運用懷舊療法協助肺癌病患克服死亡恐懼

Conquering the Fear of Death in a Lung Cancer Patient by Reminiscence Therapy

本文乃運用懷舊療法的技巧，照護一位面臨肺癌死亡恐懼的患者。個案於住院期間，因見到鄰床癌症病友的急救過程，使個案直接意識到「死亡」的威脅，造成個案負向心理反應、拒絕任何治療、負向生命態度、社交完全中斷等問題。經由觀察個案行為與情緒改變，並與家屬溝通後，運用傾聽、觸摸、幽默、同理心、不批判及引發回憶等技巧，建立起良好之人際關係與信任感，並利用支持系統，紓解個案恐懼不安的情緒，使個案從中獲得滿足感及自我肯定，進而了解、面對及妥善的準備死亡。

The purpose of this paper is to share a successful nursing experience involving a hospitalized lung cancer patient who suffered a fear of death from the terminal disease. After witnessing the process of resuscitation on a neighboring patient while hospitalized, the subject patient developed a negative mental response, refusing any treatment, developing a negative attitude to life, and retreating into total social isolation. The experience of witnessing the resuscitation induced a sense of fear of death in facing the terminal disease. Utilizing a non-structural and personal reminiscence therapy, the nurse provided individualistic and humane nursing care after realizing the unique needs of the terminal patient, and was able to help the patient to diminish the feeling of fear, regain self-awareness, and be well prepared for death.