研究主要目的是進入癌症病人的生活世界,透過詮釋現象學方法探討癌症病人參與生命回顧之經驗。研究者採立意取樣和滾雪球的方式進行為期八個月的參與觀察記錄與訪談。從生命回顧觀察記錄及七位研究參與者的深度訪談資料中,取得文本資料,並進行視域化的綜合分析工作。從中提煉出癌症病人參與生命回顧之經驗本質,並加以描寫與詮釋。 資料處理方式是以詮釋現象分析層次為分析架構,研究者於訪談結束後,將錄音資料轉為文字,並將分析步驟分為四個層次:(一)田野文本 ─ 訪談對話;(二)意義單元的浮現與分析;(三)現象脈絡走勢的梳理;(四)結構主軸與面向的推敲。 研究結果以流轉的生命漩渦:自我覺察的力量、生死同在的感知、生命意義的浮現或轉換、信任的陪伴關係和希望與圓滿感五個共同主題作為貫穿癌症病人參與生命回顧經驗之主軸。期望能夠根據上述結論,提供臨床實務工作及其相關者參考,希望在陪伴病人過程中能夠更貼近病人之內心世界。
The purpose of this study was to understand cancer patients’ life,exploring their subjective experiences when they participated in life review. A qualitative research, phenomenological approach, was used to explore cancer patients’ lived reality of theses experiences. In-depth interview and participant observation were conducted with 7 cancer patients who participated in a life review program. A four-step analysis was followed to obtain meaning units, themes, and structure of the subjective experiences of the research participants. Findings indicated five major themes penetrate the axis of cancer patients’ subjective experiences named ‘The circulated life vortex’, while participated in a life review program. It involves: (1) the power of self-awareness, (2) perception of the life accompanies death, (3) life meaning emerged or altered, (4) a trusty accompany relationship, (5) the feelings of hope and completion. This research provided a deep understanding of cancer patients’ life. It is anticipated that the findings from the current study will add to the growing body of knowledge on the provision of spiritual care, and could used as an impetus for change in practice.