運用藝術治療於安寧療護之行動探究

An Action Inquiry of Utilizing Art Therapy in Hospice Care

倪傳芬(Chung-Fan Ni)

《志為護理-慈濟護理雜誌》 1卷3期 (2002/09) Pp. 40-47

https://doi.org/10.6974/TCNJ.200209.0040

摘要

透過藝術創作能投射許多案主的想法與感受，協助其以不具威脅性的工具與他人互動。在安寧療護中提供病患藝術治療，能提高其自尊、減輕憂鬱反應及焦慮。本研究透過接受安寧療護之案主及團隊的協同合作，來探究參與藝術治療時的行動歷程。採取多元方式蒐集資料。共發展出五項藝術治療主題：我的內在與外在、我的感覺、視覺引導想像、生命回顧、對家人要說的話。分析多元資料後發現藝術治療之介入讓案主經歷關係的建構、生命時光的的體顯、迫切性的感知及心靈苦痛的沉澱與昇華。其中關係的建構中具有試探及關係重塑議題；生命時光的的體顯中案主有自我價值感的提升、情緒的體驗、對自我角色的期待及處理焦慮轉化的身體症狀；在迫切性的感知中案主經歷迫切性的掙扎後能調整至未竟事項的完成。在現專場中團隊對藝術治療的體認有協助病患趨於正向積極過生活、團隊正向感受的經驗、整體性照護的增加及創造力的啓發。

關鍵字

藝術治療 ； 安寧療護 ； 行動研究

並列摘要

The clients can project various thoughts and feelings through art creation process. Art can be used as an non-threatening tool to communicate with others. The clients may have improved self-esteem, decreased depressive mood and anxiety after being offered art therapy in hospice care. The research applied art therapy to the client under hospice care, and utilized action inquiry to explore ”the perceptions and behaviors presented when facing death” through art therapy process. Altogether five art therapy topics were developed: ”inside and outside of myself”, ”my feelings”, ”guided imagery”, ”life review” and ”words to my family”. Through analyzing the collected multiple data, the researcher found that there were the following categories. The client went through constructing relationships, magnificent lifetime, perceiving urgency and sublimating the distress. There were testing behaviors and reshaping past experience included in constructing relationships. Magnificent life time was reshaped with personal worth promoting, experiencing emotional expression, expecting a good role to be played, and managing physical symptoms converting from anxiety. When the client perceived the urgency of his lifetime, he hesitated in facing the urgency in the first place then got the unfinished business done to no regret. When the art therapy goal was achieved, there were correlative feelings and experiences of the hospice team members: to live in a more positive way of daily life, to improve feelings toward self, to increase holistic care, and to inspire creativity.

並列關鍵字

art therapy ； hospice care ； action inquiry