机构老人之尊严概念分析
The Concept Analysis of Dignity Regarding of Elderly in Long-Term Care Institutions
DOI: 10.12677/ar.2014.11003, PDF, HTML, 下载: 2,843  浏览: 11,581 
作者: 陈淑梅:阮综合医院护理部,高雄;董道兴:振兴医院教学研究部,台北;天主教辅仁大学公共卫生学系,新北市
关键词: 机构老人尊严概念分析Long-Term Care Institution of Elderly; Dignity; Concept Analysis
摘要: 尊严是人们与生俱来的需求它无等级之分。在历史的演进过程中人们对尊严的概念一直在转变虽然国内外有许多与尊严相关的文献但未对此概念进一步分析整理。本文藉由文献厘清尊严概念定义及特征,以机构老人为例,建立典型、边缘及相反案例说明,并运用实证参考数据与护理照护。结果发现,尊严是因人而异的主观感,会受到个人身体状况、所处环境,以及照护者影响。希望藉由本文的经验分享,能增进机构照护的医疗人员,对尊严概念的了解,即早发现住民的问题,适时提供医疗措施,使其保有人性的尊严,获得好的生活质量。
Abstract: Dignity is human natural requirement, which has no rank discrimination. The concept of dignity to humans always keeps changing in the process of historical evolution. Although there are many domestic and foreign literatures regarding dignity, none tries to further analyze and sort out this concept. This article clarifies the conceptual definition and characteristics of dignity by way of adopting domestic and foreign literatures, and takes the institution of elderly people for example, establishing typical model, borderline and opposite case explanations, applying empirical references and medical care. The result shows that dignity is the subjective sense varying from person to person, which will be influenced by personal physical condition, their environment and caregivers. We hope it can enhance medical staffs of long-term care institution to understand more about the concept of dignity through this experience of sharing, find out the problem of the residents as early as possible and provide medical precautions in good time so that the residents retain the human dignity and get access to good quality of life.
文章引用:陈淑梅, 董道兴. 机构老人之尊严概念分析[J]. 老龄化研究, 2014, 1(1): 16-22. http://dx.doi.org/10.12677/ar.2014.11003

参考文献

[1] World Health Organization (2012) Health topics: Interesting facts about ageing.
http://www.who.int/ageing/about/facts/en/indexhtml
[2] 黄明碧, 林金定, 陈丽美 (2010) 三重地区独居老人健康状况及害怕跌倒相关因素调查研究. 台湾老人保健学刊, 2, 135-156.
[3] 杨嘉玲 (2002) 护理人员对护理之家照护质量的看法. 护理杂志, 1, 39-46.
[4] Griffin-Heslin, V.L. (2005) An analysis of the concept dignity. Accident and Emergency Nursing, 13, 251-257.
[5] 倪培民 (2011) 求则得之舍则失之——儒家尊严观之探讨. 社会科学, 1, 111-120.
[6] 韩德强 (2008) 论中国传统思想中的尊严观念. 长江师范学院学报, 1, 64-69.
[7] 洪如玉 (2004) 人权教育与其他相关议题理论整合: 概念分析、澄清与联系. 现代教育论坛, 11, 108-118.
[8] 国语日报社 (2010) 国语日报社辞典. 国语日报, 台南.
[9] 世一文化事业出版社 (2008) 新编辞海. 世一文化事业出版社, 台南.
[10] 培立教育 (2005) 朗文当代大辞典英英–英汉双解. 培立教育出版社, 香港.
[11] 曾建宁, 詹惠雅, 戴玉慈 (2011) 尊严之概念分析. 荣总护理, 1, 976-103.
[12] Jacobson, N. (2007) Dignity and health: A re-view. Social Science & Medicine, 64, 292-302.
[13] Piltz, R. (1991) Mellan angel och best. Manniskans vardighet och gata i ruropeisk tradition (Between angel and beast. Human dignity and riddle in European tradition). Alfabeta Bokforlag (AB), Stockholm.
[14] Lindborg, R. (1996) Giovanni Pico Della Mirandola—Om manniskans vardighet (Giovanni Pico Della Mirandola— About human dignity). Atlantis, Stockholm.
[15] Anderberg, P., Lepp, M., Berglund, A.L. and Segesten, K. (2007) Preserving dignity in caring for older adults: A concept analysis. Journal of Advanced Nursing, 59, 635-643.
[16] 王小波 (2006) 我的精神家园. 人民大学出版社, 北京.
[17] 施振典, 张茂源 (2009) 从人性尊严谈建构高龄者的老年生活. 教育与发展, 26, 131-134.
[18] 韩德强, 郝红梅 (2010) 论人性尊严在宪法中的内涵、属性及功能. 临沂师范学院学报, 32, 85-89.
[19] Edgar, A. (2004) A response to Nordenfelt’s “The varieties of dignity”. Health Care Analysis, 12, 83-89.
[20] Pinker, S. (2008) The stupidity of dignity. Human Life Review, 34, 75-82.
[21] Matiti, M.R. and Trorey, G.M. (2008) Patients’ expectations of the maintenance of their dignity. Journal of Clinical Nursing, 17, 2709-2717.
[22] Chochinov, H.M. (2010) Dignity-conserving care—A new model for palliative care. Journal of American Medical Association, 287, 2253-2260.
[23] 陈美伶 (2012) 维护病人尊严. 志为护理, 4, 66-71.
[24] Graff, R.V. and Delden, J.J. (2009) Clarifying appeals to dignity in medical ethics from an historical perspective. Bioethics, 23, 151-160.
[25] 韩德强 (2008) 论人的尊严的基本属性. 广西大学学报, 3, 68-72.
[26] Franklin, L.L., Ternestedt, B.M. and Nordenfelt, L. (2006) Views on dignity of elderly nursing home resi-dents. Nursing Ethics, 13, 130-146.
[27] Haddock, J. (1996) Towards further clarification of the concept dignity. Journal of Advanced Nursing, 24, 924-931.
[28] 吴惠玲 (2008) 尊严疗法对护理之家老年住民自尊、忧郁、灵性安适与自觉健康状态之成效. 论文, 长庚大学护理学研究所, 桃园.