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題名:護病關係中的情感轉移--攝護腺癌個案為例
書刊名:護理雜誌
作者:王敏家黃文聰張書展
作者(外文):Wan, Min-chiaHuang, Wen-tsungChang, Shu-chan
出版日期:2015
卷期:62:4
頁次:頁95-102
主題關鍵詞:攝護腺癌個案管理情感轉移同理心Prostate cancerCase managementTransferenceEmpathy
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(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:24
  • 點閱點閱:29
在人際關係中情感轉移是不可避免的,而護病關係中護理人員與個案依據個人過去情感經驗及心理需求產生反應,因此,護理人員情緒及行為反應將影響個案回饋,在與個案會談過程中應以中立不批判的態度,試著感受及暸解個案想法。個案管理模式為癌症個案提供一諮詢平臺,促進改善個案生活品質,醫療團隊鼓勵個案管理師以專業、穩重、嚴謹的態度與個案一同討論性、愛與歸屬感等基礎需求議題,然而,若個案未能從自身環境得到情感滿足時,而對護理師產生情感轉移,即使是專業醫護人員往往也難以招架。故本文提及此議題在醫護關係的重要性,以個案案例分享經歷,協助同仁暸解過程及改善醫病互動以提昇醫療護理品質。
This article explores the dilemma posed with regard to a prostate cancer patient suffering from transference syndrome. Transference is generally recognized as an unconscious and inevitable part of relationships. Both nurse and patient "transfer" their past emotional and psychological needs into present situations and react accordingly. Consequently, the emotions and behaviors of nurses influence the reactions of their patients. Nurses must better understand their contributions to the nurse-patient relationship in order to better detect patient thoughts and feelings. Furthermore, nurses must recognize the needs of their patients and maintain a neutral and uncritical attitude. We developed a case management model to provide a consultation corner for cancer patients. Additionally, in an attempt to improve the quality of life of cancer patients, the developed model encouraged medical personnel to discuss sexual, belonging, and love problems with patients and to hold attitudes of professionalism, composure, caring, and solemnity. Belonging and love are basic human needs. However, for patients with prostate cancer, this basic need cannot be satisfied. Even professionally trained medical personnel have difficulty directly addressing this problem. This paper describes the meaning of transference and the importance of this concept in the therapeutic nurse-patient relationship. Finally, developing better insights into the nurse-patient relationship will help nurses use these insights to improve the quality of patient interactions and of care.
期刊論文
1.吳紫伃、許竑彬(2011)。諮商中的同理心技術初探。臺灣心理諮商季刊,3(2),1-14。  延伸查詢new window
2.游千代、馮明珠、柯乃熒(20130800)。個案管理之概念分析。護理雜誌,60(4),99-104。new window  延伸查詢new window
3.沈志中(20130500)。論護病關係中之同理心、傳移與愛。源遠護理,7(1),16-22。  延伸查詢new window
4.邱照華、李引玉(20020900)。護病關係中的情感反轉移。長庚護理,13(3)=39,240-246。new window  延伸查詢new window
5.陳淑娟、朱栩萱、陳玨伶、陳淑娟、張桂玲、洪敏瑛(20140800)。無縫接軌的腫瘤個案管理模式--臺大醫院經驗。源遠護理,8(2),12-18。  延伸查詢new window
6.趙梅如(20060600)。同理心的發展、內涵與應用。諮商與輔導,246,29-34。  延伸查詢new window
7.鄧宏瑜(20110300)。探討諮商關係中的同理心。諮商與輔導,303,39-44。  延伸查詢new window
8.鄭榮峰、賴育民、Livneh, Hanoch、蔡宗益(20110400)。傑佛遜同理心量表--醫護人員版之中文化及信效度檢定。護理雜誌,58(2),41-48。new window  延伸查詢new window
9.Barrett-Lennard, G. T.(1993)。The phases and focus of empathy。British Journal of Medical Psychology,66(1),3-14。  new window
10.Boag, S.(2007)。Decoding the meaning of transference and counter transference: An integrative perspective。Psyc Critiques,52(51)。  new window
11.Marmarosh, C. L.(2012)。Empirically supported perspectives on transference。Psychotherapy,49(3),364-369。  new window
12.O'KelIy, G.(1998)。Counter-transference in the nurse-patient relationship: A review of the literature。Journal of Advanced Nursing,28(2),391-397。  new window
13.Rogers, C. R.(2007)。The necessary and sufficient conditions of therapeutic personality change。Psychotherapy,44(3),240-248。  new window
14.Schamess, G.(2006)。Transference enactments in clinical supervision。Clinical Social Work Journal,34(4),407-425。  new window
15.Ulberg, R.、Amlo, S.、Critchfield, K. L.、Marble, A.、Høglend, P.(2014)。Transference interventions and the process between therapist and patient。Psychotherapy,51(2),258-269。  new window
16.楊勤熒、盧美秀(19980600)。人性關懷教育訓練對護理人員人性關懷知識、態度、行為影響的探討。護理研究,6(3),206-218。new window  延伸查詢new window
17.Aring, C. D.(1958)。Sympathy and empathy。JAMA: The Journal of the American Medical Association,167(4),448-452。  new window
18.潘怡如、李明濱(20041000)。同理心的心身醫學觀。北市醫學雜誌,1(4),385-392。  延伸查詢new window
19.張黎露(20101200)。腫瘤個案管理師之發展與未來展望。腫瘤護理雜誌,10(增刊),1-9。  延伸查詢new window
20.陳晶晶、吳易霖、陳玉葉、洪彩慈、林貞伶、黃美智(20090400)。護理角色的創新與拓展--成大醫院腫瘤個案管理模式介紹。護理雜誌,56(2),11-16。new window  延伸查詢new window
圖書
1.蕭淑貞、王純娟、劉玉雲、廖肇安、湯麗玉、劉嘉逸、蘇淑芳(2009)。精神科護理概論。台北市:華杏。  延伸查詢new window
其他
1.Case Management Society of America。Definition of case management,http://www.cmsa.org/Home/CMSA/Whatisa-CaseManager/tabid/224/Default.aspx。  new window
 
 
 
 
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