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題名:生活世界的失序--臺灣糖尿病婦女疾病經驗之探討
書刊名:護理雜誌
作者:許敏桃 引用關係徐慧君許秀月王瑞霞 引用關係
作者(外文):Hsu, Min-taoHsu, Hui-chunHsu, Hsiu-yuehWang, Ruey-hsia
出版日期:2015
卷期:62:2
頁次:頁34-44
主題關鍵詞:糖尿病疾病經驗女性質性研究DiabetesIllness experienceFemaleQualitative study
原始連結:連回原系統網址new window
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  • 共同引用共同引用:54
  • 點閱點閱:28
背景 女性角色與其健康行為有密切關係,了解女性糖尿病患者的疾病經驗,有助於專業人員提供婦女需求的糖尿病照護。目的 瞭解臺灣糖尿病婦女疾病經驗。方法 以詮釋民族誌方法透過深度訪談與田野觀察,從主位觀點(emic point of view)切入,並以Agar(1986)的詮釋循環進行分析。以最大變異(maximum variation)為原則,於臺灣南部某糖尿病診所收案18名罹患糖尿病至少一年以上、能以國臺語溝通者且有意願接受訪談與錄音之婦女。參與女性年齡分佈在24∼79歲。結果 臺灣女性糖尿病患者疾病經驗的故事主軸是「生活世界失序」,建構此失序經驗的四個主題是:一、身體失序:仰賴醫療他者來理解自己身體;二、生活失序:從控制食物到被食物控制;三、家庭失序:生病者即為無能者;四、自我失序:為他(家)人控制身體。結論/實務應用 醫護人員應將女性文化角色涵納為女性糖尿病自我管理中重要的動力。此外,將家庭整體做為對象來照顧,也許會使臺灣女性糖尿病患者有更正向的疾病經驗。
Background: The role of women is strongly associated with health behavior. Understanding the illness experiences of women with diabetes helps health professionals to provide appropriate health care to women with diabetes. Purpose: The purpose of this study was to explore the illness experiences of women with diabetes. Methods: This study used interpretive ethnographic methods with in-depth interviews and field observations to obtain emic points of view from women who were diagnosed with diabetes. Agar's hermeneutic cycle was used to analyze the collected data. The participants were recruited under the principle of maximum variation. The inclusion criteria targeted women who: (1) had been diagnosed with diabetes for at least one year, (2) were able to speak Mandarin or Taiwanese, and (3) were willing to participate and have their sessions tape-recorded in a diabetes clinic in southern Taiwan. A total of 18 women with diabetes between 24 and 79 years of age were enrolled as participants. Results: "Disorder in life and the world" was the main storyline elicited from participants. The four themes constructed from this disorder were: (1) disorder of the body: reliance on medical care to understand the body, (2) disorder of life: shift from being in control of food to being controlled by food, (3) disorder of the family: sick person is perceived as incompetent, and (4) disorder of the self: controlling the body for the family. Conclusions / Implications for Practice: Healthcare providers should recognize and make positive use of the potential of the cultural role of women to improve the ability of women to self-manage their diabetes. Additionally, perceiving the entire family as the client may improve the illness experience for Asian women with diabetes.
期刊論文
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3.Wilson, S.(2007)。'When you have children, you're obliged to live': Motherhood, chronic illness and biographical disruption。Sociology of Health & Illness,29(4),610-626。  new window
4.American Diabetes Association(2014)。Standards of medical care in diabetes: 2014。Diabetes Care,37(Suppl. 1),S14-S80。  new window
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6.Hankonen, N.、Absetz, P.、Ghisletta, P.、Renner, B.、Uutela, A.(2010)。Gender differences in social cognitive determinants of exercise adoption。Psychology and Health,25(1),55-69。  new window
7.Homko, C. J.、Zamora, L.、Santamore, W. P.、Kashem, A.、Mc-Connell, T.、Bove, A. A.(2010)。Gender differences in cardiovascular risk factors and risk perception among individuals with diabetes。The Diabetes Educator,36(3),483-488。  new window
8.Kneck, Å.、Klang, B.、Fagerberg, I.(2011)。Learning to live with illness: Experiences of persons with recent diagnoses of diabetes mellitus。Scandinavian Journal of Caring Sciences,25(3),558-566。  new window
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16.Schunk, M.、Reitmeir, P.、Schipf, S.、Völzke, H.、Meisinger, C.、Ladwig, K. H.、Holle, R.(2015)。Health-related quality of life in women and men with type 2 diabetes: A comparison across treatment groups。Journal of Diabetes and Its Complications,29(2),203-211。  new window
17.Segall, A.(1976)。The sick role concept: Understanding illness behavior。Journal of Health and Social Behavior,17(2),162-169。  new window
18.Šekerija, M.、Poljicanin, T.、Erjavec, K.、Liberati-Cizmek, A. -M.、Prašek, M.、Metelko, Z.(2012)。Gender differences in the control of cardiovascular risk factors in patients with type 2 diabetes: A cross-sectional study。Internal Medicine,51(2),161-166。  new window
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研究報告
1.衛生福利部統計處(20140625)。民國102年主要死因分析。  延伸查詢new window
學位論文
1.Hsu, Min Tao(1997)。An Ethnographic Study of Widows in Taiwan(博士論文)。University of Texas of Austin,Austin, Texas。  new window
圖書
1.余玉眉、李碧娥、李佳燕、蔡宛芬、顧雅利、黃國儀、林夙慧(2014)。婦女健康。臺北市:華杏。  延伸查詢new window
2.劉仲冬(1999)。女性醫療社會學。臺北市:女書文化。new window  延伸查詢new window
3.Lupton, Deborah(1994)。Medicine as Culture: Illness, Disease and the Body in Western Societies。London:Sage。  new window
4.Marcus, George E.、Fischer, Michael M. J.(1999)。Anthropology as Cultural Critique: An Experimental Moment in the Human Sciences。Chicago, Illinois:University of Chicago Press。  new window
5.西蒙‧德‧波娃、邱瑞鑾(2013)。第二性‧女童。臺北:貓頭鷹。  延伸查詢new window
6.Agar, Michael(1986)。Speaking of Ethnography。Sage Publications。  new window
7.Ohnuki-Tierney, Emiko(1993)。Rice as self: Japanese Identities through Time。Princeton University Press。  new window
8.Miles, Matthew B.、Huberman, A. Michael、Newman, G.(1994)。Qualitative data analysis: an expanded sourcebook。Sage Publications。  new window
9.Wolf, Margery(1972)。Women and the Family in Rural Taiwan。Stanford, California:Stanford University Press。  new window
單篇論文
1.王紫君,余安邦(1999)。臺灣女性的病痛經驗及其詮釋:身體、社會與成就,http://c.ianthro.tw/409394,(409394)。  延伸查詢new window
 
 
 
 
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