:::

詳目顯示

回上一頁
題名:癌末病童之靈性照顧--以安寧病房為例
書刊名:安寧療護
作者:釋普安蔡昌雄 引用關係程裕藍游碧真
作者(外文):Bhikkhuni, Pu-annTsai, Chang-hsiungChen, Yu-lanYou, Bih-jen
出版日期:2013
卷期:18:1
頁次:頁62-75
主題關鍵詞:癌末兒童靈性照顧安寧療護Cancer at the terminal stageChildrenSpiritual careHospice
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(7) 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:7
  • 共同引用共同引用:21
  • 點閱點閱:41
安寧療護提供整體性的照顧方式給生命末期的兒童及青少年,以提升病童生活品質並維護自主權及生命尊嚴。一般認為,兒童認知有限,無法理解疾病狀態及死亡,或因家屬刻意隱瞞病情,常造成家庭衝突及壓力;在積極治療無效時,家屬常為決定病童是否接受緩和治療而掙扎。本文為病例報告,以兩位癌末病童接受安寧療護靈性照顧為主題,照顧過程發現病童對靈性照顧有以下四點需求︰1.病情告知、2.關係和解、3.死亡焦慮緩解、4.宗教諮商。第一位病童的照顧程序是:1.與家屬進行病情理解溝通,透過「腳底按摩」與病童建立關係,使能談論病情和宣洩情緒;2.使用「舊照片」及「敘舊」引導進行「生命回顧」,讓關係再連結及和解;3.肯定病童生命意義,藉此實踐「四道人生」。第二位病童的照顧程序是:1.引導病童「懺悔、道歉」,以疏解病童對過去殺生經驗的內疚;2.臨終時刻尊重病童的自主權;3.以「念佛」的宗教經驗啟發內在力量,緩解其死亡焦慮情緒。兒童安寧照顧若能關注本文所提靈性照顧方式,對病童的善終將能有所助益。死亡雖是生命的斷裂,但病童的善終卻能讓逝者無憾,生者能「善別」、「善生」,悲傷緩解,生死兩相安。
Since hospice provides a holistic mode of care for ill children and youth with terminal condition, it could enhance the quality of life and maintain their autonomy with dignity. It is commonly believed that children has limited cognition and can't understand disease and death. Or tension and conflict within the family were often caused due to family members' intention of concealing the medical situation. As the active treatment becomes futile, the family members often struggle with receiving palliative treatment. This study is a report on two clinical cases, emphasizing on the spiritual care received by two terminally ill cancer children in hospice. Based on the care process, it was found that the spiritual care for the ill children involved the following four aspects: 1. informing the status of disease, 2. reconciliation of relationship, 3. reducing death anxiety, 4. Religious counseling. For the first case, the process went as follows: 1. discussing the status of disease and letting out emotion by building up the relationship. 2. a life review being conducted for reconnecting and reconciliating the relationship. 3. affirming the life meaning to facilitate the expression of love, sorry, thanks and farewell. For the second one, 1.helping express regrets and apologies to reduce guilty feeling toward the early ant-killing experience. 2. respecting the autonomy during the final stage. 3. activating the inner strength and reducing the death anxiety by reciting the Buddha's name. Attending to the ways of spiritual care for children in hospice as in this report could help facilitate ”good death” of ill children. Death is a chasm of life, but the good death of ill children could leave no regret for the dead and comfort the bereaved family members.
期刊論文
1.江孟冠(20100600)。兒童癌症之疼痛評估及處理。腫瘤護理雜誌,10(1),13-24。  延伸查詢new window
2.許馨文、胡文郁、程劭儀、姚建安、陳慶餘、邱泰源(20051100)。某緩和病房小兒癌末病人善終服務。安寧療護,10(4),358-370。new window  延伸查詢new window
3.孫懿英、高碧霞、趙詩瑾(20050600)。癌症病童家長為其子女尋求另類療法之調查。護理雜誌,52(3),29-38。new window  延伸查詢new window
4.吳麗敏(20110600)。從文化護理談兒童癌症照護。腫瘤護理雜誌,11(1),13-21。  延伸查詢new window
5.薛如君、王浴(2011)。協助一位癌末病童面對死亡之安寧療護經驗。台大護理,8(2),25-36。  延伸查詢new window
6.趙國玉、葉昭幸、趙家琛、洪悠紀、陳月枝(20030600)。癌症病童面對治療之因應策略。長庚護理,14(2)=42,101-111。new window  延伸查詢new window
7.釋慧哲、釋宗惇、陳慶餘、釋法成、釋滿祥、周淑美、釋大慧、釋印適、釋惠敏(20051100)。生命回顧之臨床說法。安寧療護,10(4),345-357。new window  延伸查詢new window
8.陳慶餘(20040900)。癌末病人本土化靈性照顧模式。臺灣醫學,8(5),664-671。  延伸查詢new window
9.崔琦、駱麗華(20051000)。癌症病童手足生活經驗改變的初探。護理雜誌,52(5),24-32。new window  延伸查詢new window
學位論文
1.陳思蓉(2011)。以個案研究法分析某醫學中心兒童癌症末期照護服務(碩士論文)。國立成功大學,臺南。  延伸查詢new window
2.劉寶愛(2001)。癌症兒童的母親告知病童病情之歷程研究(碩士論文)。東海大學。  延伸查詢new window
3.林育如(2004)。癌症青少年靈性需求內涵與靈性安適情形之探討(碩士論文)。臺灣大學。  延伸查詢new window
圖書
1.胡文郁、蔡甫昌、鄭安理(2008)。癌末病情告知指引。台北:行政院衛生署國民健康局。  延伸查詢new window
2.羅洛.梅、朱侃如(200408)。焦慮的意義。台北:立緒文化事業有限公司。  延伸查詢new window
其他
1.行政院衛生署(20121212)。十大死因分析,http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=12336&class_no=440&level_no=42。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE