| 研究生: |
吳秀琴 Wu, Hsiu-chin |
|---|---|
| 論文名稱: |
自殺未遂之女性憂鬱症患者及其伴侶於自殺事件後的生活經驗剖析:修復生命烙印 To Explore the Lived Experiences for Depressed Females with Suicide Attempt and Their Partners:A Scar of the Life |
| 指導教授: |
林梅鳳
Lin, Mei-Feng |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 護理學系 Department of Nursing |
| 論文出版年: | 2008 |
| 畢業學年度: | 96 |
| 語文別: | 中文 |
| 論文頁數: | 149 |
| 中文關鍵詞: | 女性憂鬱症 、生活經驗 、現象學 、自殺未遂者 |
| 外文關鍵詞: | Lived experiences, Phenomenology, Suicidal attempter, Depressed females |
| 相關次數: | 點閱:123 下載:13 |
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本研究旨在探討自殺未遂之女性憂鬱症患者及其伴侶於自殺事件後的生活經驗,研究採立意取樣,針對南部某精神專科醫院門診之自殺未遂女性憂鬱症患者及其伴侶,共收案五對夫妻(伴侶),每位患者及伴侶分別進行二次分開之個別訪談,每次訪談達60-100分鐘。資料收集以自擬之低結構訪談大綱為指引,再以Colaizzi現象學研究法進行資料分析。研究結果歸納出自殺未遂之女性憂鬱症患者的生活經驗概念為「活出受苦的自我」,此概念來自於六個類別所組成,六個類別分別是:「訴說兩難」、「找到支點」、「看到裂痕」、「與死角力」、「看重自己」及「修補裂縫」;另有十一項次類別及二十一個主題。歸納出自殺未遂之女性憂鬱症患者其伴侶的生活經驗概念為「活在枷鎖的無我」,此概念來自於六個類別所組成,六個類別分別是:「驚心渡日」、「我是支點」、「築牆伴侶」、「放下自我」、「撐傘保護」及「讓家圓滿」;另有十項次類別及十七個主題。而伴侶兩者間所共同發展的生活經驗,命名為「修復生命烙印」,以描繪出患者及伴侶的生活經驗本質。基於上述,故本研究可於臨床照護上,包含疾病照護、自殺後歷程調適及夫妻治療的評估向度及深度介入之參考,並可做為自殺未遂之女性憂鬱症患者及其伴侶於自殺事件後的生活經驗之研究架構。
This study aims to explore the lived experiences of depressed females with suicide attempt and their partners. Its participants included those depressed females with an attempted suicide and their partners. They were from one hospital of psychiatric specialty in the South of Taiwan and each of them was respectively interviewed two times. Every interview was oriented by the draft, outlined by the interviewer. Data were collected from these interviews and further analyzed by the procedure of Colaizzi phenomenological methodology. Regarding the lived experiences of depressed women after their attempted suicide, this study generated a central concept, living through suffering, consisting of six categories: relating the adversity of surviving; finding the pivot; discovering the fissure; combating against death; self-appreciation; and bridging the fissure. There were eleven sub-categories and twenty-one themes as well. As for the lived experiences of their spouse, the major concept was living non-self under the yoke of spousal relationship, including six categories: living with dreadfulness; being the pivot; accumulated barriers in between; becoming devoted; being as a protector; and maintaining the unity of the household. Ten more sub-categories and seventeen themes added to this major concept. Their mutual lived experiences were named as “rehabilitation from the experiences of attempted suicide,” reflecting the nature of their lived experiences. The result could serve as a reference for facilitating clinic nursing intervention, the process of coping, treatment for spouse, as well as precautionary measures and further intervention to deal with the problem of family. It could also serve as a theoretical framework of further study dealing with the lived experiences of depressed females with suicide attempt and their partners.
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