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題名:臺灣安寧病房喪慟關懷服務之調查研究
書刊名:生命教育研究
作者:蔡佩真
作者(外文):Tsai, Pei-jen
出版日期:2013
卷期:5:1
頁次:頁57-90
主題關鍵詞:喪慟關懷悲傷安寧療護Bereavement careBereavementPalliative care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(1) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:5
  • 點閱點閱:48
安寧療護最終希望能導向善終與善別,善終是指病人得到最佳的症狀控制與身心靈的照顧,而善別則是協助家屬度過失落與分離的痛苦,世界衛生組織及臺灣的健康照顧政策均視喪慟關懷是臨終照顧的延續。本研究希望瞭解臺灣各安寧病房目前如何關照喪親者?提供的服務內涵是什麼?研究目的著重喪親服務供給面之瞭解,進行全國安寧療護病房喪慟關懷服務輸送之郵寄問卷調查,以檢視全國性安寧喪慟關懷服務輸送的圖象。研究結果總共有32家安寧病房回覆本問卷,喪慟關懷多數由醫療團隊共同參與,負責統籌與協調悲傷關懷服務之負責人員大部分是社工人員,並有志工協助,半數醫院運用護理人力進行初評;追蹤時點多於逝後一週及告別式時;多數醫院藉由觀察與追蹤來瞭解喪親反應,59.4%的醫院使用衛生署制訂的標準作業參考指引進行悲傷評估;九成以上的醫院都有提供遺族電話聯繫、郵寄慰問信或慰問卡,其次是提供個別會談、協助製作紀念物品、轉介精神科醫師。家屬接受度最高的服務是郵寄慰問信和電話聯繫,接受度最低的是轉介精神科醫師、轉介諮商或臨床心理師及喪親遺族自助團體。各院執行過程不免遭遇挑戰,本文根據調查結果提出相關建議,以作為臨床參考。
The purpose of hospice is to help patients have good death and good grief. Good death means patients get the best symptom control and care of the body and spirit. Bereavement care is to help families work through the pain of loss and separation. the World Health Organization and the Taiwan's health care policies are subject to bereavement care is a continuation of care. This study would like to know how the palliative care ward provide the service of the families of the terminally ill in Taiwan. What are the services they provide? The purpose of this study is to understand the hospice ward bereavement care service delivery through the mail survey method. The results of this study a total of 32 palliative care wards reply to the questionnaire. The majority of bereavement care by the medical team to participate in, and responsible for most of the personnel in charge of the overall planning and coordination of grief care services by social workers, followed up by volunteers. Half of hospital use of nursing workforce initial evaluation. Tracking point in time passed away more than a week after the funeral; most hospitals by observing and tracking to understand the bereavement reaction, 59.4% of hospitals using standard operating Reference Guide sad assessment developed by the Department of Health; 90% of the hospital provide the bereaved telephone care, mailing letters of condolence or sympathy card, followed by individual meetings, assist in the production of commemorative items, referral psychiatrist. Family members to accept the highest service mailing condolence letters and telephone conversations, the lowest acceptance referral psychiatrist, referrals to counseling or clinical psychologist, bereavement bereaved families self-help groups. During the execution of the respective hospitals inevitably challenged, we make recommendations based on the findings as a clinical reference.
期刊論文
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2.Bellali , T.、Papadatou, D.(2006)。Parental grief following the brain death of a child: Does consent or refusal to organ donation affect their grief?。Death Studies,30(10),883-917。  new window
3.Bodenbach, M.(2005)。Developing a bereavement service component for an urban teaching hospital 's new palliative care program: A four-target survey approach。Journal of Palliative Medicine,8(4),713-715。  new window
4.Bonanno, G. A.、Wortman, C. B.、Nesse, R. M.(2004)。Prospective patterns of resilience and maladjustment during widowhood。Psychology and Aging,19(2),260-271。  new window
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6.Davies, B.、Collins, J.、Steele, R.、Cook, K.、Distler, V.、Brenner, A.(2007)。Parents' and children's perspectives of a children's hospice bereavement program。Journal of Palliative Care,23(1),14-23。  new window
7.dejong-Berg, M.、deVlaming, D.(2005)。Bereavement care for families part 1: A review of a paediatric follow-up programme。International Journal of Palliative Nursing,11(10),533-539。  new window
8.deJong-Berg, M. A.、Kane, L.(2006)。Bereavement care for families part 2: Evaluation of a paediatric follow-up programme。International Journal of Palliative Nursing,12(10),484-494。  new window
9.Field, N. P.、Friedrichs, M.(2004)。Continuing bonds in coping with the death of a husband。Death Studies,28(7),597-620。  new window
10.Field , D.、Reid, D.、Payne, S.、Relf, M.(2006)。Adult bereavement in five English hospices: Participants, organisations and pre-bereavement support。International Journal of Palliative Nursing,12(7),320-327。  new window
11.Kent, H.、McDowell, J.(2004)。Sudden bereavement in acute care settings。Nursing Standard,19(6),38-42。  new window
12.Lawrence, N.(2010)。Care of bereaved parents after sudden infant death。Accident & Emergency Nursing,18(3),22-25。  new window
13.LeBrocq, P.、Charles, A.、Chan, T.、Buchanan, M.(2003)。Establishing a bereavement program: Caring for bereaved families and staff in the emergency department。Accident & Emergency Nursing,11(2),85-90。  new window
14.Levetown, M.(2004)。Breaking bad news in the emergency department: When seconds count。Advanced Emergency Medicine,26(1),26-1。  new window
15.Mackenzie, J.、MacCallam, J.(2009)。Preparing staff to provide bereavement support。Paediatric Nursing,21(3),22-24。  new window
16.Mather, M. A.、Good, P. D.、Cavenagh, J. D.、Ravenscroft, P. J.(2008)。Survey of bereavement support provided by Australian palliative care services。Medical Journal of Australia,188(4),228-230。  new window
17.Matsushima, T.、Akabayashi, A.、Nishitateno, K.(2002)。The current status ofbereavement follow-up in hospice and palliative care in Japan。Palliative Medicine,16(2),151-158。  new window
18.Neimeyer, R. A.(2000)。Searching for the meaning of meaning: Grief therapy and the process ofreconstruction。Death Studies,24(6),541-558。  new window
19.Payne, S.、Field, D.(2004)。Undertaking bereavement research: Sensitivities and sensibilities。Grief Matters: The Australian Journal of Grief and Bereavement,7(3),52-56。  new window
20.Payne, S.、Jarrett, N.、Wiles, R.、Field, D.(2002)。Counseling strategies for bereaved people offered in primary care。Counseling Psychology Quarterly,15(2),161-177。  new window
21.Payne, S.(2001)。The role of volunteers in hospice bereavement support in New Zealand。Palliative Medicine,15(2),107-115。  new window
22.Picton, Cliff、Cooper, Brian K.、Close, Diana、Tobin, Jean(2001)。Bereavement support groups: Timing of participation and reasons for joining。Omega: Journal of Death and Dying,43(3),247-258。  new window
23.Prigerson, H.(2004)。Complicated grief: When the path of adjustment leads to a dead end。Bereavement Care,23(3),38-40。  new window
24.Rodger, M. L.、Sherwood, P.、O'Connor, M.、Leslie, G.(2006)。Living beyond the unanticipated sudden death of a partner: A phenomenological study。Omega,54(2),107-133。  new window
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26.Sandler, I.、Kennedy, C.、Shapiro, E.(2004)。Parental grief and palliative care require attention。Archives ofPediatrics & Adolescent Medicine,158(6),590-591。  new window
27.Warren, N. A.(1997)。Bereavement care in the critical care setting。Critical Care Nursing Quarterly,20(2),42-47。  new window
28.Vi, P.、Barreto, P.、Soler, C.、Fombuena, M.、Espinar, V.、Pascual , L.(2006)。Grief support provided to caregivers of palliative care patients in Spain。Palliative Medicine,20(5),521-531。  new window
29.Schut, H.、Stroebe, M.(2011)。Challenges in evaluating adult bereavement services。Bereavement Care,30(1),5-9。  new window
30.Schwab, R.(1986)。Support groups for the bereaved。Journal for Specialists in Group Work,11,100-106。  new window
31.Stroebe, W.、Zech, E.、Stroebe, M.、Abakoumkin, G.(2005)。Does social support help in bereavement?。Journal of Social and Clinical Psychology,24(7),1030-1050。  new window
32.Todd, K.、Roberts, S.、Black, C.(2002)。The living with cancer education programme. I. Development of an Australian education and support programme for cancer patients and their family and friends。European Journal of Cancer Care,11(4),271-279。  new window
33.Walsh, T.、Foreman, M.、Curry, P.、O'Driscoll, S.、McCormack, M.(2008)。Bereavement support in an acute hospital: An Irish model。Death Studies,32(8),768-786。  new window
34.Sakaguchi, Y.、Tsuneto, S.、Takayama, K.、Tamura, K.、Ikenaga, M.、Kashiwagi, T.(2004)。Tasks perceived as necessary for hospice and palliative care unit bereavement services in Japan。Journal of Palliative Care,20(4),320-323。  new window
35.Demmer, C.(2003)。A national survey of hospice bereavement services。Omega: Journal of Death & Dying,47(4),327-341。  new window
36.Reid, D.、Field, D.、Payne, S.、Relf, M.(2006)。Adult bereavement in five English hospices: Types of support。International Journal of Palliative Nursing,12(9),430-437。  new window
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會議論文
1.吳秀碧(200010)。團體諮商在兒童哀傷的應用。「臺灣地區兒童生死教育」研討會,國立彰化師範大學主辦 。彰化。  延伸查詢new window
學位論文
1.Schildhaus, W. K.(1997)。Marital adaptation and growth after the death of a child(碩士論文)。Boston University,Boston。  new window
圖書
1.行政院衛生署(2000)。安寧住院療護標準作業參考指引。臺北:行政院衛生署。  延伸查詢new window
2.蔡佩真(2001)。惜別手冊--如何幫助所愛的人跨越死亡鴻溝。臺中:臺中榮民總醫院安寧療護委員會。  延伸查詢new window
3.Hartley, J.(2001)。Standards for bereavement care in the UK。London Bereavement Network。  new window
4.Wimpenny, P.、Unwin, R.、Dempster, P.、Grundy, M.、Work, F.、Brown, A.、Wilcock, S. E.(2006)。Literature review on bereavement and bereavement care。Aberdeen, UK:Robert Gordon University。  new window
圖書論文
1.Hall, C.(2001)。Grief education in the emergency department。Educational Presentation。Clayton, Victoria:Centre for Grief Education。  new window
2.Harding, R.、Learn, C.(2005)。Clinical notes for informal carers in palliative care: Recommendations from a random patient file audit。Palliative Medicine。  new window
3.National Institute for Clinical Excellence(2004)。Guidance on cancer services。Improving supportive andpalliative carefor adults with cancer。London:National Institute for Clinical Excellence。  new window
4.Kissane, D.(2004)。Bereavement support service。Palliative care nursing: Principles and Evidence for practice。Maidenhead:Open University Press。  new window
 
 
 
 
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