喪親遺族追思活動之挑戰

Challenge of the Bereaved Memorial Activities with Family Members of the Dead

蔡佩真(Pei- Jen Tsai)

《安寧療護雜誌》 12卷3期 (2007/08) Pp. 298-311

https://doi.org/10.6537/TJHPC.2007.12(3).4

摘要

我國目前的喪親支持機制與社會資源尚未普遍，失落引發悲傷的感覺常常成爲個人隱藏的課題。醫院通常在病人死亡後即結束醫病關係，只有很少數的醫療團隊會跨出醫院的圍牆，提供喪親的追蹤與支持。台灣缺乏社區式的喪親者悲傷輔導機構，目前的遺族支持活動大多仍是由各醫院安寧病房醫療團隊主動發起。癌症末期照顧原則含括「全程照顧」的理想，表明癌症的醫療涵蓋死亡後遺族的關懷與支持，因此目前的安寧病房評鑑訪查項目包涵評量各安寧醫療團隊是否有提供遺族悲傷評估與追蹤服務，促使各醫院也開始對於遺族悲傷輔導的業務有所關注。本文將探討以醫院爲基礎所辦理的遺族支持方案，並透過十四位癌症喪親家屬的質性研究訪談結果與紮根理論的資料分析方式，從遺族的觀點反思醫療團隊喪親服務的看法與感受，在遺族關懷活動的辦理時間、地點、進行方式上，建議各醫院以家屬觀點來設計活動，發展更適切的遺族關懷方案。

關鍵字

悲傷輔導 ； 遺族

並列摘要

The current support for the bereaved families and social resources in Taiwan are insufficient. The loss of family member evokes the grief that people want to keep in secret. Patient's death usually indicates the end of hospital’s services. Only few exceptions will cross the barrier to provide the follow up support. Communications' bereavement counseling is not available in Taiwan. The major bereaved support activities are from hospitals' hospice ward. The principle of taking care of terminal cancer patients includes idealized total care. It shows the concern and support to the bereaved family after the patient dies. Therefore, to evaluate hospice ward involves if the team work on providing the bereavement evaluation and the follow up service. The fact enhances every hospital start to focus on the counseling for the bereaved family. This article will analyze the hospital’s support programs. Furthermore, through the qualitative research of interviewing 14 cancer bereaved family members, this article overlooks the meaning of clinical service from the bereaved families’ perspective. The study suggests the bereaved activities should be hold more on the bereaved families' angle. Hopefully, we can develop more functional bereaved family caring pattern.

並列關鍵字

bereavement service ； bereaved families