一位喪子後併發憂鬱症個案之護理經驗

A Nursing Experience with a Patient Who Has Lost a Son and Undergoes Major Depression as a Result

本文乃運用悲傷輔導技巧護理一位接連失去兩位親生子後併發憂鬱症個案之經驗，筆者從中瞭解失去親人產生之個人身、心影響、與家庭衝突，確認個案具有哀傷功能失常、潛在危險性自殺、妥協性家庭因應能力失調、睡眠型態紊亂等四項護理問題，透過鼓勵表達悲哀、愧疚感的情緒、使個案瞭解其行為對家庭的影響，以到海邊觀浪的方式表達對死去孩子的思念，使用幽默技巧突顯生活中的樂趣。評值個案可透過正常的管道宣洩哀傷，在獲得案妻的支持、減少家人衝突及尋得生活之寄託後，不僅睡眠品質提升，自殺意念也明顯減弱。

This study describes the nursing experience using grief counseling skills when treating a patient who had lost a son and undergoes major depression as a result... The author understands that the loss of a child results in confl icts that affect both body and mind in a personal way. In this case, the patient was experiencing four nursing problems, namely a risk of suicide, dysfunctional grieving, compromised family coping and a disturbed sleep pattern. In order to help the patient recognize their own behavior and its effect on their family, the author encourage the patient to talk about his sorrowfulness, his feelings of guilty and to travel to the coast to think of his son’s death, as well as exercising humor to show the pleasure of life. As the patient began to use the correct approach to coping with his grief, he found support for life and his wife was able to provide him with further help that decreased confl ict within his family. Eventually, this approach also promoted the patient’s sleep quality and decreased his thoughts of suicide.