運用悲傷輔導協助一位男同志度過喪失伴侶之悲傷期

Providing Grief Counseling Principles to Assist a Gay Widower

吳淑芬(Shu-Fen Wu) ； 洪富智(Fu-Chin Hung) ； 李來涼(Lai-Ling Lee)

《高雄護理雜誌》 29卷3期 (2012/12) Pp. 64-72

https://doi.org/10.6692/KJN-2012-29-3-7

摘要

本文運用Worden之「悲傷輔導原則」協助一位男同志度過在喪失伴侶期間所引發之悲傷，並完成「哀悼的四個任務」。護理期間為2010年4月15日至2010年12月15日，自十篇行為過程紀錄中依Worden悲傷反應加以評估分析，發現個案的悲傷反應在感覺方面包括悲傷、憤怒、愧疚與自責、焦慮、疲倦、孤獨及無助感；身體感官知覺方面為口乾、吃不下、對聲音敏感；認知方面有難以相信伴侶即將死亡的事實、沉迷於對逝者的思念及感到逝者仍然存在的反應；行為方面出現失眠、社會退縮、避免提起伴侶、哭泣、舊地重遊等行為反應。照護過程中，筆者運用悲傷輔導的概念與原則提供照護，陪伴個案度過悲傷過程及面對四個哀悼的任務，並協助其向逝者告別完成其喪偶之哀慟，個案於喪偶後八個月已逐漸完成接受失落的事實、經驗悲傷的痛苦、重新適應一個伴侶已不在的新環境及將情感重新投注在未來生活上等四個哀悼任務。

關鍵字

悲傷輔導 ； 男同志 ； 喪失伴侶

並列摘要

This article describes the nursing experience using Worden's grief counseling skills to help a gay within a reasonable time, triggering the grief, and help he to through the grief period and completed” four tasks of mourning”. Nursing care was administered from April 15 to December 15, 2010. Ten behavioral process records were analyzed on Worden's grief reactions. The cases of grief reaction in the emotional reactions included sadness, anger, guilt and self-blame, anxiety, fatigue, loneliness and helplessness. Physical reactions included dry mouth, loss of appetite, sensitivity to sound. Cognitive reactions included disbelief and sense that the loved one is still alive. Insomnia, social withdrawal, avoidance of mentioning partner and crying comprised the main behavioral reactions. The author used concept and principles of grief counseling by supporting and accompanying the case though the grief process, help he completed the four tasks of mourning. After widowed for eight months, the case complete the four phases of 1) gradually of lost, 2) to experience the pain of grief, 3) adapting to a new environment without the deceased, and 4) to move on with life.

並列關鍵字

grief counseling ； gay ； loss of partner