非安寧病房護理人員面對遺體護理之心理歷程探討

The Psychological Process of Nurses toward Patient's Corpse Care in Non-hospice Wards

曾美珠(Mei-Chu Tseng) ； 李燕蕙(Yen-Hui Lee)

《中華心理衛生學刊》 19卷4期 (2006/12) Pp. 395-415

https://doi.org/10.30074/FJMH.200612_19(4).0004

摘要

研究目的：死亡是生命中自然軌跡，多數人卻視為禁忌及將它置於意識邊緣，不願談論與採逃避態度，但臨床護理人員面對病患死亡及其遺體卻是最真實與必然的歷程。因此，本文從護理人員的面向探討她們在面對遺體護理時之主觀經驗與歷程。研究方法：本研究針對中部某醫學中心非安寧病房之護理人員，以立意取樣透過深度訪談方式收集資料，並藉由詮釋學觀點來做分析與探討。研究結果：本研究分別從遺體護理技術與新進人員的現實震撼、死亡禁忌與鬼魂文化思維、遺體護理的面對與調適來剖析護理人員的心理歷程。研究結論：希望藉由本研究之探討，引起護理人員省思，去關注及照顧內心感受，如實面對，才能協助自己真正面對死亡情境，協助照護臨終病患及家屬。最後本研究提出反思與建議，以供護理教育及臨床實務之參考研究。

關鍵字

非安寧病房護理人員 ； 病患死亡 ； 遺體護理 ； 心理歷程

並列摘要

Purpose: Although dying is a natural movement of life, the issue of death is considered as a taboo to most people. However, Face patient's death is a real and essential process for nurses. The purpose of this study was to explore the psychological process of nurses toward corpse care. Methods: The participants of this study were recruited from nurses who had worked in general ward of a hospital in middle Taiwan. The study was conducted by hermeneutic approach of qualitative research method, using in-depth unstructured interviews for data collection. Results: The result of analysis was presented through a variety of aspects as follows: the corpse care and new staff nurses reality shock, death of taboo and thought of ghost, facing and adjusting process of corpse care. Conclusions: The study was attempting to understand the nurse's feeling associated with corpse care. Nurses had to reflect and deal with their feelings first, then it would be easier for them to facing patient's death and corpse care. Finally, based on the findings of this study, several suggestions were made for further research and training of nurse's education.

並列關鍵字

non-hospice ward nurses ； patient's death ； corpse care ； psychological process

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