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題名:哀傷理論於喪親家屬之護理應用
書刊名:護理雜誌
作者:吳麗珍 引用關係周傳姜 引用關係林妍君 引用關係
作者(外文):Wu, Suen Lee-jenChou, Chuan-chiangLin, Yen-chun
出版日期:2017
卷期:64:6
頁次:頁98-105
主題關鍵詞:哀傷哀傷理論喪親家屬護理GriefGrief theoryBereaved family membersNursing
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(2) 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:2
  • 共同引用共同引用:10
  • 點閱點閱:7
哀傷是人類面臨各種失落而無可避免的生命經驗,病人家屬遭遇到失去摯愛的親人所引起的哀傷,需要護理人員的支持。護理人員需有足夠的知識去看到喪親家屬在失去所愛親人後之哀傷,並適時提供合宜的照護支持或轉介。本文介紹佛洛伊德的哀傷理論、Bowlby依附理論、Stroebe和Schut雙軌過程模式和Neiyemer意義再建構理論。佛洛伊德的哀傷理論認為哀傷調適是運用另一種方式與逝者維持連結,進而重建自我的過程。依附理論觀點為個體面臨分離焦慮所引起的哀傷反應是心理適應的過渡期,若抗拒改變則適應困難。雙軌過程模式強調哀傷調適是個人面對失落引起之哀傷時,同時亦須重建現實生活的角色任務。意義再建構理論則主張哀傷調適的重要力量來自於個人對於事件之意義重新構建。本文期能提供護理人員多種哀傷觀點,於執行護理過程中反思及看到自己對於哀傷情境的反應,並以哀傷理論為基礎,提供符合家屬個別性且及時性之護理。渡過哀傷需要時間,護理人員對於哀傷若能有更深的認識,將能及時撫慰喪親家屬於當時的哀傷歷程,投注希望於未來生活並回歸生活常規。
Loss is an inevitable experience for humans for which grief is a natural response. Nurses must have an adequate understanding of grief and bereavement in order to be more sensitive to these painful emotions and to provide appropriate care to families who have lost someone they love deeply. This article introduces four important grief theories: Freud's grief theory, Bowlby's attachment theory, Stroebe and Schuts' dual process model, and Neiyemer's meaning reconstruction model. Freud's grief theory holds that the process of grief adaptation involves a bereaved family adopting alternative ways to connect with the death of a loved one and to restore their self-ego. Attachment theory holds that individuals who undergo grieving that is caused by separation from significant others and that triggers the process of grief adaptation will fail to adapt if they resist change. The dual process model holds that bereaved families undergo grief adaptation not only as a way to face their loss but also to restore normality in their lives. Finally, the meaning reconstruction model holds that the grief-adaptation strength of bereaved families comes from their meaning reconstruction in response to encountered events. It is hoped that these theories offer nurses different perspectives on the grieving process and provide a practical framework for grief assessment and interventions. Additionally, specific interventions that are based on these four grief theories are recommended. Furthermore, theories of grief may help nurses gain insight into their own practice-related reactions and healing processes, which is an important part of caring for the grieving. Although the grieving process is time consuming, nurses who better understand grief will be better able to help family members prepare in advance for the death of a loved one and, in doing so, help facilitate their healing, with a view to the future and to finally returning to normal daily life.
期刊論文
1.蘇完女、林秀珍(20100600)。從意義建構觀點談喪親者的哀傷調適歷程。諮商與輔導,294,46-51。  延伸查詢new window
2.林威利(20110400)。談喪親兒童的哀傷處理。諮商與輔導,304,53-55。  延伸查詢new window
3.李淑惠、吳之妘、李欣樺(20120600)。協助個案渡過喪偶哀傷過程之家庭護理。領導護理,13(2),67-78。  延伸查詢new window
4.李香穎(20110400)。從哀傷到復原--正向心理學的應用。諮商與輔導,304,28-32。  延伸查詢new window
5.林書如、陳慶福(20141200)。一位兒童期喪親青少年哀傷經驗之敘說研究。家庭教育與諮商學刊,17,61-89。new window  延伸查詢new window
6.胡瑞芝(20130000)。悲傷轉化的力量:論敘事治療與意義治療。臺灣神學論刊,36,149-167。new window  延伸查詢new window
7.謝政廷、許智傑、林妙容(2010)。國小喪親兒童在表達性治療的變化情形之個案研究。台灣心理諮商季刊,2(4),1-24。  延伸查詢new window
8.Doughty Horn, E. A.、Crews, J. A.、Harrawood, L. K.(2013)。Grief and loss education: Recommendations for curricular inclusion。Counselor Education and Supervision,52(1),70-80。  new window
9.Clements, P. T.(2003)。Grief: Promoting adaptive coping after loss and death。Journal of Psychosocial Nursing and Mental Health Services,41(1),6-7。  new window
10.(2000)。Grief: Strategies for people anticipating or recovering from a loss。The Michigan Nurse,73(5),14-25。  new window
11.Nseir, S.、Larkey, L. K.(2013)。Interventions for spousal bereavement in the older adult: An evidence review。Death Studies,37(6),495-512。  new window
12.Shear, M. K.(2010)。Exploring the role of experiential avoidance from the perspective of attachment theory and the dual process model。Omega: Journal of Death and Dying,61(4),357-369。  new window
13.Schut, H. A. W.、Stroebe, M. S.、van den Bout, J.、de Keijser, J.(1997)。Intervention for the bereaved: Gender differences in the efficacy of two counselling programmes。British Journal of Clinical Psychology,36(1),63-72。  new window
14.Pusa, S.、Persson, C.、Sundin, K.(2012)。Significant others' lived experiences following a lung cancer trajectory -From diagnosis through and after the death of a family member。European Journal of Oncology Nursing,16(1),34-41。  new window
15.Thirsk, L. M.、Moules, N. J.(2013)。"I can just be me": Advanced practice nursing with families experiencing grief。Journal of Family Nursing,19(1),74-98。  new window
16.Stroebe, M. S.、Schut, H.(2010)。The dual process model of coping with bereavement: A decade on。Omega: Journal of Death and Dying,61(4),273-289。  new window
17.林秀玲、戴嘉南、黃瑛琪(20081200)。浴火鳳凰:一位喪子母親的哀傷調適與意義重建歷程研究。諮商輔導學報,19,31-68。new window  延伸查詢new window
18.Stroebe, M. S.、Schut, H.(1999)。The dual process model of coping with bereavement: Rationale and description。Death Studies,23(3),197-224。  new window
圖書
1.Feldman, R. S.、謝秀芳(2015)。實用人類發展學。台北市:華杏。  延伸查詢new window
2.Bowlby, J.(1988)。A secure base。London:Routledge。  new window
3.Archer, J.(1999)。The nature of grief: The evolution and psychology of reactions to loss。Routledge。  new window
4.Neimeyer, R. A.(2015)。Techniques of grief therapy: Assessment and intervention。Routledge。  new window
5.Parkes, C. M.、Prigerson, H. G.(2010)。Bereavement: Studies of grief in adult life。Routledge。  new window
6.Van der Horst, F. C. P.(2011)。John Bowlby: From psychoanalysis to ethology。West Sussex:Wiley-Blackwell。  new window
圖書論文
1.林妍君(2016)。兒童及青少年精神與心理衛生護理。新編精神科護理學。台中市:華格那。  延伸查詢new window
2.Klass, D.、Walter, T.(2001)。Pocess of grieving: How bonds are continued。Handbook of bereavement research: Consequences, coping and care。Washington, DC:American Psychological Association。  new window
3.Hooghe, A.、Rosenblatt, P. C.、Rober, P.(2017)。"We hardly ever talk about it": Emotional responsive attunement in couples after a child's death。Family Process。Advance online publication。  new window
4.Hooghe, A.、Neimeyer, R. A.(2013)。Family resilience in the wake of loss: A meaning-oriented contribution。Handbook of family resilience。New York, NY:Springer。  new window
5.Small, N.(2001)。Theories of grief: A critical review。Grief, mourning, and death ritual。Philadelphia, PA:Open University Press。  new window
 
 
 
 
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