【作者】 王磊；

【导师】 蒋晓莲； Chan E Angela；

【作者基本信息】 四川大学 ， 护理学， 2006， 硕士

【摘要】 健康是护理学的基本概念，也是护理理论构建的基础，同时还是护理工作的终极目标，对健康概念的探讨将直接影响对护理专业价值的认可。健康概念具有的地域差异决定了健康概念的探讨必须立足于本土，才会对本土护理理论构建、护理实践和护理教育产生意义。但是，从目前大陆地区使用的护理教科书看，我国护理教科书仍然普遍采纳WHO的三维度健康概念，缺乏本土健康概念介绍。而从相关研究文献看，目前国内大陆地区还缺乏专门针对本土成年人个体健康概念探讨的研究文献，而采用质性研究的方法探讨个体生活经验中的健康概念更是空白。 本研究立足于成都本土，采用克兰德尼和康奈尔利的三维度叙事研究法，对成都本土普通成年人个体生活经历中的健康概念进行探讨。研究主要采用深度访谈的方法收集资料，通过对十名课题参与者访谈资料的三维度叙事分析和研究者对各参与者访谈资料的反思，重构了各课题参与者的生活化健康概念故事。通过这十个不同的参与者故事，研究展现了成都本土普通成年人个体健康概念随其不同的生活经历发展变化的过程及这些不同时期的健康概念在参与者生活中的具体体现。在此基础上，研究者站在“生活也是一种文化”’的角度探讨了成都普通成年人个更多还原

【Abstract】 Health is one of the basic concepts in nursing and the foundation for the nursing theory development and also the ultimate goal to pursue in nursing. The exploration of health concept is vital for identifying the uniqueness of nursing discipline. However, health is a cultural concept, only the health concept derived from the local context is meaningful for the construction of native nursing theory, and guiding nursing practice and education as well. In China, literature shows there is a lack of study on the native definition of health, especially for the adult.This study is aimed at exploring the individual health concept as well as its development and change among the local adult in Chengdu, by applying Clandinin and Connelly’s three-dimensional narrative inquiry research method. Audio-taped in-depth face-to-face interview was conducted to ten participants for data collection and three-dimensional narrative analysis was used to construct meaningful health stories of participants. From stories constructed, the characteristic, development, and change of the health concept of each participant were generated out. Besides, the influence of更多还原