主要照顧者於病人生命末期照護過程的心理經驗－個案報告

Psychological Experiences of Primary Caregiver in Patient's Terminal Stage: A Case Report

沈晏羽(Yan-Yu Shen) ； 吳曉聞(Hsiao-Wen Wu) ； 楊啟正(Chi-Cheng Yang)

《北市醫學雜誌》 21卷3期 (2024/09) Pp. 264-269

https://doi.org/10.6200/TCMJ.202409_21(3).0006

摘要

過去研究較少呈現末期病人主要照顧者之壓力負荷與哀傷失落。本研究以訪談方式分析個案在親人罹病過世歷程中之哀傷失落；訪談個案為67歲女性，長期照顧罹病的婆婆，自民國107年使用安寧療護服務，並與心理師開始進行會談，談論照顧負荷、家人關係與生活規劃。婆婆過世後，會談議題也從歷經哀傷失落進行至生活的調整與改變，以及失落經驗帶來的人生意義的轉化。藉由個案的生命經驗，本研究提供對主要照顧者進行哀傷治療的臨床工作者重要之臨床實務參考。

關鍵字

疾病末期 ； 心理照護 ； 哀傷失落 ； 照顧負荷

並列摘要

Previous studies have rarely shown the stress burden, loss, and grief among the primary caregivers of terminally-ill patients. This study adopted an interview approach and analyzed the loss and grief of the client in the dying process of a family member. The client was a 67-year-old woman who had been taking care of her sick mother-in-law for a long time. She used palliative care services since 2018, and started the consultation sessions with a psychologist to discuss her caring burden, family relationship, and life planning. After her mother-in-law passed away, the topic of consultation progressed from experiencing grief and loss to life adjustments and changes, and the transition of life meaning brought by the losing experience. Through the life experiences of this case, our study offers an important clinical reference for clinical workers who provide grief therapy to primary caregivers.

並列關鍵字

terminal stage ； psychological care ； loss and grief ； care burden

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