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題名:善終之概念分析
書刊名:長庚護理
作者:陳亭儒胡文郁
作者(外文):Chen, Ting-ruHu, Wen-yu
出版日期:2011
卷期:22:1=73
頁次:頁45-52
主題關鍵詞:善終概念分析生命末期安寧緩和照顧Good dyingConcept analysisEnd of lifePalliative care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(9) 博士論文(0) 專書(1) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:45
  • 點閱點閱:260
「善終」是生命末期照顧之主要目標,但善終概念相當複雜,涵蓋層面廣泛,使得對善終的看法與應用也相當分歧。本文藉由Walker和Avant(2004)所發展之概念分析架構,進行善終之概念分析。從文獻歸納出其主要屬性為:舒適、保有控制感、維持身體之完整性、生命統整、完成、良好之溝通與關係、減少對他人造成負擔、作出貢獻,並建構各式案例作說明。善終之前置因素為:溝通與預立指示、生命末期照顧品質;後果為:病人安詳尊嚴地逝世於理想地點或環境、家屬較能調適悲傷、健康照顧者專業滿意度增加。基於對善終概念的了解,有助於專業人員評估末期病人及其家屬之需求、發展照顧計畫,以提升善終服務與末期照顧品質。
”Good dying” is the primary goal in end-of-life care. The concept of good dying is very complicated and broad. There were many different perspectives and applications. The purpose of this article is to clarify the concept of good dying. The analysis of this concept has been guided by Walker and Avant’s framework of concept analysis. The literature was reviewed to identify all uses regarding “good dying”. The defining attributes of good dying were identified as being comfortable, being in control, integrity, awareness or peace with impending death, completion, affirmation, good relationships with others, burden minimized, and contribution to others. Advance directives, communication, and quality of care in end of life were the antecedents of good dying. When good dying occurs, it leads to peaceful and dignified death, family satisfaction, positive bereavement process, and work satisfaction for care professionals. Knowing the concept of good dying would enable health professionals to assess the needs of the terminally-illed patients and their families, and to develop care plans to improve the quality of care at the end of life.
期刊論文
1.Mak, J. M. H.、Clinton, M.(1999)。Promoting a good death: an agenda for outcomes research--a review of the literature。Nursing Ethics,6(2),97-106。  new window
2.Long, S. O.(2004)。Cultural scripts for a good death in Japan and the United States: similarities and differences。Social Science and Medicine,58(5),913-928。  new window
3.Steinhauser, Karen E.、Clipp, Elizabeth C.、McNeilly, Maya、Christakis, Nicholas A.、McIntyre, Lauren M.、Tulsky, James A.(2000)。In Search of a Good Death: Observations of Patients, Families, and Providers。Annals of Internal Medicine,132(10),825-832。  new window
4.程劭儀、邱泰源、胡文郁、郭斐然、王浴、周玲玲、陳慶餘(19960600)。癌症末期病人善終之初步研究。中華民國家庭醫學雜誌,6(2),83-92。  延伸查詢new window
5.趙可式(19970800)。臺灣癌症末期病患對善終意義的體認。安寧療護,5,51-61。new window  延伸查詢new window
圖書
1.Walker, L. O.、Avant, K. C.(2004)。Strategies for theory construction in nursing。East Norwalk, CT:Appleton & Lange。  new window
2.Weisman, A. D.(1972)。On Dying and Denying. A Psychiatric study of Terminality。New York:Behavioral Publications。  new window
其他
1.教育部異體字字典(200401)。重編國語辭典修定本。  延伸查詢new window
2.柯薰貴(2009)。某大學三年級生善終概念之分析。new window  延伸查詢new window
3.賴和賢、邱泰源、胡文郁、張浩翔、姚建安、陳慶餘(2005)。善終服務之文獻複査。  延伸查詢new window
4.Beckstrand, R. L., Callister, L. C., & Kirchhoff, K. T.(2006)。Providing a “good death”: Critical care nurses’ suggestions for improving end of life care.。  new window
5.Cheng, S. Y., Hu, W. Y., Liu, W. J., Yao, C. A., Chen, C. Y., & Chiu, T. Y.(2008)。Good death of elderly patients with terminal cancer in Taiwan.。  new window
6.Goldsteen, M., Houtepen, R., Proot, I. M., Abu- Saad, H. H., Spreeuwenberg, C., & Widdershoven, G.(2006)。What is a good death? Terminally ill patients dealing with normative expectations around death and dying.。  new window
7.Hattori, K., McCubbin, M. A., & Ishida, D. N.(2006)。Concept analysis of good death in the Japaness community.。  new window
8.Kehl, K. A.(2006)。Moving toward peace: An analysis of the concept of a good death.。  new window
9.Kouch, M.(2006)。Managing symptoms for a “good death”.。  new window
10.Miyashita, M., Morita, T., Sato, K., Hiral, K., Shima, Y., & Uchitomi,Y.(2008)。Good death inventory : A measure for evaluating good death from the bereaved family member’s perspective.。  new window
11.Miyashita, M., Morita, T., Sato, K., Hiral, K., Shima, Y., & Uchitomi, Y.(2008)。Factors contributing to evaluation of a good death from the bereaved family member’s perspective。  new window
12.Miyashita, M., Sanjo, M., Morita, T., Hiral, K., & Uchitomi, Y.(2007)。Good death in cancer care: a nationwide quantitative study.。  new window
13.Patrick, D. L., Engelberg, R. A., & Curtis, J. R.(2001)。Evaluating the quality of dying and death.。  new window
14.Proulx, K., & Jacelon, C.(2004)。Dying with dignity: The good patient versus the good death.。  new window
15.Rietjens, J. A., van der Heide, A., Onwuteaka- Philipsen, B. D., van der Maas, P. J., & Wal, G.(2006)。Preferences of the Dutch general public for a good death and associations with attitudes towards end-of-life decision-making.。  new window
16.Sanjo, M., Miyashita, M., Morita,T., Hiral, K., Kawa, M., Akechi, T., et al.(2007)。Preferences regarding end-of-life cancer care and associations with good-death concepts: A population-based survey in Japan.。  new window
17.Schwartz, C. E., Mazor, K., Rogers, J., Ma, Y., & Reed, G.(2003)。Validation of a new measure of concept of a good death.。  new window
18.Tong, E., McGraw, S. A., Dobihal, E., Baggish, R., Cherlin, E., & Bradley, E. H.(2003)。What is a good death? Minority and non-minority perspectives.。  new window
19.van der Geest, S.(2004)。Dying peacefully: considering good death and bad death in Kwahu-Tafo, Ghana.。  new window
20.Volker, D., & Limerick, M.(2007)。What constitutes a dignified death? The voice of oncology advanced practice nurses.。  new window
 
 
 
 
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