照護一位老婦面對配偶自殺瀕死反應之護理經驗

Nursing Experience in Caring for an Elderly Woman Facing the Attempted Suicide of her Near-death Spous

本篇主要在分享一位老婦（下文皆以個案稱之），面臨配偶無預警燒炭自殺，歷經瀕死過程，個案所表現的預期性哀傷反應。筆者為病患之主護護士，自95年1月1曰至95年1月22曰，照護案夫期間與個案互動，以會談、觀察、及主動提供資源等方式收集相關資料，進行資料分析，確認個案有哀傷之護理問題。透過個別性的護理活動與個案建立互信的護病關係，照護期間運用同理心、陪伴、治療性接觸，協助個案表達面對瀕死配偶內心感受及情緒宣洩；同時整合家庭力量與宗教信仰，讓個案了解並非獨自面對哀傷，進而坦然接受配偶瀕死事實，順利渡過哀傷，並完成七篇過程實錄，也希望藉此個案報告能增進本身對喪偶者心歷路程之暸解及日後在臨床執行相關護理活動時之參考。The purpose of this case report was to share the grief-struck response of an elderly woman (here after referred to as the “subject” ) facing the dying process of her spouse un-premeditated suicide attempt by means of charcoal burning. Serving as the responsible nurse for the near-death spouse ( as the “patient” ), the author had frequent interactions with the subject while caring for the patient, and collected relevant information through interview, observation and active resource supply ( in the hospital’s prayer room ) from Jan. 1, 2006 to Jan. 22, 2006. After compiling seven event reports, data analysis was conducted, and the results showed that the Subject required grief counseling. Therefore, individual therapy activities were employed to establish mutual-trust patient-nurse relationship with the subject. During the treatment period, empathy, companionship and therapeutic contact approaches were used to help the subject express her inner feelings when facing her dying spouse and also release emotions. At the same time, the author also integrated family efforts and religious beliefs to help the subject understand that she was not facing this grief by herself, to accept the fact of her spouse5s imminent death, and work through the grief. With this subject report, the author hopes to share deeper understanding about the mental process of widows which may be used as a reference for clinical nursing activities in the future.