主要照顧者面對親人死亡之焦慮

Death Anxiety in Primary Family Caregiver

錡姵如(Pei-Ju Chi) ； 唐婉如(Woung-Ru Tang) ； 徐亞瑛(Yea-Ing Lotus Shyu) ； 高振益(Chen-Yi Kao)

《安寧療護雜誌》 11卷4期 (2006/11) Pp. 383-391

https://doi.org/10.6537/TJHPC.2006.11(4).3

摘要

本質性研究之目的是探討主要照顧者面對親人死亡之焦慮。共有17位北部某醫學中心內科加護病房的主要照顧者參與此研究。以Miles and Huberman (1994)所提出之質性研究法，透過深度訪談同步進行資料收集與分析，藉以了解慢性病患主要照顧者面對親人死亡之焦慮相關定義特徵及影響因素等。研究所得衍生出二個主要概念：「動態的死亡焦慮」及「當家屬近看醫療」。結果顯示：「死亡焦慮」是「個人面臨親人病況改變時，所產生的身心煎熬。」，是種無法形容及具體解釋的感受，也是種動態、充滿變化的過程。改變外在條件不盡然可減輕主要照顧者的死亡焦慮，但醫護人員如能秉持「視病如親」的態度，確實可以協助這群主要照顧者在人生的黑暗期勇敢地向前邁進。研究同時也發現「女兒」與「媳婦」的死亡焦慮有些許不同之處，建議未來研究者可以質量並進的方式進行跨單位、跨機構的長期研究，以進一步了解國人的死亡焦慮。

關鍵字

主要照顧者 ； 死亡焦慮 ； 慢性疾病

並列摘要

The purpose of this study is to explore the death anxiety for primary family caregiver to face dear ones' death in Taiwan. 17 major caregivers participated in this study from medical intensive care units at a hospital in northern Taiwan. The data were collected from in-depth interviews and through Miles and Huberman (1994) address analysis method to coding goes hand in hand in which the participants exposed their definition and features of death anxiety. The results are as follows, death anxiety is that someone face dear ones' disease condition change, to be physical and mental suffer forth. It is also a developing procedure and not easy to express specifically this kind of feelings. To change external factors don't decrease the caregivers' death anxiety absolutely. But if medical staff regard patients as almost their own family to care, it can help major caregivers to pass sad period. Furthermore, daughters and daughters in law are few differences in reactions of death anxiety. Recommendations for further researchers: first, to emphasize both qualitative and quantitative methodology on caregiver's death anxiety research. Second, consider to go across units and institution to carry out this kind of study. Third, try to perform longitudinal way exploring major caregivers' feeling and experiences of death anxiety.

並列關鍵字

primary family caregiver ； death anxiety ； chronic disease