運用宗教療法照護一位脊髓損傷病患無望感之護理經驗

Application of Religion Therapy on Hopelessness of Spinal Cord Injured Patient

意外事件發生後的脊髓損傷，往往帶給病患身、心、靈及社會層面之驟變，在此情境下，易因無望感造成多方面調適困難，除了影響治療過程暨預後，甚至產生高自殺率，因此，及時護理介入非常重要。本文針對一位脊髓損傷、存有嚴重無望感之年輕女性，以宗教療法介入，採會談、觀察、收集病史及諾氏希望量表前、後測分析與探討。結果發現病患因此漸進性重建希望，願意接納病情及表達感受、淡化負面情緒並感知心靈平靜、規劃現在及期待未來等正向改變。宗教療法仍需永續介入，以調適與因應疾病，並協助病患更為積極地面對生活，迎向嶄新的人生曙光。

The spinal cord injury (SCI) often follows accidental and unexpected events and always brings catastrophic impacts on physiologic, psychological, social, and spiritual dimensions to patients unexpectedly. SCI effortlessly causes many strains, such as hopelessness for mal-adaptation, and then influences related treatments and prognoses, even produces high suicide rates. Therefore, it is critical for nurses to attend and intervene before suicide occurs. The purpose of this case study was to explore the effectiveness of religion therapy on a mid-thirties lady with SCI. Data were collected via interviews, observations, history taking, and applications of the Nowotny Hope Scale (NHS; Nowotny, 1989) and found the major problem for the SCI patient was serious hopelessness. Using therapeutic communication skills to encourage her to disclose feelings and thoughts gradually, the patient’s emotional distress was relaxed and psychological stress was improved. Her coping processes were successful in establishing a peaceful mind, in adopting an individualized care plan with religion and in looking forward to the future progressively. The religion therapy has to be utilized continuously to assist the patient to fit into the conformity with the disease course and to instill hope for the dawning of her brand-new life actively.