- 期刊
運用尊嚴療法照護壯年癌末病人之安寧護理經驗
Nursing Experience of Hospice Care for Using Dignity Therapy with A Young End-stage Patients
摘要
本文描述一位結腸癌末期的壯年病人，因面臨即將死亡的事實，而產生死亡的分離焦慮。同時，因為疾病惡化，使其體力漸漸衰弱而無法陪伴孩子，導致出現自責及內疚。照護期間從2020年2月4日至3月14日，筆者以觀察、訪談和身體評估來進行個案之身、心、靈和社會等四層面的資料收集後，發現個案的主要健康問題有疼痛、噁心嘔吐和無望感，依此給予止痛藥物、芳香療法、呼吸放鬆技巧、穴位按摩及舒適擺位等方法來緩解身體疼痛和噁心嘔吐，並運用尊嚴療法分享病人的生命故事，和錄音以製作生命書等，以留下病人紀錄，讓病人回顧生命的意義並留下可供家人紀念的影像，以降低病人臨終前的分離焦慮、自責和內疚讓孩子長大後能保有對母親的印象，得以延續與家人之間的連結，達到生死兩相安。
並列摘要
This paper describes the experience of caring for a patient with terminal colon cancer. She was afraid that cancer treatment would impair her physical strength and cause a loss of control. However, as the disease progressed, the patient's physical strength gradually decreased, and she became unable to hug her children, not to mention keep them company. A strong sense of self-blame and guilt started to grow inside the patient. It led to the concern that separation anxiety toward her family members would develop in the face of death. The patient's caring duration lasted from February 4, 2020, to March 14, 2020. Evaluations were carried out on four levels: physiological, psychological, spiritual, and social. Holistic assessments, observations, interviews, and group discussions were conducted to collect subjective and objective data. The patient's primary health problems were identified, including pain, nausea and vomiting, and hopelessness. During the patient's caring period, the modification of analgesic medication dosage, aromatherapy, breathing relaxation techniques, acupressure massage, and comfortable positioning were applied to alleviate her physical discomfort according to the patient's personal needs, and to apply dignity therapy to share the story of end-staging life by recording file and allowed the patient to retain her personality before suffering from the disease and continue the relationship with her family. Axiomatically, enabling both the living and the deceased to achieve peace.