協助一位喪子父親渡過悲傷期之護理經驗

The Nursing Experience of Assisting a Patient Going Through the Loss and Grief

本文分享一位父親因妻子羊水拴塞導致非預期性急救、妻子病程不穩定、新生兒瀕臨死亡等多重衝擊的照護經驗，筆者運用Worden之「悲傷輔導原則」協助其渡過喪子之悲傷期，進而完成悲傷四個任務之護理經驗。照護期間自2010年1月5日至1月26日，過程中個案的悲傷反應如憤怒、失眠、不安、無法接受事實、逃避與家中其他人提及孩子的病程、不時嘆氣、哭泣等。筆者透過個人化歷程的活動設計，提供陪伴，支持個案渡過與悲傷共處的痛苦經歷，渡過喪子的療癒歷程，並於個案妻子出院後持續提供輔導，使個案將情感從逝者身上移轉，回歸工作、訂立新生活目標。期藉由本個案經驗，與護理同仁分享正視悲傷父母照護需求，並嘗試運用悲傷輔導技巧協助家屬，提供更完善的照顧。

This report describes a nursing experience of caring for an obstetric partner who accompanied his wife through an eventful labor due to a likely amniotic fluid embolism. The baby was born with critical condition, underwent resuscitation but died shortly afterwards. Applying Worden's Grief Counseling principle, the author assisted the client in accomplishing four tasks of mourning. The nursing care period was from January 5 to 26, 2010. The client's reactions to the loss were anger, insomnia, restlessness, unable to accept the loss, avoidance in talking about the son's death to other family members, and frequent sighing and crying. With an individualized care plan, the author provided support by accompanying the client as he went through the painful grief and healing process. Counseling was continued even after the client's wife was discharged from the hospital to make sure the client had emotionally relocated his deceased son, went back to work, moved on and set new goals for his life. The author hopes that this special experience can be shared with other nurses caring for grieving parents. Parental loss should be regarded with comprehensive care which values the grief counseling skills.