由個案觀點看焦慮：一個本土護理學的田野研究

The Emic Perspective on the Concept of Anxiety : An Indigenous Nursing Field Study

在本研究中，作者們嘗試經由田野研究法探索護理場域中經常出現的「焦慮」概念的本質。作者訪談並分析了十五位個案對「焦慮經驗」的具體描述。本研究除呈現護理對象對焦慮概念的主位觀點(emic perspective)外，並嘗試建立本土護理對於焦慮知識之基礎。研究發現，焦慮是一種複合的情緒體驗，幾乎每個人都經歷過；「焦慮」並非國人的常用語言，國人在「焦慮」的語言表達上，與西方非常的不同；而其疾病經驗、行為反應亦與西方有所差異。作者們因而建議護理研究者及臨床實務工作者應嘗試以個案的觀點去瞭解個案的現象，才能提供符合個案需求的護理。如此，也才能與護理的關懷本質相銜接。

By using indigenous nursing field study, the authors intended to explore the essential characteristics of "anxiety" which is frequently used in Taiwanese. Fifteen participants were interviewed in order to collect and analyze the live experience around the concept of anxiety. The authors not only presented the participants' with emic perspectives on the concept of "anxiety" but also tried to accumulate the indigenous knowledge of nursing. The authors discovered that (1) anxiety is presented as a complex of emotional experience, (2) anxiety is not the daily language which Taiwanese used to address their encounter with anxiety, (3) the illness narrative, attributes, and responding behavior are different from the counterpart of the Western. The result of this research proposed the crucial role of culture on nursing professionals. For applying appropriate nursing practice on the client we care, nurses should try to understand the illness narrative derived from emic perspective of our clients.