一位因喪偶哀傷引發心碎症候群個案之護理經驗

A Nursing Experience of Taking Care Widowed Grief Caused by Broken Heart Syndrome

本文描述一位面臨喪偶衝擊導致過度哀傷引發心碎症候群的個案護理經驗。護理期間自2014年05月02日至05月06日，運用Gordon十一項健康功能性健康型態評估個案狀況，發現個案有疼痛、睡眠型態紊亂及急性期哀傷之健康問題。筆者與個案建立良好的醫病關係，提供有效的護理措施緩解胸痛症狀；針對入住加護病房對陌生環境的不適應與個案面對親人死亡，採集中照護改善睡眠型態紊亂問題提升睡眠品質；藉由照片回憶過往，抒發內心的悲傷情緒，提供諮詢及善用親友的支持，身、心、靈層面獲得安適，協助個案渡過喪偶的哀傷過程。建議結合心理師擬訂長期關懷目標，有效評值出院指導成效，讓心碎症後群個案獲得更完整且持續性照護。

This article is about the caring experience of a patient who had broken heart syndrome caused by losing spouse. The progression took place from May 2 to 6, 2014. Assessment by Gordon 11-items functional health patterns, the patient had health problem including pain, sleeping disorder and acute grief. We’re able to establish positive nurse-patient relationship while offering appropriate nursing intervention to ease the chest pain. Against the uncertainty cause by entering ICU and the grief on the death of loved one, intensive caring was taken to solve sleeping disorder problem and improve sleep quality. By means of photo we can recall the past and making good use of supports from friends, our case obtained the inner peace and became able to express the sorrow. Elaboration long term care goal with Psychotherapist was also recommended to provide continuous and comprehensive assistance after overcoming crisis.