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題名:癌末瀕死時躁動不安之現象學探討
書刊名:中華心理衛生學刊
作者:林素琴
作者(外文):Lin, Su-chyn
出版日期:2009
卷期:22:2
頁次:頁161-180
主題關鍵詞:癌末病人瀕死者片段記憶躁動不安Terminal cancer patientDying personDying agitationShattered remembrances
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(1) 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:1
  • 共同引用共同引用:118
  • 點閱點閱:164
研究目的:癌末病人瀕死時常發生躁動不安,本文旨探討躁動不安與片段記憶的關係。研究方法:本研究針對台灣南部某醫學中心安寧病房,以立意取樣十位癌末瀕死病人,透過田野調查法和參與觀察法收集資料,並藉用現象學方法分析文本。研究結果:本研究發現當躁動不安發生時在時間結構上會跟著變動,而癌末病人會透過回憶、想像到回到過去自身片段記憶中,身體也隨著病程進展體力衰退,造成自我結構改變最後退出社會脈絡。研究結論:本文研究結果重新開展癌末瀕死時躁動不安的空間,揭露新的「整合片段記憶融入躁動不安」照顧模式,可補充現有的「生物精神醫學」、「安寧療護」、「臨終過程四階段」醫療模式,更擴及到護理教育與臨床實務。
Purpose: Dying agitation is a common occurrence at the end of terminal cancer patients' lives. The purpose of this article is to explore how agitation integrated with shattered remembrances are correlatively developed in the dying phase. Methods: By conducting phenomenological analysis on cases, using field method and participant observation method, this study emerges from field data collected from ten dying persons in a hospice ward of a southern Taiwan Medical Center. Results: This finding shows that a terminal cancer patient will gradually shed his or her social identified ego parts, as a result of the progressive shutdown of multiple body systems which results in dying agitation. Dying agitation is associated with a dying person's lived experience, which is composed of flash memory, imagination and temporality of his or her shattered remembrances. Conclusions: This study explores an alternative approach to dying agitation and offers assessment connection with shattered remembrances for terminal cancer patients in the dying phase. Based on these findings, it may imply further research and as support for training nurse's education and clinical practice.
期刊論文
1.林素琴(20041200)。以善終的方式照顧一位癌末患者之護理經驗。慈濟護理雜誌,3(4),67-76。  延伸查詢new window
2.廖英純、林惠如(20080200)。運用生命回顧協助一位中風老人面對無力感之護理經驗。護理雜誌,55(1),94-98。new window  延伸查詢new window
3.蔣欣欣、張碧芬、余玉眉(20011100)。從護理人員角色的創造探討護理倫理的實踐。哲學雜誌,37,88-103。  延伸查詢new window
4.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
5.王翠蘭(20080200)。一位舌癌併發直腸癌末期病人之護理經驗。志為護理,7(1),126-135。  延伸查詢new window
6.吳佳璇、李宇宙、李明濱(1998)。〈譫妄症:臨床表現、病理生理機轉與治療〉。《台北醫師公會會刊》,42卷8期,31-35。  延伸查詢new window
7.吳佳璇、林信男(2002)。〈譫妄症之治療〉。《當代醫學》,29卷10期,60-64。  延伸查詢new window
8.Casarett, D. J.,、Inouye, S. K.(2001)。Diagnosis and management of delirium near the end of life。Annals of Internal Medicine,135(1),32-40。  new window
9.Hardy, J.(2000)。Sedation in terminally ill patient。Lancet,356,1866-1867。  new window
10.Latimer, E. J.(1998)。Ethical care at the end of life。Canadian Medical Assocition Waltonurnal,158,1742。  new window
11.Pflaum, M. C.,、Kelley, P.(1986)。Understanding the final messages of the dying。Nursing,16,6。  new window
12.Quill, T. E.,、Byock, I. R.(2000)。Responding to intractable terminal suffering: The role of terminal sedation and voluntary refusal of food and fluid。Annals of Internal Medicine,132(5),408-414。  new window
會議論文
1.石世明(2003)。〈病床陪伴的心理機制:一個二元複合模式之探討〉。嘉義縣。  延伸查詢new window
圖書
1.Metezl, N.(1970)。Lived time: Phenomenological and psychopathological studies。Evanston:Northwestern University Press。  new window
2.Edward S. Casey(2000)。Remembering: A Phenomenological Study。Bloomington, IN:Indiana Uni-versity Press。  new window
3.Sokolowski, R.、李維倫(2000)。現象學十四講。台北:心靈工坊。  延伸查詢new window
4.余德慧(1998)。生命史學。臺北:張老師。new window  延伸查詢new window
5.Toombs, S. Kay(1993)。The meaning of illness: A phenomenological account of the different perspectives of physician and patient。Kluwer Academic Publishers。  new window
6.Moran, Dermot(2000)。Introduction to phenomenology。London:Routledge。  new window
7.王英偉(2000)。安寧緩和醫療臨床工作指引。台北:財團法人中華民國安寧照顧基金會。  延伸查詢new window
8.心蓮病房靈性小組(2002)。《臨終過程心理質變論述》。花蓮。  延伸查詢new window
9.李英芬(2002)。〈瀕死期病患的照顧〉。《安寧緩和護理學》。台中。  延伸查詢new window
10.余德慧、石世民、王英偉、李維倫(2006)。〈臨終過程心理質變論述的探討〉。《臨終心理與陪伴研究》。台北。  延伸查詢new window
11.高淑清(2008)。〈回歸質性研究之本質底蘊〉。《質性研究的十八堂課-首航初探之旅》。高雄。  延伸查詢new window
12.黃榮棋(1999)。〈中樞神經系統〉。《實用生理學》。台北。  延伸查詢new window
13.鄒健萍、湯麗玉(2003)。〈譫妄與失智症病人之護理〉。《精神科護理學概論-基本概念及臨床應用》(6版)。台北。  延伸查詢new window
14.趙可式(2001)。〈臨終關懷〉。《生死學》。  延伸查詢new window
15.蔡麗雲、賴允亮(2002)。〈安寧緩和醫療的照顧模式與品質稽核〉。《安寧緩和護理學》。台中。  延伸查詢new window
16.穆佩芬(1997)。〈質性研究與質性分析〉。《護理研究導論》(3版)。台北。  延伸查詢new window
17.Hole J. W.、Koos K. A.著、胡明一、陳懿慧、孫穆乾、謝慧瑛譯(1999)。《人體解剖學》(2版)。台北。  延伸查詢new window
18.Judd, C. M. Smith E. R.、Kidder L. H.合著、黃銘惇譯(1990)。《社會科學研究法:社會關係研究取向(下)》。台北。  延伸查詢new window
19.Luria, A. R.著、歐陽敏譯(1972)。《破碎的人》。台北。  延伸查詢new window
20.Van Manen, M.、宋廣文(2003)。生活體驗研究:人文科學視野中的教育學。北京:教育科學。  延伸查詢new window
21.Waller, A.、Caroline N. L.原著、楊慧琪譯(2000)。《癌症臨終照護之指引》。台北。  延伸查詢new window
22.Webb, M.著、項慧齡譯(1997)。《天堂的階梯》。台北。  延伸查詢new window
23.Boss, M.、Ludwig B. Lefebre(1963)。Psychoanalysis and Daseinanalysis。London。  new window
24.Heidrich, D. E.(2007)。The dying process。Palliative and End-of-life Care: Clinical practice guidelines (2nd ed.)。St. Louis。  new window
25.Madjar, I.,、Walton, J. A.(1999)。On Plenomenology and nursing。Nursing and the Experience of Illness: Phenomenology in practice。London。  new window
26.Roger, W.(1996)。Palliative medicine。Australia。  new window
圖書論文
1.高淑清(2000)。現象學方法及其在教育研究上的應用。質的研究方法。高雄:麗文。  延伸查詢new window
2.Wholey, J. S.(1999)。[Monitoring Performance in the Public Sector] Foreword。Monitoring Performance in the Public Sector。NJ:Transaction。  new window
3.余玉眉(1991)。方法論。質性研究:田野研究法於護理學之應用。臺北:巨流。  延伸查詢new window
 
 
 
 
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