- 期刊
運用悲傷輔導於憂鬱症患者喪女之護理經驗
A Nurse's Experience of Using Grief Counseling in a Bereaved Patient with Major Depression
摘要
喪親是生命中重大的失落經驗，本文是照顧一位罹患憂鬱症病人喪女的護理過程，護理期間自98年2月27日至5月1日止。筆者以整體性護理評估發現個案有三個健康問題：潛在危險性自殺、哀傷功能失常、睡眠型態紊亂。其中病人憂鬱症狀與悲傷反應會相互影響，照顧時藉由悲傷輔導為基礎，幫助病人承認喪女的事實、體驗表達悲傷的情緒，協助克服喪女後的再適應，與死者告別建立新的關係，重建生活目標。藉由「空椅子」冥想方式和死者道別，建立新的連結關係，完成悲傷任務。藉此照顧經驗提供護理人員，在照護有喪女憂鬱的病人時，能區辨憂鬱症狀與悲傷反應，提供憂鬱症的照護及悲傷輔導照顧依據，協助病人完成悲傷任務，走出憂鬱的陰霾。
並列摘要
Bereavement is the experience of great loss in life. This article describes a nurse's experience while caring for a depressed patient who lost a daughter. While providing nursing care to the client, the author employed holistic nursing assessment and found (1) latent risk for suicide (2) dysfunctional grieving, and (3) disturbed sleeping patterns from February 27 to May 1 in 2009. Other discoveries included reciprocal influences between his depressive symptoms and grief reaction. Grief counseling was offered to help the client accept the loss of her daughter, communicate her grief, overcome the difficult adjustment to life after her daughter's death, bid farewell to her daughter, and establish new relationships and life goal. Grief counseling was also applied to help the client accept the fact of her daughter death.
延伸閱讀
- 張文珠、詹碧端（2012）。協助一位喪子父親渡過悲傷期之護理經驗。領導護理，13(3)，40-48。https://doi.org/10.29494/LN.201209.0005
- 黃偉芹、詹佳蓉（2023）。運用關懷理論照顧隔離個案面臨喪親之護理經驗。護理雜誌，70(3)，94-101。https://doi.org/10.6224/JN.202306_70(3).12
- 陳巧菱、陸秀芳（2007）。一位喪子後併發憂鬱症個案之護理經驗。志為護理-慈濟護理雜誌，6(5)，116-124。https://doi.org/10.6974/TCNJ.200710.0116
- 朱秀琴、周植強（2008）。運用悲傷輔導於老年喪偶憂鬱患者之護理經驗。護理雜誌，55(5)，90-96。https://doi.org/10.6224/JN.55.5.90
- 王翠彬、陳雯婷（2005）。A Nursing Experience of Cognitive Therapy with a Major Depression Patient。護理雜誌，52(1)，74-80。https://doi.org/10.6224/JN.52.1.74