同儕支持團體協助安寧團隊工作者情緒壓力紓解之應用－以彰化基督教醫院為例

The Application of Peer Support Group for Emotional Stress in Hospice Care Team: An Example of the Changhua Christian Hospital

許正眉(Jeng-Mei Hsu) ； 蔡佩渝(Pei-Yu Tsai) ； 鄭適芬(Shih-Fen Cheng) ； 李佩怡(Pei-Yi Li)

《安寧療護雜誌》 14卷3期 (2009/11) Pp. 321-330

https://doi.org/10.6537/TJHPC.2009.14(3).7

摘要

從事癌症照護的安寧療護團隊人員，經常需面對病患的死亡、複雜的身心靈困擾及家屬的情緒變化與心理支持，當遇到令人難以招架、無法控制工作內容時，易形成個人的壓力困境。基於照顧醫事人員的身心健康，彰化基督教醫院聘任具教育心理與諮商輔導背景之專業顧問協助安寧病房成立「安寧療護同儕支持團體」，幫助團隊成員紓解情緒壓力，學習適當的情緒自我照顧方式，達到工作壓力釋放與轉化。六次的團體活動後，對團隊成員的助益如職務角色拿捏、醫病關係界限釐清、個人悲傷歷程的調適，學員均有正向的回饋。因此同儕支持團體能帶來正面且有意義的效能，值得院方持續的支持，協助安寧團隊工作者促進心理、靈性層次的成長，提升醫療照顧品質。

關鍵字

安寧療護 ； 同儕支持團體 ； 自我照顧 ； 情緒壓力

並列摘要

Because of caring terminally ill cancer patients, members of a hospice care team frequently face difficult issues, such as helping patients and their families to deal with death as well as psycho-socio-spiritual distress, providing empathic support and care for patients and their families. Whenever the situations of patients and their families are very difficult and stuck in the stalemate, team members felt high pressure under these circumstances. In order to provide better emotional care and psychological support for the staffs in hospice team, Changhua Christian Hospital employed a professional counselor to join the hospice team to establish the 'peer support group' bimonthly within one year. The primary goals of this 'peer support group' were to help team members reducing emotional stress, learning appropriate emotional self-care methods, and achieving self growth. After six sessions of the group, all participants gave positive feedbacks on the benefits they had received from groups, regarding to better adjustment of professional care role, better accommodation to personal grief. Thus, this 'peer support group' which merited continuous support from the hospital brought positive and significant improvements to promoting the psycho-spiritual growth of hospice care team workers. Surely, it could facilitate the quality of healthcare service in the hospice care ward.

並列關鍵字

emotional stress ； hospice care team ； peer support group ； self-care