Patients' expectations of the maintenance of their dignity
Patients' expectations of the maintenance of their dignity
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DOI：
10.1111/j.1365-2702.2008.02365.x
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发表时间：
2008-10-01
影响因子：
4.2
通讯作者：
Trorey, Gillian M.
中科院分区：
文献类型：
--
作者：
Matiti, Milika R.;Trorey, Gillian M.
目的和目标。探讨患者对住院期间维护其尊严的因素的看法，以及他们对这些因素是否得到实现的看法。长期以来，人们一直认为，在医院环境中考虑病人的尊严是至关重要的，它的维护可以有助于“情感安慰”，可能有助于康复。人们曾多次尝试将尊严定义为一个理论概念，但很少有人从患者的角度研究有助于维持尊严的因素。设计。一个现象学的解释学方法被使用。在18个月内，在英国的三家医院对102名患者进行了采访。其目的是解释所说的话，以及患者如何认为他们的尊严受到损害的潜在含义。调查结果显示，虽然许多病人对在医院期间维护自己的尊严感到满意，但也有相当多的人不满意。确定了有助于维护其尊严的六个关键主题-隐私;保密;沟通和对信息的需求;选择、控制和参与照料;尊重和体面以及称呼方式。患者提供了他们对这些因素的期望的细节。病人，不论其情况和健康程度如何，都有自己对尊严的期望。这些都需要进行评估，并配合相关的护理活动，以协助恢复。护士在满足病人对如何维护他们的尊严的期望方面发挥着重要作用。从病人的角度确定最重要的因素，有助于这将有助于发展有尊严的护理实践。
Aims and objectives. To explore patients' views regarding the factors that contribute to the maintenance of their dignity while in hospital, together with their perceptions of whether or not these were realised.Background. It has long been recognised that a consideration of patients' dignity in the hospital setting is of paramount importance and its maintenance can contribute to the 'emotional comfort' that may assist recovery. There have been several attempts to define dignity as a theoretical concept, but few studies of the factors that contribute to its maintenance from the patients' perspective.Design. A phenomenological hermeneutic approach was used.Method. Interviews were conducted with 102 patients in three hospitals in the UK over 18 months. The intention was to interpret what was being said and also the underlying meaning of how patients considered that their dignity was compromised.Results. The findings revealed that although many patients were satisfied with the maintenance of their dignity while in hospital, a significant number were not. Six key themes that contribute to the preservation of their dignity were identified - privacy; confidentiality; communication and the need for information; choice, control and involvement in care; respect and decency and forms of address. Patients provided details of their expectations with respect to these factors.Conclusions. Patients, irrespective of their situation and degree of health have their own expectations in relation to their dignity. These need to be assessed and matched by relevant nursing activities to assist recovery.Relevance to clinical practice. Nurses have an important role in meeting patients' expectations of how they would like their dignity to be maintained. The identification of the most important factors that contribute to this from patients' perspective will help develop dignified nursing practice.