某安寧病房往生助念之調查

The Study on Chanting Assistance in Hospice Palliative Care Unit

林明慧(Ming-Hwai Lin) ； 宋依亭(Yi-Ting Sung) ； 陳美碧(Mei-Bih Chen) ； 鄒平儀(Ping-Yi Tzou) ； 釋法成(Fa-Cheng Shi) ； 吳彬源(Pin-Yuan Wu) ； 陳曾基(Tzeng-Ji Chen) ； 黃信彰(Shinn-Jang Hwang)

《安寧療護雜誌》 12卷1期 (2007/02) Pp. 30-43

https://doi.org/10.6537/TJHPC.2007.12(1).3

摘要

為瞭解安寧病房往生助念服務對病人及家屬的影響，本研究以2003年至2005年間在台北榮民總醫院安寧病房死亡的所有病人家屬為研究對象，進行不記名問卷調查，共發出問卷548份，回收156份，回收率為30.1%。81.4%之問卷填答者裡，家屬於病人亡故後曾使用該病房助念室，使用時間以滿八小時以上為最多(62.2%)。選擇臨終助念主要原因以「家中成員之主張」為最多(57.5%)。助念團體介紹來源以「自家親友介紹」最多(32.3%)，其次為「病房提供助念團體電話」(29.1%)。77.9%填答者自述助念過程可幫助平復自己的悲傷情緒，81.9%自述助念過程可幫助平復其他家人悲傷情緒，15.7%表示家人於助念過程中有特殊宗教感受。往生者面容改變情形與選擇助念主因、問卷填答者性別、問卷填答者信仰、助念後肢體僵硬程度及是否推薦他人臨終助念有相關。「往生助念」過程是否會影響往生者的面容神態及其肢體之僵硬程度，仍賴進一步的客觀研究證實。

關鍵字

淨土法門 ； 悲傷輔導 ； 往生助念 ； 安寧緩和醫療

並列摘要

This study aims to investigate Chanting Assistance and its effects on the family members of the deceased through testimonies. Questionnaires were mailed to families who lost their family members at our hospice palliative care units between 2003 and 2005. We obtained 156 responses from the families (response rates: 30.1%). 81.4% responders had experiences in Chanting Assistance. 77.9% responders felt the chanting assistance were ”helpful” or ”very helpful” in relieving the grief. 41.7% said that the body and extremities of the deceased appeared ”soft” or ”very soft” after the ceremony. 37.0% said that the face of the deceased had ”good change” or ”very good change” after the ceremony. The aforementioned percentages could reach upon 49.4% and 43.1% in those with chanting assistance time longer than 8 hours. The families in group of having ”good change” or ”very good change” in face of the deceased had more positive attitude toward recommendation for chanting assistance than the others (the percentage of highly recommendation of chanting assistance：93.6% vs. 65.3%； P＜0.001). We need further study design for both the exploration of the corpses change and the psychospiritual affection in the process of chanting assistance.

並列關鍵字

Amitabha Buddha ； bereavement ； Buddhist chanting assistance ； palliative care