協助一位喪偶老人渡過悲傷期之護理經驗

Nursing Experience of Assisting an Elderly Widow through the Grief Period

本篇報告係描述護理人員如何應用Worden (2001)之「悲傷輔導原則」協助一位81歲老阿婆，渡過喪偶之悲傷期，進而完成「悲傷的四個任務」。於輔導悲傷阿婆期間，利用會談及觀察方式，將實際護理過程寫成行為過程實錄共六篇。再依Worden(2001)提出的悲傷反應，包括感覺、生理、認知及行為方面等加以分析，大致上與其理論相符。經筆者觀察，個案喪偶約三個月後，大抵已完成「悲傷的四個任務」。希望藉由本個案，讓護理人員能更熟悉悲傷輔導技巧，因而能給予喪親者適當悲傷輔導，使其儘早脫離悲傷情境，重新適應過無逝者的生活。

The purpose of this case study was to describe how nurses assisted an 81-year-old woman to pass through the grief period and accomplish the tasks of grief after losing her husband. After each of six consultations with the widow, interviews and observations were written down in a process recording format. Data were analyzed using Worden's grief counseling principles (2001) and grief response categories: feelings, physiology, recognition, and behaviors. Results revealed that the widow completed the four grief tasks in 3 months. Findings familiarize nurses with grief consulting techniques that help those who lose their loved one process their grief and adapt to a new or different life.