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題名:絕食抗議者的生理變化及其相關護理照護議題
書刊名:護理雜誌
作者:謝佑珊陳秀蓮
作者(外文):Hsieh, Yeu-shanChen, Shiu-lien
出版日期:2005
卷期:52:4
頁次:頁83-87
主題關鍵詞:絕食抗爭禁食護理Hunger strikeFastingNursing
原始連結:連回原系統網址new window
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     從過去到現在,世界各地利用絕食作為表達抗議的行為不時發生,雖然其動機與目的不盡相同,但是利用的手段則是一致-自發性的拒絕食物。絕食不僅使人外觀形體消瘦,且造成體內生化代謝改變及神經系統功能異常,進而可能危及生命安全。對絕食者的健康照顧並不僅只是提供照護,也牽涉著醫務人員在醫療倫理和醫護管理等複雜因素。所以不當的醫護處理,可能冒犯絕食者的尊嚴,使其身心更進一步的受創。因此本文除了探討絕食對人體生理功能產生的變化及影響外,同時也探討其中的護理議題。希望藉由這些對絕食抗爭的相關文獻,來探討醫護人員對絕食抗爭者,所能提供的醫療照護、注意事項及原則。
     The use of hunger strike as a tool to assert grievances has been around for ages and has occasionally happened in the world. Hunger strikers' motives may differ, but their tool is the same the voluntary refusal of food. Fasting not only results in body weight loss, but also in physiological and neurological function changes, and, of course, it may even threaten life. The health care of hunger strikers is complex. It involves medical staff, medical ethics and guidance for the management of the hunger strikers. Improper medical management may not only undermine the hunger striker's dignity but also risk further damage to his or her health. By understanding hunger strikers' physiological changes and related ethical issues, therefore, we aim to identify appropriate forms of nursing care management and guidance for the care of hunger strikers.
期刊論文
1.今村基雄(19810700)。斷食療法有效嗎?。健康世界,67,52-62。  延伸查詢new window
2.王溢嘉(1996)。飢餓的意義與絕食的思考。聯合文學,12(9),134-135。  延伸查詢new window
3.林宗美、盧義發(19961200)。禁食對體內生化代謝的影響。輔仁民生學誌,2(1),109-120。new window  延伸查詢new window
4.張雍(19731200)。饑餓療法和絕食療法。健康長壽月刊,21(2),26-27。  延伸查詢new window
5.張維國、張子明、金惠民(19890900)。飢餓、壓力、創傷與營養治療。國防醫學,9(3),259-263。  延伸查詢new window
6.陳妙鈴(1999)。也要發聲--公投入憲兩極思辯。光華,24(5),51-53。  延伸查詢new window
7.董大成(19820400)。「絕食療法」:不明原因慢性病治療的一線曙光。健康世界,76,21-23。  延伸查詢new window
8.Brameld, J. M.(2004)。The influence of undemutrition on skeletal muscle development。British Journal of Nutrition,91(3),327-328。  new window
9.Declaration of Tokyo(1975)。Guidelines for medical doctors concerning torture and other cruel, inhuman or degrading treatment or punishment in relation to detention and imprisonment。World Medical Journal,22,87。  new window
10.Fessler, D. M. T.(2003)。The implications of starvation induced psychological changes for the ethical treatment of hunger strikers。Journal of Medical Ethics,29,243-247。  new window
11.Frommel, D.、Grautier, M.、Questiaux, E.、Schworzenberg, L.(1984)。Voluntary total fasting: A challenge for the medical community。Lancet,325,1451-1452。  new window
12.Holmes, S.(2003)。Undemutrition in hospital patients。Nursing Standard,17(19),45-52+54-55。  new window
13.黃凱琳、楊乃成、周志中、阮祺文、郭守仁、施木青(20011200)。Hunger Strike with Immediate Care: Observation Study。中華民國急診醫學會醫誌,3(4),20-30。  延伸查詢new window
14.Kalk, W. J.、Veriava, Y.(1991)。Hospital management of voluntary total fasting among political prisoners。Lancet,337,660-662。  new window
15.Markel, A.、Brook, J. G.、Aviram, M.(1985)。Increased plasma triglycerides, cholesterol and apolipoprotein E during prolonged fasting in normal subjects。Postgraduate Medical Journal,61(715),395-400。  new window
16.Mok, A.、Nelson, E. A. S.(1996)。Children on hunger strike: Child abuse or legitimate protest?。British Medical Journal,372(7029),501-502。  new window
17.Oge, A. E.、Boyacyan, A.、Gkmen, E.、Kmay, D.、Sahin, H.、Yazc, J.(2000)。Neuromuscular consequences of prolonged hunger strike: An electrophy siological study。Clinical Neurophysiology,111(11),2064-2070。  new window
18.Peel, M.(1997)。Hunger stikes: Understanding the underlying physiology will help doctors provide proper advice。British Medical Journal,315(7112),829-830。  new window
19.Silove, D.、Curtis, J.、Mason, C.、Becker, R.(1996)。Ethical considerations in the management of asylum seekers on hunger strike。Journal of the American Medical Association,276(5),410-415。  new window
20.Van Es, A.、Raat, A. M.、De Wildt, G.(1996)。Letters: Practical guidelines are important。British Medical Journal,312,444。  new window
圖書
1.台北市緊急醫療網(2004)。民衆抗爭活動緊急醫療救護標準作業。台北:台北市緊急醫療網。  延伸查詢new window
2.蔡焜霖(1985)。牛津英漢百科大辭典。台北:百科文化。  延伸查詢new window
其他
1.(20041103)。大選風波--學生絕食靜坐之行政介入時機!,http://www.angle.com_tw/open/c36.htm, 2004/11/10。  延伸查詢new window
2.林杰樑(20041220)。斷食療法(絕食)及極低熱量飮食對健康的傷害,http://www.greencross.org.tw/food&disease/deprivation_therapy.htm, 2004/12/27。  延伸查詢new window
 
 
 
 
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