政大機構典藏-National Chengchi University Institutional Repository(NCCUR):Item 140.119/70670
English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 113313/144292 (79%)
Visitors : 50949916      Online Users : 985
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
    •  Adv. Search
    Home ‧ Login ‧ Upload ‧ Help ‧ About ‧ Administer Goto mobile version


    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/70670


    Title: 殘留社會下的透析聲音：洗腎者的生病經驗敘事與心理適應歷程探究
    Other Titles: The Voices from the Remission Society: Exploring the Narrative of Illness Experience and Psychological Adaptation Process of Patients with Renal Failure
    Authors: 陳美貴;林耀盛
    Chen, Mei-Kuei;Lin, Yaw-Sheng
    Contributors: 心理系
    Keywords: 洗腎;疾病經驗;適應;受苦
    dialysis;illness experience;adaptation;suffering
    Date: 2014.05
    Issue Date: 2014-10-20 18:12:04 (UTC+8)
    Abstract: 目的：本研究以參與觀察、深度追蹤訪談方式，探索瞭解透析者罹病經驗意義和生活適應關係。方法：本研究共訪談10位（8位女性、2位男性）罹患末期腎病，必須接受常規洗腎者。每名參與者間隔半年追蹤續訪，前後訪談兩次。訪談記錄方式為知情同意後錄音，再將錄音檔案謄成逐字稿，並加以閱讀與分析。結果：在生病經驗的受苦關係轉化方面，共有兩個主題（一）聚焦疾病本身與受苦位移之間。（二）轉向關注他人與共締命結之間。在治療情節的再適應歷程方面，發現兩個主題（一）回歸如常的存有。（二）回顧歷史的經驗。討論與建議：患者的疾病經驗從「病人身分」轉換到「人格認定」，亦即患者從「病人角色」轉化至具「自主性格」的個體。而後，再從自主性格個體，轉化到在世存有的關係，得以關注他人，並體認「我們感」連結體的關係締結。
    Objective: There has been little research that explores the narratives of illness experience and coping processes of patients with terminal renal failure. Even fewer studies have attempted to understand these patients’ subjective, first-hand experience over time. This study aims to investigate and address these gaps in literature. Method: Ten participants (eight women and two men) with renal failure were recruited from a local hospital in southern Taiwan. Each was interviewed twice, first at baseline and then 6 months later. Taking a qualitative approach grounded in phenomenological psychology, this study conducted in-depth interviews by which researchers strived to observe, analyze and understand, from their first-person perspective, how these patients coped with their illness. Results: Two over-arching themes emerged in the analysis on the transformation of experience of suffering; (1) ’in-between focused disease progress and normalize enduring suffering’, and (2) ’in-between caring relationship with the other and reconstructing bond with family on the same boat’. For the adaptation process, two themes were identified: (1) the return to everyday normality and (2) review of totality of life experience. Discussion and Conclusion: It is learned that these patients expressed unique views and interpretations of their illness experience than would others from the outside. They are in a state of transformation from ’patient role’ to ’personhood’. Furthermore, they are facing the challenges of becoming the relational survivors of being in the world. The forging of sense of ＂we-ness＂ and meaning of resilience are discussed.
    Relation: 高雄行為科學學刊, 4, 29-55
    Data Type: article
    Appears in Collections:[Department of Psychology] Periodical Articles

    Files in This Item:

    File Description SizeFormat
    29-55.pdf1878KbAdobe PDF2847View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏，無償提供學術研究與公眾教育等公益性使用，惟仍請適度，合理使用本網站之內容，以尊重著作權人之權益。商業上之利用，則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作，已盡力防止侵害著作權人之權益，如仍發現本網站之數位內容有侵害著作權人權益情事者，請權利人通知本網站維護人員(nccur@nccu.edu.tw)，維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback