病房的陪病情境及存在處境，進行經驗的深描與詮釋，藉以揭露加護病房癌症病患家屬陪病經驗的底層意涵。　　　研究發現，加護病房內癌症病患家屬的陪病經驗涉及陪病等待情境與陪病存在性意涵兩大脈絡。前者主要探討癌症病患家屬在空間、身體、時間及關係四個面向的陪病等待經驗。它是自我陷落的極端處境，破碎、間斷而不確定。後者則涉及醫療照顧下的孤獨感與死亡兩個面向。其中，陪伴與照顧的倫理課題，透過陪病文化的存在指向加以詮釋，進而開啟死亡的新意義。　　　研究結果可促進加護病房醫護人員對家屬陪病底層經驗之了解，並在臨床專業養成教育中，重新建立病患、家屬與醫護人員乃是「陪病共同體」的觀念。讓醫病及護病關係能真正落實在人道醫療上。　　The aim of this research was to explore the accompanying experiences of ICU cancer patients' family members. It adopted hermeneutic-phenomenology as the research method. The empirical data were collected through field participation and observation in a hospital ward as well as depth-interviews with three family members of the ICU cancer patients. It then proceeded to a perspective and comprehensive analysis of the text. The text was delineated and interpreted on two levels, i.e., the accompanying situation and the existential situation in ICU, in order to uncover the imbedded meanings of ICU cancer patients’ family members.　　　The research found that the accompanying experiences of ICU cancer patients' family members mainly involved two contexts, i.e., the situation of waiting and the existential comports while accompanying. The former was, basically, to explore the waiting experiences of ICU cancer patients’ family members in four aspects: space, body, time and relationship. It was an extreme situation into which the self fell, entailing fractured, interrupted and uncertain quality. The latter involved two aspects: sense of loneliness and death under health care situation. The ethical issues regarding accompany and care were interpreted on the basis of culturally given meanings of existence. A new meaning of death was thereby disclosed.　　　The results could facilitate medical professionals' understanding on the imbedded meanings of accompanying experience of ICU cancer patients' family members. In clinical medical education, they also could reaffirm the idea that ICU cancer patients, their family members and medical professionals inseparably made up the wholeness of accompanying experience, so that doctor-patient and nurse-patient relationship could truly be endowed with a humanitarian spirit.
Appears in Collections:	[Department of Life-and-Death Studies] Disserations and Theses(M. A. Program in Life-and-Death Studies)

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