運用音樂治療於一位末期紅斑性狼瘡病患焦慮之護理經驗

本文是敘述運用音樂治療於一位末期紅斑性狼瘡病患面對及處理焦慮之護理經驗。個案於加護病房期間，因面臨疾病惡化與死亡威脅，產生複雜的焦慮情緒反應，出現拒絕治療、躁動及不安之行為。筆者於照顧期間(94.5.4-94.5.17)，利用同理心態度與個案建立良好互信關係，以適時的維持身體舒適、提供個案所需訊息，來減輕治療過程的不適感及增加自我控制感；另外，運用音樂治療方式，使其心理上獲得撫慰，讓個案暫時從痛苦、焦慮、不安的情緒中解脫，藉由音樂治療過程，引導個案說出面對死亡之焦慮導因，使其身心靈獲得進一步的滿足。期望此篇文章能提供臨床人員對末期病患焦慮情緒之了解及運用音樂治療於加護重症病患焦慮照顧之參考。

關鍵字

焦慮；紅斑性狼瘡；音樂治療

並列摘要

This paper describes the nursing experience of using music therapy for an anxiety patient with end stage of lupus erythematosus. The patient had shown an anxiety problem resulting in threat of illness deterioration and of death while she was in the intensive care unit. Consequently, she rejected the treatment and had agitated and restless behaviors. During the nursing care period, the author used sympathy, trust relationship, and comfort care in the nursing process. The needed information was provided to relieve the patient’s discomfort and to increase her self-control during treatment courses. Likewise, music therapy was applied to help the patient transit temporarily far away from pain, anxiety and restless. During the music therapy period, the patient expressed her real anxiety of facing death. Hence, the patient's holistic needs were fulfilled. This article might serve as a reference for clinical nursing staff to understand patient's anxiety and to use music therapy in critical care.

並列關鍵字

anxiety ； lupus erythematosus ； music therapy

國際替代計量

運用音樂治療於一位末期紅斑性狼瘡病患焦慮之護理經驗

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