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題名:Comparisons of Life Images and End-of-Life Attitudes between the Elderly in Taiwan and New Zealand
書刊名:The Journal of Nursing Research
作者:辛幸珍 引用關係Macer, Darryl
作者(外文):Hsin, Dena Hsin-chen
出版日期:2006
卷期:14:3
頁次:頁198-208
主題關鍵詞:Attitude toward deathLife attitudeTaoismConfucianismBioethics死亡態度生命態度道家儒家生命倫理
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:55
  • 點閱點閱:31
醫療科技快速進步的結果已使的在不久的將來,除了意外死亡外,自然老化及老年疾病將會成為人類死亡之主因。醫療界在處理末期生命議題時,應多關注老年人之生死問題。了解老年人之生死態度對執行末期照顧及擬定末期醫療政策皆很重要,而對不同文化之生死態度作描述性的生命倫理分析,更有助於全盤了解各文化內部之觀點及其造成倫理衝突情境的軌跡。本研究深度訪談了112位臺灣老人,以內容分析法分析訪談之內容,了解其對生命之印象及對末期生命之態度,並與25位紐西蘭老人做比較。分析年老?對生命之主要概念後顯示,臺灣與紐西蘭老人在生命態度上各自擁有其特質,然即使有著文化及傳統上的差異,兩組老人之生命印象及對末期生命之態度卻有著相當程度的共通性。由於這些共通性,用來闡釋這些價值觀的儒家與道家思想應當也可應用在非東方的文化上。
Rapid advances in medical technology may in the near future make “natural” aging and old age diseases the main causes of human death in affluent societies (apart from accidents). When dealing with end of life issues, medical sociology will need to focus more on life and death in seniors. Understanding the attitudes of older persons toward life and death is important for both performing end-of-life medical care and in developing end-of-life policies. Descriptive bioethical analysis of attitudes in different cultures can aid a fuller understanding of the views inside each culture and the trajectories of conflict situations within each culture. In-depth interviews were conducted with 112 senior citizens in Taiwan and with 25 senior citizens in New Zealand. All interviews were transcribed verbatim; qualitative data analysis was used to examine people’s views on life and death. Their images of life and end of life attitudes were compared. Analysis of the key concepts they mentioned revealed distinctive views in life attitudes between these two groups. However, in spite of differences in culture and traditions, most life and end-of-life attitudes among elderly people in the two groups were rather similar. According to these similarities, an interpretation of these values was made within a Confucian and Taoist framework that might be applicable to non-Eastern cultures as well.
期刊論文
1.Young, A. J.、Ofori-Boateng, T.、Rodriguez, K. L.、Plowman, J. L.(2003)。Meaning and agency in discussing end-of-life care: A study of elderly veterans' values and interpretations。Qualitative Health Research,13(8),1039-1062。  new window
2.Bowman, K. W.、Singer, P. A.(2001)。Chinese Seniorssenior Citizensseniors' Perspectives on End-of-life Decisions。Social Science & Medicine,53(4),455-464。  new window
3.Buckley, W. F.、Muggeridge, M.、Pilpel, H.(1979)。Modern Attitudes toward Life and Death。Humanity Life Review,5(3),99-116。  new window
4.Chiu, T. Y.、Hu, W. Y.、Lue, B. H.、Cheng, S. Y.、Chen, C. Y.(2001)。Sedation for Refractory Symptoms of Terminal Cancer Patients in Taiwan。Journal of Pain and Symptom Management,467-472。  new window
5.Cowley, L. T.、Young, E.、Raffin, T. A.(1992)。Care of the Dying: An Ethical and Historical Perspective。Critical Care Medicine,21(6),1473-1482。  new window
6.Fleming, D. A.(2003)。Cultural Sensitivity in End-of-life Discussions。Missouri Medicine,100,69-75。  new window
7.Grogono, J.(2000)。A Good Death. Sharing Control in Death: The Role of an "Amicus Mortis"。British Medical Journal,320(7243),1205-1205。  new window
8.Hansdottir, H.、Gruman, C.、Curry, L.、Judge, J. O.(2000)。Preferences for CPR among the Elderly: The Influence of Attitudes and Values。Connecticut Medicine,64(10),625-630。  new window
9.Jonas, H.(1992)。The Burden and Blessing of Mortality。Hasting Center Report,22(1),34-40。  new window
10.Khroutski, K. S.(2002)。Toward the Bioethics of Individual's Health: Introduction of the Cosmist Philosophical Fundamentals。Eubios Journal of Asian and International Bioethics,12,2-9。  new window
11.郭正典(2002)。治療的限制與撤除。中華民國重症醫學雜誌,4(4),310-317。  延伸查詢new window
12.MacLeod, R.(2001)。A National Strategy for Palliative Care in New Zealand。Journal of Palliative Medicine,4(1),70-74。  new window
13.McCue, J. D.(1995)。The Naturalness of Dying。JAMA: The Journal of the American Medical Association,273(13),1039-1043。  new window
14.McKinley, E. D.、Garrett, J. M.、Evans, A. T.、Danis, M.(1996)。Differences in End-of-life Decision Making among Black and White Ambulatory Cancer Patients。Journal of General Internal Medicine,11(11),651-656。  new window
15.Mitchell, K.(2004)。Physician Commitment in End of Life Care - Perspectives from New Zealand and the Netherlands。Social Science & Medicine,59(4),775-785。  new window
16.Mitchell, K.、Owens, R. G.(2003)。National Wurvey of Medical Decisions at End of Life Made by New Zealand General Practitioners。British Medical Journal,327(7408),202-203。  new window
17.Qiu, R. Z.(1991)。Morality in Flux: Medical Ethics Dilemmas in the People's Republic of China。Kennedy Institute of Ethics Journal,1(1),16-27。  new window
18.Sayers, G. M.、Perera, S.(2002)。Withholding Life Prolonging Treatment, and Self Deception。Journal of Medical Ethics,28(6),347-352。  new window
19.Schmidt, L. M.(2001)。Why Cultural Issues Must be Recognized at the End of Life。Plastic Surgical Nursing,21(4),200-200。  new window
20.Zimmermann, V.(2001)。Learning to Die/practice Means Learning about Life with an Awareness of Death。Schweizerische Rundschau für Medizin Praxis,90(49),2138-2143。  new window
圖書
1.鄭曉江(19940000)。中國死亡智慧。臺北:東大出版社。new window  延伸查詢new window
2.Chiu, T. Y.(2005)。End-of-life Decision Making in Taiwan。End-of-life Decision A Cross-national Study。0。  new window
3.Dreher, D.(2000)。The Tao of Inner Peace。The Tao of Inner Peace。New York, NY。  new window
4.Hsin, D. H. C.、Macer, D. R. J.(2003)。Attitudes towards Life and Death of Seniorssenior Citizens in Taiwan。Asian Bioethics in the 21st Century。Christchurch, New Zealand。  new window
5.Macer, D. R. J.(1994)。Bioethic: For the People by the People。Bioethic: For the People by the People。Christchurch, New Zealand。  new window
6.Tai, M. C. T.(2003)。Natural and Unnatural - An Application of Taoist Thought to Bioethics。Asian Bioethics in the 21st Century。Christchurch, New Zealand。  new window
7.Wyatt, J.(2000)。Matters of Life and Death。Matters of Life and Death。Leicester, UK。  new window
8.Yang, H. I.(2003)。Bad Living than Good Death? A Cultural Analysis of Family Paternalism in Death and Dying in Taiwan。Asian Bioethics in the 21st Century。Christchurch, New Zealand。  new window
 
 
 
 
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