正念之概念分析

Mindfulness: A Concept Analysis

「正念」（mindfulness）為近期健康照護領域新興的概念，在臨床上的應用，從舒壓擴展到心理治療，被證實是一種有效的工具，能夠幫助個體處理憂鬱、焦慮和強迫症等健康問題。許多學者對正念有各種釋義，雖然有許多共通之處，但仍具有一些差異，其定義仍然沒有完全一致的共識。目前國內、外已有許多文獻探討正念的介入措施與成效，但多應用於臨床醫療、諮商、教育等領域，反觀於護理臨床實務應用較少，且缺乏有系統之概念分析。故為瞭解正念的概念，本文依據Walker及Avant（2011）提出的概念分析方法，進行正念之概念分析，藉此闡述其定義性特徵，透過列舉典型案例、邊緣案例、相關案例、相反案例，以釐清概念、確認正念發生之前置因子與後果。本文期能提供護理人員對正念概念的瞭解，以應用於臨床實務中，協助個案達到身心療癒的安適狀態。

＂Mindfulness＂ is an emerging concept in the field of healthcare. Ranging from stress relief to psychotherapy, mindfulness has been confirmed to be an effective tool to help individuals manage depression, anxiety, obsessive-compulsive disorder, and other health problems in clinical settings. Scholars currently use various definitions for mindfulness. While some of these definitions overlap, significant differences remain and a general scholarly consensus has yet to be reached. Several domestic and international studies have explored mindfulness-related interventions and their effectiveness. However, the majority of these studies have focused on the fields of clinical medicine, consultation, and education. Mindfulness has rarely been applied in clinical nursing practice and no related systematic concept analysis has been conducted. This paper conducts a concept analysis of mindfulness using the concept analysis method proposed by Walker and Avant (2011). We describe the defining characteristics of mindfulness, clarify the concept, and confirm the predisposing factors and effects of mindfulness using examples of typical cases, borderline cases, related cases, and contrary case. Findings may provide nursing staff with an understanding of the concept of mindfulness for use in clinical practice in order to help patients achieve a comfortable state of body and mind healing.