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[Young persons' image of health--a study of high school students' concept of health]. 青少年的健康形象——高中生健康观念的研究
Pub Date : 1993-01-01
L Lindholm

This study is part of the research project "Multidimensional Health". It is empirical and has a descriptive-explorative orientation. Its purpose is to describe high school students' idea of health and it focuses on hopes and possibilities. The theoretical frame of reference consists of a synthesis of theories according to J. J. Rousseau, E. H. Eriksson and K. Eriksson. The results of the study show that the young person's idea of health is relative to his stage of development and to his context. An essential part of the experience of health is the experience of possibility. The young persons' ideals of health consists of faith or confidence, hope and love. Courage is the basis of health for young persons.

这项研究是“多维健康”研究项目的一部分。它是经验性的,具有描述性-探索性的取向。它的目的是描述高中生对健康的看法,它侧重于希望和可能性。其理论参考框架是由卢梭、埃里克森和埃里克森的理论综合而成的。研究结果表明,青少年的健康观念与其所处的发展阶段和所处的环境有关。健康经验的一个重要部分是对可能性的经验。年轻人对健康的理想包括信仰或信心、希望和爱。勇气是青年人健康的基础。
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引用次数: 0
[Sexuality of the aged--attitudes of nurses and physicians]. [老年人的性取向——护士和医生的态度]。
Pub Date : 1993-01-01
V Jokela, M Paunonen

The purpose of this study was to describe attitudes of the nurses and the physicians and their knowledge towards the sexuality of the hospitalized and non-hospitalized aged patients. The study was carried out in a small health centre near Turku involving a total of 70 persons of the medical staff, nurses and doctors. The questionnaire was returned by 53 of those involved. According to the participants, aged people only rarely express their wish to discuss their sexual needs during the care. Neither do the nurses or physicians bring up the matter themselves. Most of the attendants in the study would be ready to discuss with the patients matters dealing with the sexuality of the aged. The participants had knowledge of the sexual needs of the elderly and their attitudes were acceptive. This might mean that the member of the staff is willing to try to help the patient in matters usually difficult to handle.

摘要本研究旨在了解住院及非住院老年病人的护士及医生对性知识的态度。这项研究是在图尔库附近的一个小型保健中心进行的,共有70名医务人员、护士和医生参加。参与调查的人中有53人填写了问卷。根据参与者的说法,老年人在护理期间很少表达他们希望讨论他们的性需求。护士和医生自己也不提这件事。研究中大部分的陪护人员都愿意与患者讨论老年人的性问题。参与者对老年人的性需求有一定的了解,并且态度是可以接受的。这可能意味着工作人员愿意尝试帮助患者处理通常难以处理的问题。
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引用次数: 0
[Life control, the core of being healthy. Theoretical-empirical definition of the concept "life control"]. 生命掌控,健康的核心。“生命控制”概念的理论-经验定义]。
Pub Date : 1993-01-01
A Häggman-Laitila, A M Pietilä

In this article the concept 'life control' is being analysed and defined. A need to define the concept 'life control' emerged during a research that deat with a human being's descriptions being healthy. 'Life control' turned out to be the central category and the main concept organising the whole data. The data were collected by focused interviews (N = 60). Those interviewed represented five different styles of 'life control'. One of these styles that were discovered in the research was chosen as the basis of the conceptual analysis. This style was characterised by 'laissez faire' attitude towards life. Hybrid model was used as the theoretical frame of reference in the conceptual analysis. Thorough study of Finnish and foreign literature about 'life control' leads into an explicit definition of 'life control' describing the data collected by focused interviews: 'Life control' is an individual's basic belief concerning the possibilities to control the course of human life and the extent of this control. An individual either controls his/her life quite independently and completely or only to a certain extent, or it is controlled by factors beyond the influence of a human being. The definition of the 'life control' -concept in the sense that it displays basic beliefs should be examined by studying people's way of thinking with the help of interviews, essays, questionnaires or analysis of autobiographies.

本文对“生命控制”的概念进行了分析和定义。在一项与人类健康描述有关的研究中,出现了定义“生命控制”概念的需求。“生命控制”变成了中心类别和组织整个数据的主要概念。数据采用重点访谈法收集(N = 60)。这些受访者代表了五种不同的“生活控制”风格。在研究中发现的其中一种风格被选为概念分析的基础。这种风格的特点是“自由放任”的生活态度。在概念分析中采用混合模型作为理论参考框架。通过对芬兰和国外关于“生命控制”的文献的深入研究,得出了“生命控制”的明确定义,描述了通过集中访谈收集的数据:“生命控制”是一个人关于控制人类生命进程的可能性和这种控制的程度的基本信念。一个人要么完全独立地或在一定程度上控制自己的生活,要么被人类无法影响的因素所控制。“生命控制”概念的定义,从它显示基本信念的意义上来说,应该通过研究人们的思维方式,借助访谈、论文、问卷调查或对自传的分析来加以检验。
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引用次数: 0
[Developing a health mind-set--description of caritative health promotion]. 【培养健康心态——对促进口腔健康的描述】。
Pub Date : 1993-01-01
C Sääksjärvi

This investigation describes health promotion from a caring science perspective. Caring is defined as an act of "caritas" c.e. love and mercy (Eriksson 1991). The investigation is theoretical and comes as a result in a model for health education. The model will be empirically tested in the future further on. The research method is qualitative and descriptive consisting of three processes: the abductive, deductive and inductive. This method was created by Charles Peirce (1839-1914). The inductive process will be implemented by testing the model. Abduction is the process of forming an explanatory hypothesis. The abductive hypothesis of this investigation is formed in the following way: "the kind of mood od mind, the kind of health". Main emphasis has been in examining the meaning of the mood of mind for ones health and the possibilities to develop it. The following question were asserted; 1. What is meant by the mood of mind? 2. What attributes are required in order to talk about health's mood of mind? 3. What are the possibilities of developing the mood of mind as a way for health education? The result of this investigation is presented as a model for health promotion. The model is upbuilt by the caritative elements featuring belief, hope, love and the concept of virtue. The model shows the consequences for a human beings daily living. In the case of having too much belief a human being may develop some kind of health fanatism. In the case of having too much belief a human being may develop some kind of health fanatism. In the case of having too much hope a human being puts forward the decisions about health for tomorrow. In the case of having too much love it may lead to a irresponsible lifestyle. An assumption is that a balance between belief, hope and love leads in choosing health, planning for health and living in health.

本研究从关怀科学的角度描述健康促进。关怀被定义为一种“明爱”的行为,即爱和怜悯(埃里克森,1991)。这项调查是理论性的,是健康教育模式的结果。该模型将在未来进一步进行实证检验。研究方法是定性和描述性的,包括三个过程:溯因、演绎和归纳。这种方法是查尔斯·皮尔斯(Charles Peirce, 1839-1914)发明的。归纳过程将通过测试模型来实现。溯因是形成解释性假设的过程。本研究的溯因假说是这样形成的:“心情好,头脑好,身体健康”。主要的重点是研究心理情绪对一个人的健康的意义以及发展它的可能性。有人提出下列问题:1. 心境是什么意思?2. 为了谈论健康的心境,需要哪些属性?3.发展心境作为健康教育的一种方式有哪些可能性?这项调查的结果被提出作为健康促进的模型。该模型是由信念、希望、爱和德性等要素构成的。该模型显示了人类日常生活的后果。在有太多信仰的情况下,一个人可能会发展出某种健康狂热。在有太多信仰的情况下,一个人可能会发展出某种健康狂热。在抱太大希望的情况下,一个人会把有关健康的决定留到明天。在拥有太多爱的情况下,可能会导致不负责任的生活方式。一种假设是,信仰、希望和爱之间的平衡导致人们选择健康、为健康做计划和健康地生活。
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引用次数: 0
[Disruptive behavior; what is it, how prevalent is it and how much nursing care does it require in geriatric departments?]. [破坏性行为;它是什么,有多普遍,在老年科需要多少护理?
Pub Date : 1993-01-01
A Liukkonen

The purpose of the study was to examine disruptive behaviors in elderly patients, to find out the prevalence of disruptive behaviors and the most disruptive behavior for staff and to examine nursing interventions in these situations. The data were collected with a questionnaire. The respondents on the survey were special nurses, nurses, mental health nurses and licensed nurses (N = 287). This type of study cannot be generalized to a larger population of geriatric care facilities without bearing in mind that the population studied was not representative of the general population of all geriatric care facilities. Our results show that problems of mobility, incontinence, dressing, language and passivity were among the top five most frequently occurring on geriatric wards. Nursing personnel identified physical aggression as the most disruptive behavior for them. The results of this study suggest that disruptive behaviors occur at rates which are clinically significant in a geriatric care setting. Research into the etiology and treatment of disruptive behaviors is in a most preliminary stage. Research is also needed on the potential for training nursing staff in the use of simple and positive behavioral procedures.

本研究的目的是调查老年患者的破坏性行为,了解老年患者破坏性行为的流行程度和对护理人员破坏性最大的行为,并探讨在这些情况下护理干预措施。数据是通过问卷调查收集的。调查对象为专科护士、护士、精神卫生护士和执业护士(N = 287)。这种类型的研究不能推广到更大的老年护理机构人群,如果不考虑所研究的人群并不能代表所有老年护理机构的一般人群。我们的研究结果表明,行动不便、大小便失禁、穿衣、语言和被动是老年病房最常见的五大问题。护理人员认为身体攻击对他们来说是最具破坏性的行为。本研究的结果表明,破坏性行为的发生率是临床上显著的老年护理设置。对破坏性行为的病因和治疗的研究还处于最初级的阶段。还需要研究培训护理人员使用简单和积极的行为程序的潜力。
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引用次数: 0
[Human philosophy in empirical human research and promotion of a professional foundation]. [人文哲学在实证人文研究与推广中的专业基础]。
Pub Date : 1993-01-01
L Rauhala
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引用次数: 0
[Opinions of psychiatric patients and treatment goals]. 【精神病患者意见及治疗目标】。
Pub Date : 1993-01-01
E Latvala, H Aavarinne

The aim of the study was to examine the opinions of psychiatric patients regarding the aims of their care and to compare these to the aims recorded by the nursing staff on the treatment plan forms. Attention was also paid to the reasons quoted by the patients for the given helping methods and their opinions on factors which promote or hamper treatment. The basic group consisted of patients who had been treated at the Department of Psychiatry in the University Hospital District of Northern Ostrobothnia for at least two weeks. The group was divided into two parts: 1) patients treated in a close ward and 2) those in an open ward. Thirty-one patients of each kind were selected by random sampling and interviewed using five open questions which concerned the aims of the treatment, their grounds for participating in the treatment concerned and factors promoting or hampering treatment. The notes on the aims of the treatment made by the nursing staff were gathered from the treatment plan forms for the patients in question. The data were analyzed by content analysis. The primary finding was that there are still discrepancies between the aims recorded in the course of treatment and patient's own opinions. The results indicate that the patients regarded social interaction as the primary reason for seeking treatment, followed by therapeutic interaction and normative factors in the ward. Factors considered to promote helping were therapeutic interaction, medical treatment, self realization and social interaction, whereas the detrimental factors were related to the patients themselves, their individual needs, the environment, the therapeutic community or the medication provided.

本研究的目的是调查精神病患者对其护理目标的看法,并将其与护理人员在治疗计划表格上记录的目标进行比较。同时还关注了患者对所提供的帮助方法的理由以及他们对促进或阻碍治疗的因素的意见。基本组由在北奥斯博滕大学医院区精神科接受治疗至少两周的患者组成。分组分为两组:1)封闭病房和2)开放病房。随机抽取各类患者31名,采用5个开放性问题进行访谈,内容涉及治疗目的、参与治疗的理由以及促进或阻碍治疗的因素。护理人员对治疗目的的说明是从有关患者的治疗计划表格中收集的。采用内容分析法对数据进行分析。主要发现是在治疗过程中记录的目标与患者自己的意见之间仍然存在差异。结果显示,患者就医的首要原因为社会互动,其次为治疗互动和病房规范因素。促进帮助的因素是治疗互动、医疗、自我实现和社会互动,而有害因素与患者本身、个人需求、环境、治疗社区或提供的药物有关。
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引用次数: 0
[Actions of physicians, nurses, parents and friends in relationship with young diabetic patients]. [医生、护士、父母和朋友在照顾年轻糖尿病患者中的行为]。
Pub Date : 1993-01-01
M Hentinen, H Kyngäs

The purpose of this study was to use young diabetics descriptions of their illness, treatment and care to explain the actions of physicians, nurses, parents and friends relationship with diabetics'. The empirical data were collected by interviewing 51 diabetics of age 13-17-years. The data were processed by the method of continuous comparative analysis. The young diabetics described the actions of physicians as motivating, authoritarian, negligent and routine. By motivating they meant that, the doctors and young diabetics acted together, discussing the treatment and care and planning it together, whereas the routine and authoritarian aspects of their action referred to things that the doctors didn't discuss with the patient, and care that wasn't individual. The nurses' were described as taking notice of the young diabetics as individuals, but their actions were or intended to comply with the doctors' instructions. The individual aspect consisted of planning the care together and trying to combine it with the young persons's life. The actions of the parents were described as motivating, involving acceptance and disciplined control. Their motivating action consisted of support and a natural interest in young diabetics's life and not only in the disease. The parents who accepted the young diabetics didn't try to influence them. They accepted that the people would not necessarily care for themselves. Their disciplined control consisted of a lot of questions about care and attempts to oblige the young diabetics to care for themselves better than they do. The young diabetics described their interaction with friends, in terms of their silent support, their friends dominating their lives or their friends having no meaning for their self care. When their friends dominated their lives, the young diabetics lived according to their friends' habit, in which case the care didn't fit in with the young diabetics' life style. The silent support of the friends was typical in that the friends reminded the young diabetics of their care and tried to change their own habits to fit the young diabetics' lives. Friends had no meaning for those young diabetics for whom the care was a natural part of their lives.

本研究的目的是用年轻糖尿病患者对他们的疾病、治疗和护理的描述来解释医生、护士、父母和朋友与糖尿病患者的关系。对51例13-17岁的糖尿病患者进行访谈,收集实证数据。采用连续对比分析法对数据进行处理。年轻的糖尿病患者将医生的行为描述为激励、专制、疏忽和常规。他们说的激励是指,医生和年轻的糖尿病患者一起行动,一起讨论治疗和护理,一起计划,而他们行动的常规和专制方面指的是医生没有和病人讨论的事情,也不是针对个人的护理。护士们被描述为把年轻的糖尿病患者作为个体来关注,但他们的行为是或打算遵守医生的指示。个人方面包括共同规划护理,并试图将其与年轻人的生活结合起来。父母的行为被描述为激励,包括接受和纪律控制。他们的激励行动包括支持和对年轻糖尿病患者生活的自然兴趣,而不仅仅是对疾病。接纳年轻糖尿病患者的父母并没有试图影响他们。他们承认,人们不一定会关心自己。他们的严格控制包括许多关于护理的问题,并试图迫使年轻的糖尿病患者比他们更好地照顾自己。年轻的糖尿病患者描述了他们与朋友的互动,他们的朋友默默支持他们,他们的朋友主导他们的生活,或者他们的朋友对他们的自我照顾毫无意义。当他们的朋友主导他们的生活时,年轻的糖尿病患者按照他们的朋友的习惯生活,在这种情况下,护理不适合年轻的糖尿病患者的生活方式。朋友们的默默支持是典型的,他们提醒年轻的糖尿病患者他们的关心,并试图改变自己的习惯,以适应年轻的糖尿病患者的生活。对于那些年轻的糖尿病患者来说,朋友没有任何意义,因为照顾他们是他们生活中很自然的一部分。
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引用次数: 0
[Proper study of starting point in scientific philosophy--discussion of viewpoints in scholarly nursing study]. 【正确研究科学哲学的出发点——学术护理研究的观点探讨】。
Pub Date : 1993-01-01
H Nieminen, P Astedt-Kurki

In this article starting points and methodological issues of qualitative research will be examined. Questions of phenomenology, analytic hermeneutics and so called newer hemeneutics are handled. Methodological roots of some Finnish PhD. dissertations will be identified. The main purpose of this paper is to discuss and make some clarification to conceptual diversity in studies using qualitative research methods.

本文将探讨定性研究的出发点和方法论问题。处理现象学、分析解释学和所谓的新解释学的问题。一些芬兰博士的方法论根源。论文将被确定。本文的主要目的是对定性研究方法研究中的概念多样性进行探讨和澄清。
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引用次数: 0
[Humor in nursing care]. [护理中的幽默]。
Pub Date : 1993-01-01
P Astedt-Kurki, A Liukkonen
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引用次数: 0
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Hoitotiede
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