癌症對大部分的人而言代表的是死亡，一旦家中有人罹患癌症，家屬便面臨許多 壓力。本個案報告目的主要在探討癌症病患的主要照顧者，在病人住院期間所承受的壓力及 因應行為。筆者為病患之主護護士，在護理病人期間將與主要照顧者的互動寫成行為過程記 錄，加以整理分析。結果發現主要照顧者有經濟、生活方式改變、病人照顧及面對病人死亡 之壓力；而採取之因應行為有憤怒、失落與哀傷、焦慮及尋求資訊的行為。護理人員除提供 生理的照顧外，還扮演支持者、聯絡溝通者、諮詢者、傾訴者的角色功能，陪伴家屬面對壓 力並協助採取適當的因應行為，緩解其照顧病人壓力，藉此個案報告與護理同仁分享照護經 驗。

　　　　　When someone is being treated for cancer in a hospital his family members face a great deal of pressures. This case report looks at the coping mechanisms used by primary caregivers--how they endured the pressures of caring for a cancer patient. The writer is the primary nurse of the patient. She collaborated with the caregivers to collect the data, then she arranged and analyzed it. As a result, she found out that the caregivers changed their lifestyle due to the pressures of financial burdens and emotions involved in facing the imminent death of a loved one. To cope with these feelings of loss, sadness, anger and anxiety they seek information. The nurse not only takes care of the physical needs of the patient, but she plays the role of supporter, communicator and listener. By doing so she helps the patient's family face the pressures and helps them adopt the appropriate ways to release their pressures.