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題名：顱內動脈瘤破裂病人術後於加護病房期間家庭韌力的經驗：由主要照顧者觀點
書刊名：榮總護理
作者：李侑達／穆佩芬 引用關係
作者(外文)：Lee, Yu-tai／Mu, Pei-fan
出版日期：2019
卷期：36:2
頁次：頁191-203
主題關鍵詞：家庭韌力；質性研究；加護病房；現象學；Family resilience；Qualitative research；Intensive care unit；Phenomenology
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(0) 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:0
  • 共同引用共同引用:117
  • 點閱點閱:6
本研究從家庭韌力觀點出發，經由主要照顧者觀點去瞭解顱內動脈瘤破裂病人術後入住加護病房期間，家人的家庭韌力經驗本質結構。以現象學研究方法，於北部某醫學中心神經外科重症病房，共收案10位。資料收集秉持現象學存而不論的態度進行深度訪談，依現象學分析步驟進行分析。以Lincoln及Guba（1985）的四個準則進行嚴謹度的控制。研究結果呈現五個主題：一、秒爭生命存續的醫療；二、確保專業的醫療照顧；三、放心交付護理專業照護；四、共同掌控疾病，規劃家庭的未來；五、凝聚家庭正向力量，共同面對困境。研究發現有助於臨床護理人員面對顱內動脈瘤破裂病人之主要照顧者時，能及早協助啟發家庭韌力，提供身心靈全面照護協助，減緩家庭困境，促進家庭功能早日恢復。
This study investigated family resilience from the perspective of primary caregivers toward a family member with intracranial aneurysm rupture admitted to an intensive care unit. This study used phenomenological methods. Data were collected through in-depth interviews. Participants were 10 caregivers of patients admitted to a neurological intensive care unit of a medical center in Northern Taiwan. No new themes were found in data analysis, and data saturation was achieved. In-depth interviews were conducted by strictly controlling the four criteria proposed by Lincoln and Guba (1985). Five themes emerged from the results of this study: (1) urgent implementation of life-saving medical care, (2) professional accountability of medical care, (3) trust in professional nursing care, (4) shared mastery of illness and planning the future of the family, and (5) cohesion of positive forces among family members and facing difficulties together. These results may aid nurses in immediately assisting patients' families to encourage family unity, provide comprehensive care of the body and mind to alleviate the families' suffering, and recover the family to their previous functional form.
期刊論文
1.Kodali, S.、Stametz, R. A.、Bengier, A. C.、Clarke, D. N.、Layon, A. J.、Darer, J. D.(2014)。Family experience with intensive care unit care: association of self-reported family conferences and family satisfaction。Journal of Critical Care，29(4)，641-644。  new window
2.McKiernan, M.、McCarthy, G.(2010)。Family members' lived experience in the intensive care unit: A phenomenological study。Intensive and Critical Care Nursing，26(5)，254-261。  new window
3.Söderström, I. M. K.、Saveman, B. I.、Hagberg, M. S.、Benzein, E. G.(2009)。Family adaptation in relation to a family member's stay in ICU。Intensive and Critical Care Nursing，25(5)，250-257。  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.Giorgi, Amedeo(1997)。The Theory, Practice, and Evaluation of the Phenomenological Method as a Qualitative Research Procedure。Journal of Phenomenological Psychology，28(2)，235-260。  new window
6.Davidson, J. E.、Jones, C.、Bienvenu, O. J.(2012)。Family response to critical illness: postintensive care syndrome-family。Critical Care Medicine，40(2)，618-624。  new window
7.Southwick, S. M.、Bonanno, G. A.、Masten, A. S.、Panter-Brick, C.、Yehuda, R.(2014)。Resilience definitions, theory, and challenges: Interdisciplinary perspectives。European Journal of Psychotraumatology，5(1)。  new window
8.Carlson, E. B.、Spain, D. A.、Muhtadie, L.、McDade-Montez, L.、Macia, K. S.(2015)。Care and caring in the intensive care unit: Family members' distress and perceptions about staff skills, communication, and emotional support。Journal of Critical Care，30(3)，557-561。  new window
9.Iverson, E.、Celious, A.、Kennedy, C. R.、Shehane, E.、Eastman, A.、Warren, V.、Freeman, B. D.(2014)。Factors affecting stress experienced by surrogate decision makers for critically ill patients: Implications for nursing practice。Intensive and Critical Care Nursing，30(2)，77-85。  new window
10.唐鈺婷、康豑云、蔣立琦(2016)。以家庭為中心重症病人家屬的護理照護。領導護理，17(1)，2-13。  延伸查詢new window
11.Wong, P.、Liamputtong, P.、Koch, S.、Rawson, H.(2019)。Searching for meaning: A grounded theory of family resilience in adult ICU。Journal of Clinical Nursing，28(5/6)，781-791。  new window
12.Wuchner, S. S.、Bakas, T.、Adams, G.、Buelow, J.、Cohn, J.(2012)。Nursing interventions and assessments for aneurysmal subarachnoid hemorrhage patients: A mixed methods study involving practicing nurses。The Journal of Neuroscience Nursing，44(4)，177-186。  new window
13.Al-Mutair, A. S.、Plummer, V.、Clerehan, R.、O'Brien, A.(2014)。Needs and experiences of intensive care patients' families: A Saudi qualitative study。Nursing in Critical Care，19(3)，135-144。  new window
14.Briggs, D.(2017)。Improving communication with families in the intensive care unit。Nursing Standard，32(2)，41-48。  new window
15.Connolly, E. S. Jr.、Rabinstein, A. A.、Carhuapoma, J. R.、Derdeyn, C. P.、Dion, J.、Higashida, R. T.、Vespa, P.(2012)。Guidelines for the management of aneurysmal subarachnoid hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association。Stroke，43(6)，1711-1737。  new window
16.Cypress, B. S.、Frederickson, K.(2017)。Family Presence in the Intensive Care Unit and Emergency Department: A Metasynthesis。Journal of Family Theory & Review，9(2)，201-218。  new window
17.Frivold, G.、Slettebø, Å.、Dale, B.(2016)。Family members' lived experiences of everyday life after intensive care treatment of a loved one: A phenomenological hermeneutical study。Journal of Clinical Nursing，25(3/4)，392-402。  new window
18.Gaeeni, M.、Farahani, M. A.、Mohammadi, N.、Seyedfatemi, N.(2014)。Sources of hope: Perception of Iranian family members of patients in the Intensive Care Unit。Iranian Journal of Nursing and Midwifery Research，19(6)，635-642。  new window
19.Jezierska, N.(2014)。Psychological reactions in family members of patients hospitalised in intensive care units。Anaesthesiology Intensive Therapy，46(1)，42-45。  new window
20.Morrow, R.、Rodriguez, A.、King, N.(2015)。Colaizzi's descriptive phenomenological method。The Psychologist，28(8)，643-644。  new window
21.Sadeghi, T.、Dehghan-Nayeri, N.、Abbaszadeh, A.(2016)。Factors Influencing Intraoperative Waiting Time According to the Experience of Iranian Families。Journal of Perianesthesia Nursing，31(3)，217-225。  new window
22.Saunders, B.、Sim, J.、Kingstone, T.、Baker, S.、Waterfield, J.、Bartlam, B.、Burroughs, H.、Jinks, C.(2018)。Saturation in qualitative research: Exploring its conceptualization and operationalization。Quality & Quantity，52(4)，1893-1907。  new window
23.Smith, C. D.、Custard, K.(2014)。The experience of family members of ICU patients who require extensive monitoring: A qualitative study。Critical Care Nursing Clinics of North America，26(3)，377-388。  new window
24.汪文聖(20011200)。現象學方法與理論之反思：一個質性方法之介紹。應用心理研究，12，49-76。new window  延伸查詢new window
研究報告
1.衛生福利部統計處(20160805)。104年主要死因統計結果分析。  延伸查詢new window
圖書
1.Montgomery, J.、Fewer, W.(1988)。Family systems and beyond。New York：Human Sciences Press。  new window
2.Walsh, Froma、江麗美、李淑珺、陳厚愷(2008)。家族再生：逆境中的家庭韌力與療癒。臺北市：心靈工坊文化事業股份有限公司。  延伸查詢new window
3.胡漢華(2008)。臺灣腦中風防治指引2008。臺北：臺灣腦中風學會。  延伸查詢new window
4.Corey, Gerald、修慧蘭、鄭玄藏、余振民、王淳弘(2016)。諮商與心理治療：理論與實務。臺北市：雙葉書廊。  延伸查詢new window
5.Goldenberg, H.、Goldenberg, I.(2000)。Family Therapy: An Overview。Wadsworth Publishing Company。  new window
6.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
圖書論文
1.Colaizzi, Paul F.(1978)。Psychological research as the phenomenologist views it。Existential-phenomenological alternatives for psychology。New York：Oxford University Press。  new window
 
 
 
 
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