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Spirituality of Organ Transplant Patients and their Family and development of nursing care that supports spirituality

器官移植患者及其家人的灵性以及支持灵性的护理的发展

基本信息

批准号：
17592246
负责人：
HAYASHI Yuko
金额：
$ 2.39万
依托单位：
Kyoto University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2007
项目状态：
已结题

项目摘要

【Purpose】 The purpose was to clarify the spirituality of transplant patients and their families and consider nursing care that supported this spirituality. In this research, spirituality was defined as "the strength that enables a person to live, or the factor that is at the root of the strength to live".【Method】 Using the Heidegger phenomenology based on Being and Time as a prerequisite to the research, individual interviews were conducted with the transplant patient and their families, and an analysis was done on the kind of meaning the individuals created as for their relationship with the world, and how they defined their own make up. The nursing care supporting spirituality was defined based on this result and the discussion of references.【Results】 By analyzing 4 different cases, the following became clear.(1) Individual spirituality was drawn out through relationship with family, their relationship with others (patients, medical staff, friends), relationship with nature and higher power, relationship with themselves (things yet to be accomplished, the value of their life up to the present, their proof of existence, how they want to live, being valued for being a human being), relationship with death (what own death implies, the resolution towards it). (2)The close bond the patients had with their families and the medical team were a common factor among all the subjects and enhanced their strength to live. (3)When spirituality was drawn out; it brought healing, peace, and relief from pain, as well as the reverse of values. Nursing that supports spirituality is, through such actions as (1)being there, (2) listening, (3)touching, and (4)praying, getting through tough times with patients and their families so that they can confront their own spiritual problems.

【目的】为了明确移植患者及其家属的灵性，并考虑支持这种灵性的护理。在这项研究中，灵性被定义为“使一个人能够生活的力量，或者是生活力量的根本因素”。[方法]以海德格尔现象学为基础，以存在与时间为研究前提，对移植患者及其家属进行个别访谈，分析个体对自身与世界的关系所创造的意义，以及他们如何定义自己的构成。根据这一结果和参考文献的讨论，定义了支持灵性的护理。[结果]通过对4例不同病例的分析，明确了以下几点。(1)个人的灵性是通过与家庭的关系，与他人的关系（病人、医护人员、朋友）、与自然和更高力量的关系、与自己的关系（尚未完成的事情，直到现在他们生命的价值，他们存在的证据，他们想要如何生活，作为一个人的价值），与死亡的关系（自己的死亡意味着什么，对它的决议）。（2）患者与家人、医疗团队的紧密联系是所有受试者的共同因素，增强了他们的生存力量。（3）当灵性被抽出时，它带来了治愈，和平，从痛苦中解脱出来，以及价值观的逆转。支持灵性的护理是通过（1）在那里，（2）倾听，（3）触摸和（4）祈祷等行动，与患者及其家人一起度过坚韧时期，以便他们能够面对自己的灵性问题。