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題名:初次罹患急性心肌梗塞婦女病發的生病經驗
書刊名:護理雜誌
作者:顏芳慧許敏桃
作者(外文):Yen, Fang-huiHsu, Min-tao
出版日期:2004
卷期:51:2
頁次:頁57-66
主題關鍵詞:急性心肌梗塞生病經驗女性解釋性互動論Acute myocardial infarctionIllness experienceWomenInterpretative interactionism
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:262
  • 點閱點閱:27
     本研究目的為探索初次急性心肌梗塞婦女心臟病發作的生病經驗。研究對象取自南部某教學醫院,共17位初次急性心肌梗塞婦女參與研究。研究步驟依循Denzin之解釋性互動論,以參與式觀察及深度訪談收集資料,並將錄音訪談過程及田野筆記以內容分析法分析,共歸納出三個主題及十二個次主題。初次急性心肌梗塞婦女心臟病發作的生病經驗中,在最初「我怎麼了?」的主題包含了六個次主題,呈現婦女在身體症狀出現後,到進入醫療系統被診斷出急性心肌梗塞的求醫歷程。再者第二個主題「我是個病人!」包含了三個次主題,呈現出婦女在權威的醫療體系中,如何尋求病人角色的定位以維持內心的自我。最終主題「我還是我自己!」包含了三個次主題,呈現婦女從醫療體系回到日常生活後,努力的回到原有的社會角色功能,以擺脫病人角色並重獲身體自主權。本研究貢獻在於建立屬於本土婦女的生病經驗,及提醒醫療人員在面對女性病患時應有的認知,做為真正落實人性化醫療的照護觀點。
     Purpose sampling methods were used to recruit 17 participants from a medical center in southern Taiwan. Data were collected via participant observations and interviews, with an emphasis on following Denzin's interpretative interactionism principles. Interviews were audiotaped and transcribed and the texts analyzed using constant comparative methodology. Three themes and twelve subthemes were identified. The first theme, "have something wrong" embraced six subthemes associated with body symptom awareness and diagnosis. The second theme, "am a patient" included three subthemes tied to patient roles and making use of rational strategies to maintain stability and self within a complex medical system. The last theme, "can still be myself" included three subthemes connected with the struggle to return to old roles and functions to overcome limitations. The findings offer a picture of Taiwanese women's illness experiences that can be used by medical and nursing school professional to increase awareness of special needs among female patients.
期刊論文
1.王秀紅、黃寶萱(20011000)。老年婦女的疾病預防與健康促進。護理雜誌,48:5,22-28。new window  延伸查詢new window
2.顏芳慧、許敏桃(20010600)。急性心肌梗塞婦女發病至求醫之經驗。榮總護理,18(2),132-142。new window  延伸查詢new window
3.Barondess, J. A.(1979)。Disease and illness--a crucial distinction。American Journal of Medicine,66,375-376。  new window
4.Beck, C. T.(1993)。Qualitative research: The evaluation of its credibility, fittingness, and auditability。Western Journal of Nursing Research,15(2),263-266。  new window
5.Flavell, C. M.(1994)。Women and coronary heart disease。Progress in Cardiovascular Nursing,9(4),18-27。  new window
6.Hartford, M.、Karlson, B. W.、Sjolin, M.、Holmberg, S.、Herlitz, J.(1993)。Symptoms, thoughts, and environment factors in suspected acute myocardial infarction。Heart & Lung,22(1),64-70。  new window
7.Helpard, H.、Meagher-Stewart, D.(1998)。The "kaleidoscope” experience for elderly women living with coronary artery disease。Canadian Journal of Cardiovascular Nursing,9(3),11-23。  new window
8.Hsu, M. T.(1998)。Fitting into the ‘no-return-trip’: Women’s perceptions of marriage and family in Taiwan。Proceedings of the National Science Council (Taipei),8(3),427-434。  new window
9.Jennings, D.(1986)。The confusion between disease and illness in clinical medicine。Canadian Medicine Association Journal,135,865-869。  new window
10.Kahn, D. L.(1993)。Ways of discussing validity in qualitative nursing research。Western Journal of Nursing Research,15(1),122-125。  new window
11.Killip, T., 3rd.、Kimball, J. T.(1967)。Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 patients。American Journal of Cardiology,20(4),457-464。  new window
12.McSweeney, J. C.(1998)。Women’s narratives: Evoling symptoms of myocardial infarction。Journal of Women & Aging,10(2),67-83。  new window
13.Schaefer, K. M.(1992)。The female cardiac patient: Caring for the new majority。Dimensions of Critical Care Nursing,11(2),65-66。  new window
14.Sutherland, B.、Jensen, L.(2000)。Living with change: Elderly women's perception of having a myocardial infarction。Qualitative Health Research,10(5),661-676。  new window
15.The GUSTO investigators(1993)。Global utilization of streptokinase and tissue plasminogen activator for occluded coronary arteries。New England Journal of Medicine,329,673-682。  new window
16.Beck, C. T.(1994)。Reliability and validity issues in phenomenological research。Western Journal of Nursing Research,16(3),254-267。  new window
17.穆佩芬(19960600)。現象學研究法。護理研究,4(2),195-202。new window  延伸查詢new window
18.劉仲冬(19980500)。醫學理論與醫療模式。醫望雜誌,25,101-102。  延伸查詢new window
19.王香蘋(20000400)。死亡率與罹病類型差異:老年女性健康問題之探討。婦女與兩性學刊,11,129-150。new window  延伸查詢new window
圖書
1.Denzin, Norman K.、張君玫(1999)。解釋性互動論。臺北:弘智文化事業有限公司。  延伸查詢new window
2.Kleinman, A.(1980)。Borderland between anthropology, medicine, and psychiatry。Berkeley, CA:University of California Press。  new window
3.張苙雲(1998)。醫療與社會:醫療社會學的探索。台北:巨流。new window  延伸查詢new window
4.Blumer, Herbert(1969)。Symbolic Interactionism: Perspective and Method。Prentice-Hall。  new window
5.張珣(1989)。疾病與文化。臺北市:稻鄉出版社。  延伸查詢new window
6.劉仲冬(19980000)。女性醫療社會學。臺北:女書文化。new window  延伸查詢new window
其他
1.行政院衛生署(20011115)。資訊走廊--衛生統計--衛生統計資訊網--死因統計結果摘要--八十九年死因統計結果摘要--歷年死因統計--臺灣地區歷年女性每十萬人口死亡率按主要死因原因別分,http://www.doh.gov.tw/lane/statist/89/FDR6989-.xls。  延伸查詢new window
圖書論文
1.湯美霞(2000)。全人關懷與醫病關係。醫療關懷。臺北:啓英。  延伸查詢new window
2.Kleinman, A(1988)。The meaning of symptoms and disorders。The illness narratives: Suffering, healing, and human condition。New York:Basic Book。  new window
3.Maris, B.(1994)。Taoism, confucianism and the Chinese self。Anthropology of the self: The individual in culture perspective。London:Pluto Press。  new window
4.王紫君、余安邦(19990000)。臺灣女性的病痛經驗及其詮釋:身體、社會與成就。人類學在臺灣的發展 : 經驗研究篇。臺北:中央研究院民族學研究所。new window  延伸查詢new window
 
 
 
 
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