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題名:安寧護理人員照護頭頸部癌末病人創傷性死亡的心理經驗與適應之質性研究
書刊名:安寧療護
作者:張詩吟李佩怡 引用關係
作者(外文):Chang, Shih-yinLi, Pei-yi
出版日期:2012
卷期:17:3
頁次:頁261-273
主題關鍵詞:安寧護理人員創傷性死亡替代性創傷靈性轉化Hospice nursesTraumatic deathVicarious traumatizationSpiritual transformation
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:175
  • 點閱點閱:112
當所照顧的病人其死亡方式為不平安的創傷性死亡時,護理人員會真實感受到病人所經歷的創痛,心中產生恐懼與害怕,故護理人員在面對腫瘤病人大量出血致死時的創傷經驗是需要被關注的。目的:(1)探討安寧護理人員經歷頭頸部癌症病人腫瘤大量出血致死時之反應、感受(2)探討安寧護理人員在面對創傷照護經驗時之困境(3)探討安寧護理人員經歷創傷照護經驗後個人的靈性轉化。材料與方法:採立意取樣招募八位曾經照顧頭頸部癌末病人,並且所照顧的病人在死亡前有頭頸部動脈血管破裂而導致大量失血或突然大量失血致死之安寧護理人員參與研究。並藉由現象詮釋學進行分析與探討。結果:發現安寧護理人在經歷病人創傷性死亡後,會產生兩部分的創傷經驗,分別為:「原初創傷」:因病人創傷性死亡導致護理人員感官受到過度刺激所產生的生理、心理變化;以及助人者角色所帶來的「替代性創傷」及經歷創傷事件後之靈性上轉化。結論:護理是屬於高壓工作,因此投身於安寧領域的護理人員們,須更能覺察自我內在需求,學習看見自己存在工作中的意義與價值感,如此才不至於陷入耗竭之中。
Purpose: The purpose of study is to explore the psychological experiences and adjustment of hospice nurses who faced the traumatic death caused by massive of tumors bleeding in terminally ill cancer patients with head and neck cancer. Objectives: (1) To investigate the reactions, sensations and influences of hospice nurses who went through traumatic death caused by massive of tumors bleeding in terminally ill cancer patients with head and neck cancer. (2) To investigate the strategies and expectancy of gaining support of hospice nurses whose care experiences regarding to traumatic events. (3)To investigate the spirit transformation of hospice nurses who underwent the traumatic care experiences. Material and Method: There are eight nurses attended in-depth interview or focus group interview with people who are purposive sampling chosen. The interviewed documents were interpreted through Hermeneutic Phenomenology guided. Result: There are two traumatic experiences respectively that hospice nurses who underwent traumatic or unexpected death of terminally ill cancer patients. One is ”posttraumatic stress disorder PTSD” based on human being point of view caused by sensational effect; the other is ”vicarious traumatization” based on a frame of reference of helping others, nurses in ”vicarious traumatization” situation easily got different level harm and influences caused by depth sympathy for patients suffering when they cared patients and couldn't separate from it. Conclusion: Nursing care is a highly stress job. No matter how we would get burnout except we become more awareness, to realize meaning and value of the nursing work.
期刊論文
1.吳秀碧(1999)。創傷性失落與哀傷。輔導季刊,35(3),1-7。new window  延伸查詢new window
2.Robinson, J. R.(2003)。Workplace stress among psychiatric nurses。Journal of Nursung & Mental Health Services,41(4),32-44。  new window
3.Killian, Kyle D.(2008)。Helping Till Hurts? A Multimethod Study of Compassion Fatigue, Burnout, and Self-Care in Clinicians Working With Trauma Survivors。Traumatology,14(32),32-44。  new window
4.胡文郁(20040900)。臺灣文化脈絡下癌末患者之生活品質。臺灣醫學,8(5),688-697。  延伸查詢new window
5.陳美琴(20041200)。921助人者之替代性創傷與照顧--談救災經驗整合。輔仁醫學期刊,2(4)臨床心理專刊,S89-S99。  延伸查詢new window
6.林耀盛(20030600)。書寫創傷:探究「九二一震災」受創者的心理社會療癒經驗。本土心理學研究,19,3-64。new window  延伸查詢new window
會議論文
1.鍾思嘉(200105)。專業助人者的替代性創傷與因應策略。「九二一震災心理復健學術硏討會發表實務論壇與實務方案」學術硏討會,彰化師範大學教育部學生輔導支援中心 。彰化:彰化師範大學。  延伸查詢new window
學位論文
1.莊乙雄(2003)。安寧護理人員靈性成長硏究(碩士論文)。南華大學,嘉義。  延伸查詢new window
2.蔡淑玲(2005)。關懷的功課--安寧護理人員的自我照顧(博士論文)。南華大學,嘉義。  延伸查詢new window
3.李佩怡(2003)。助人者與癌症末期病人關係歷程之質性研究(博士論文)。國立臺灣師範大學。new window  延伸查詢new window
4.徐臨嘉(1993)。悲怨的詮釋現象學研究--以一個離婚的中國婦女為例(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.孔繁鐘、孔繁錦(2000)。DSM-ΙV精神疾病診斷準則手冊。臺北:合記。  延伸查詢new window
2.潘淑滿(2003)。質性研究:理論與應用。臺北市:心理出版社股份有限公司。  延伸查詢new window
3.余德慧(20010000)。詮釋現象心理學。臺北:心靈工坊文化。new window  延伸查詢new window
 
 
 
 
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