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特大事故重伤者亲属长期照护体验的诠释现象学分析
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摘要
目的探讨特别重大爆炸事故重伤者由监护室转入普通病房后其亲属的照护体验。方法应用半结构式深入访谈法,访谈5名具同质性的特别重大爆炸事故重伤者亲属,以诠释现象学分析法分析转录稿。本研究为期1年,分四个阶段展开,本文聚焦第二轮访谈。结果从情感、认知、行为三方面来看,亲属第二阶段的照护体验与第一阶段相比都发生了变化,经诠释分析提取"喜忧交织、识变从宜、量力而行"3个主题及其所含9个亚主题。结论尝试将特别重大爆炸事故重伤者亲属的长期照护体验与伤者康复过程中的心理干预对接,或有益伤者维持良好的心理调适。
Objective To explore the transition to caregiving from intensive care unit to general ward of family members of seriously injured patients with extraordinarily severe accident. Method Qualitative, semi-structured, in-depth interviews were conducted with five homogeneous family members. The transcribed accounts were analysed using interpretative phenomenological analysis. This paper extracted data from the second round of a four-phase longitudinal research project. Results Considering the aspects of emotion,cognition and behavior,the caregiving experience of family members of seriously injured patients with extraordinarily severe accident during the second phrase was quite different from the first round,including three super-ordinate themes: mixed hope and fear, changing as long as one recognizes changes, doing what one is capable of and nine sub-ordinate themes.Conclusion It may be better to combine long-time caregiving experience of family members with psychological intervention of major traumatic patients in their rehabilitation,which could maintain favorable psychological adjustment of patients.
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