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題名:舒適之概念分析
書刊名:護理雜誌
作者:蔡佳玲李雅玲胡文郁
作者(外文):Tsai, Jia-lingLee, Ya-lingHu, Wen-yu
出版日期:2012
卷期:59:1
頁次:頁77-82
主題關鍵詞:舒適概念分析先決條件屬性後果ComfortConcept analysisAntecedentAttributeConsequence
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(5) 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:5
  • 共同引用共同引用:0
  • 點閱點閱:184
「舒適」是護理的重要概念與基本的核心價值,也在護理過程及文獻中一再地被使用與肯定,但對於此概念的定義性屬性、先決條件、產生的後果、及測量舒適的護理研究仍有待分析與探討。本文運用 Walker及 Avant(2005)所描述的概念分析步驟,統整相關文獻後重新賦予舒適概念更明確的定義。歸納其定義性屬性包括:(1) 有效溝通,(2) 具家庭與有意義的關係,(3) 功能的維持,(4) 自我特性的展現,(5) 生理症狀的緩解、狀態與措施,(6) 心理和靈性活動與狀態,及 (7) 安全感與保障感。舒適的先決條件包含不舒適、痛苦或受苦的情境,處置後的後果則包含:(1) 需求獲得滿足,(2) 控制感增加,(3) 內在平和的感受,(4) 有一種愉快的經驗,(5) 有被關懷的感覺,(6) 症狀緩解,(7) 受苦程度減低,(8) 不平衡感減少,及 (9) 沒有不舒適。接著運用不同案例說明與分析舒適概念,最後提供整理所得的常見實證性參考指標與測量工具。藉由本文的概念分析,更加確認舒適為多面向且需被重視的臨床議題,且有助於增進護理人員對舒適概念的瞭解,並能依據實證性工具評估舒適的程度及追蹤其變化,發展舒適措施或舒適護理方案,以確保病患獲得優質照護。
Comfort is an important concept and core value of nursing. The defining attributes, antecedents and consequences of comfort need further analysis and exploration, even though the concept of comfort has been addressed previously in nursing literature. We employed the strategies of concept analysis as described by Walker & Avant (2005) to analyze the concept of comfort. The defining attributes of comfort include: 1) effective communication; 2) family and meaningful relationships; 3) maintaining functionality; 4) self-characteristics; 5) physical symptom relief, states, and interventions; 6) psychological, spiritual activities and states; and 7) a sense of safety and security. Antecedents consist of discomfort, distress and suffering. Consequences consist of (1) met / satisfied needs; (2) increased sense of control; (3) sense of inner peace; (4) a pleasant experience; (5) feeling cared for; (6) relief of symptoms; (7) reduced suffering; (8) decreased disequilibrium; and (9) absence of discomfort. We also outline the construction of cases, empirical references and comfort measurement tools. Analysis found comfort to have multiple dimensions and confirmed it as a clinical issue that should receive greater emphasis and valuation. Findings are hoped to increase nurse understanding of the concept of comfort and enable nurses to evaluate level of comfort and follow up on variations in such using empirical tools. Concept analysis can guide further comfort related interventions and research to benefit patients.
期刊論文
1.Bear, L. A., & Ward-Smith, P.、Ward-Smith, P.(2006)。Interrater reliability of the COMFORT scale。Pediatric Nursing,32(5),427-434。  new window
2.Cameron, B. L.(1993)。The nature of comfort to hospitalized medical surgical patients。Journal of Advanced Nursing,18(3),424-436。  new window
3.Dowd, T.、Kolcaba, K.、Steiner, R.(2000)。Using cognitive strategies to enhance bladder control and comfort。Holistic Nursing Practice,14(2),91-103。  new window
4.Hurley, A. C.、Volicer, B. J.、Hanrahan, P. A.、Houde, S.、Volicer, L.(1992)。Assessment of discomfort in advanced Alzheimer patients。Research in Nursing and Health,15(5),369-377。  new window
5.Kolcaba, K.、Steiner, R.(2000)。Empirical evidence for the nature of holistic comfort。Journal of Holistic Comfort,18(1),46-62。  new window
6.Kolcaba, K. Y.(1991)。A taxonomic structure for the concept comfort。Journal of Nursing Scholarship,23(4),237-240。  new window
7.Kolcaba, K. Y.(1992)。Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome。Advanced Nursing Science,15(1),1-10。  new window
8.Kolcaba, K. Y.(2001)。Evolution of the mid range theory of comfort for outcome research。Nursing Outlook,49(2),86-92。  new window
9.Kolcaba, K. Y.、DiMarco, M. A.(2005)。Comfort theory and its application to pediatric nursing。Pediatric Nursing,31(3),187-194。  new window
10.Kolcaba, K. Y.、Kolcaba, R. J.(1991)。An analysis of the concept of comfort。Journal of Advanced Nursing,16(11),1301-1310。  new window
11.Kolcaba, K. Y.、Fox, C.(1999)。The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy。Oncology Nursing Forum,26(1),67-72。  new window
12.Lin, C. C.(2010)。Comfort: A value forgotten in nursing。Cancer Nursing,33(6),409-410。  new window
13.Malinowski, A.、Stamler, L. L.(2002)。Comfort: Exploration of the concept in nursing。Journal of Advanced Nursing,39(6),599-606。  new window
14.Mcllveen, K. H.、Morse, J. M.(1995)。The role of comfort in nursing care: 1900-1980。Clinical Nursing Research,4(2),127-148。  new window
15.Morse J. M.、Bottorff, J. L.、Hutchinson, S.(1994)。The phenomenology of comfort。Journal of Advanced Nursing,20(1),189-195。  new window
16.Novak, B.、Kolcaba, K.、Steiner, R.、Dowd, T.(2001)。Measuring comfort in caregivers and patients during late endof- life care。American Journal of Hospice and Palliative Care,18(3),170-180。  new window
17.Siefert, M. L.(2002)。Concept analysis of comfort。Nursing Forum,37(4),16-23。  new window
圖書
1.Soanes, Catherine、Stevenson, Angus(2003)。Oxford Dictionary of English。Oxford:Oxford University Press。  new window
2.Walker, L. O.、Avant, K. C.(2005)。Strategies for theory construction in nursing。Upper Saddle River, New Jersey:Prentice Hall。  new window
3.周何(2004)。活用國語辭典。台北市:五南。  延伸查詢new window
4.蕭豐富(1999)。蕭氏舒適護理模式。台北市:華杏。  延伸查詢new window
5.Kolcoba, K.(2003)。Comfort theory and practice: A vision for holistic health care。New York:Springer。  new window
6.(2002)。Webster’s International Dictionary of the English Language。Springfield, MA:Merriam-Webster。  new window
圖書論文
1.Kolcoba, K.(2009)。Comfort。Middle range theories: Application to nursing research。Philadelphia: J.B.:Lippincott Williams & Wilkins。  new window
 
 
 
 
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