安寧病房癌末病患受苦經驗的詮釋：從佛教宗教師的陪病交談觀點切入

本文透過詮釋現象學的研究方法，選取嘉義某區域教學醫院的安寧病房癌末病人爲研究參與者，進行爲期七個月的田野觀察與訪談。藉由病房陪病的交談，來探討安寧病房癌末病患受苦經驗並進行。現象描述與詮釋。結果發現：(1)關係締結：癌末病人因病情的發展，而出現不同程度的宗教需求；(2)死亡促發：死亡所帶來的邊界經驗，促使真切地面對自己，並尋求宗教信仰做爲依靠，進而看到生命轉渡的難題；(3)宗教的指路：死亡逼近時，宗教師陪伴癌末病人共同找出朝向死後生命的新定向。綜合而言，因癌末使得病人的「存在」根基被撼動了，誘發臨終過程身心與情緒巨大困惑及轉變，而宗教師的陪伴提供病人及家屬心靈安頓的處所。

關鍵字

安寧療護；佛教宗教師；詮釋現象學；福症末期病人

並列摘要

This study examines how a Buddhist chaplain can help terminal caner patients by interviewing and field observing, for seven months, three terminal cancer patients, in a hospice of a research-hospital located in Chia Yi, using a methodology adopted from Hermeneutical-phenomenology. When the data was collected, it was put chronically according to the disease's timeline of development, the situation facing the faith of the patients along with its transition were further analyzed by phenomena description and interpretation. The findings include: (1) Relationship formation: along with the progress of the illness, the terminal cancer patients have different degrees of spiritual needs. (2) Death as stimulants: some near death experience may force the patients to face the inevitable and seek a spiritual path as their guide. Through it, the patients see a new challenge-the transition of life. (3) Spiritual guidance: when death is approaching, the chaplain helps the patients to find a new direction after death. In summary, when the big news first appeared, it shook the existential foundation of the patients. At the same time, it started the process of dying, which was accompanied by tremendous confusion and changes both physically and mentally. The spiritual map provided by the chaplain not only provides a possibility for life, but also brings comfort to both the patients and their family.

並列關鍵字

Buddhist chaplain ； Hermeneutical-phenomenology ； hospice ； terminal cancer patients

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安寧病房癌末病患受苦經驗的詮釋：從佛教宗教師的陪病交談觀點切入

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