The Concept of Health in People with Chronic Illness

慢性病患者的健康概念

胡月娟(Yueh-Juen Hwu)

《醫護科技學刊》 4卷1期 (2002/01) Pp. 31-48

https://doi.org/10.6563/TJHS.2002.4(1).3

摘要

健康是護理專業中的一項核心概念。有愈來愈多的研究顯示沒有罹病並非健康的先決條件，同時源自健康─罹病連續線的健康定義也不適用於慢性病患者。探討健康對慢性病患者的意義就變成一個迫切的研究議題。因此，本研究目的乃在描述慢性病患者對健康所持的觀點。以半結構式訪談指引訪談了8位台灣慢性病患者，質性資料用以描述台灣慢性病患者對健康的看法。研究結果發現台灣慢性病患者所認為的健康概念由三大層面(身體、社會心理、靈性)所組成。此外，健康概念包含六大因素：獨立、身體功能行使、對社交互動滿意、對生活的熱勁、安寧、與意義。這些研究發現有助於人們瞭解台灣慢性病患者的健康概念。

關鍵字

健康概念 ； 慢性病患者

並列摘要

Health is a key concept in professional nursing. A growing body of studies proves that the absence of illness is not a prerequisite for health, and a definition of health based on the wellness-illness continuum is not appropriate for people with chronic illness. Consequently, the meaning of health among people with chronic illness emerges as an important research issue. This study thus attempted to illustrate how health is conceived by Taiwanese sufferers of chronic illness. Eight Taiwanese diagnosed with a chronic illness were interviewed using a semi-structured interview schedule. Qualitative data, namely the words of the participants, indicated how health was conceived by Taiwanese with chronic illness. The findings elucidate that Taiwanese people with chronic illness see health as comprising three dimensions: physical, psychosocial, and spiritual. Additionally, the concept of health contains six factors, namely independence, physical functioning, contentment in social interaction, zest for life, serenity and meaning. These findings contribute to the understanding of the concept of health held by Taiwanese people with chronic illness.

並列關鍵字

concept of health ； people with chronic illness

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