藉由音樂治療支持臨終者家屬之案例探究－搭起病患與家屬心中的橋樑

目的：家屬在面對患者疾病末期的階段，有時候會不知如何因應摯愛的親人即將死亡的事實。本研究目的主要是探討如何運用音樂治療來協助臨終病患的家屬表達他們的情感。方法：本研究的參與對象，包括一位80歲癌症末期的男性和他9位親近的家人，執行音樂治療是在可以容納8-10人的病房裡，使用電子琴彈奏音樂；研究者並運用錄影設備來紀錄參與者的話語、互動、面部表情與肢體語言。本研究是以軼事觀察法及內容分析法來呈現研究結果。結果：參與家屬表示：音樂治療增進了家屬彼此溝通的機會，提供參與家屬對臨終的親人請求被原諒以及表達謝意的管道，進而讓家屬接受親人即將逝世的事實。結論：音樂治療提供臨終患者的家屬表達情感之機會，並因應親人即將死亡的事實。藉此，我們希望音樂治療能夠提升臨終患者及其家屬的生活品質，亦不要因親人的死亡而造成心中的遺憾。

關鍵字

音樂治療；團體動力；臨終患者；家庭成員

並列摘要

Purpose. Family members of patients with end-stage disease often do not know how to cope with the eventual death of their loved one. The purpose of this study is to explore the effect of music therapy as an outlet for family members of terminally ill patients to express their emotions. Methods. The participants in this study comprised an 80-year-old man with terminal-stage cancer and nine of his closest relatives. Music therapy was administered at the patient's beside in a room with a space capacity of 8-10 people. Songs were played on an electric piano. A video camera was used by the researcher to record the participants interactions, facial expressions, and body language. The effectiveness of the intervention was evaluated by anecdotal evidence and content analysis. Results. Music therapy promoted communication among the family members. Some of the participants coped with the patient's terminal condition by praying for forgiveness. The therapy allowed others to express their gratitude. At the end of the session, all family members could accept the fact that their relative would eventually pass away. Conclusion. Music therapy provides family members of terminal patients an opportunity to express their emotions and cope with the eventual death of the patient. We hope to improve the quality of life of terminal cancer patients and their families, and will not regret may be patient to die.

並列關鍵字

music therapy ； group dynamic ； terminally ill patients ； family members

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藉由音樂治療支持臨終者家屬之案例探究－搭起病患與家屬心中的橋樑

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