一位孕婦面臨先生到院前死亡之護理經驗

The Nursing Experience of a Gravida Facing Her Husband’s Death on Arrival

「生、老、病、死」是人生的一大過程，本篇報告的目的在描述一位因丈夫意外受傷，且到院前死亡的個案在得知丈夫已死亡的事實，而產生一連串的情緒反應。以觀察法及會談方式，收集相關的資料寫成行為過程記錄。此個案依Kavanaugh(1974)提出的悲傷反應進行分析，悲傷反應包括震驚、無助、哭泣、沉默、反覆無常的情緒、孤單及失落感等反應。筆者在個案產生一連串的悲傷反應後，引導個案與先生身體觸摸以增加現實感，接受及傾聽個案的情緒反應，鼓勵表達心中的想法及情緒等護理措施來協助個案接受丈夫已經死亡的事實。而急診室的護理人員除了擁有正確的急救技術外，對於到院前已死亡病患，家屬的悲慟情緒應給予溫暖及協助，希望藉由此篇報告的完成，能對急診護理人員，在臨床照護悲傷家屬上能有些許幫助。

Birth, aging, illness, and death are major processes in one's lifetime. The purpose of this report was to describe the emotional responses of a gravid woman upon learning that her husband was injured in an accident, and dead on arrival (DOA) to the emergency room. Data were collected using observation and interview and documented as a behavioral process recording. The case was analyzed using Kavanaugh's (1974) grief responses, including shock, helplessness, sobbing, silence, capricious emotion, solitariness, and loss. After several grief responses, the gravida was encouraged to touch her husband's body to enhance realism, to accept her emotional responses, to encourage expression of her thoughts and sentiments, and to accept her husband's death. This report provides a guide for emergency room nurses to provide care for grieving family members. Emergency room nurses need to care for and provide warmth to those family members who face the death of a loved one on arrival.