以家庭為中心的創傷後壓力症候群之照護

Family-Centered Care and Post-Traumatic Stress Disorder

適逢日本311大地震暨海嘯發生滿週年，正當大家在為上萬個罹難者哀悼的同時，令人隱憂的是天災過後倖存者所產生的創傷後壓力症候群才是另一項困難且急迫需要重建的工作。對患者及其家人而言不僅是漫長的煎熬，對社會及醫療更是免不了的重擔。本文嘗試整理過去對創傷後壓力症候群的實證照護，瞭解護理照護在創傷後壓力症候群的具體範疇為何，並萃取「以家庭為中心照護」的功能及成效，期望護理專業能將觸角伸入，運用家庭的支持功能提升創傷後壓力症候群者的復原力，讓護理角色的發揮不僅提供了創傷後壓力症候群照護的另一個機會，也給了這類患者重生的另一線契機。

A year has passed since a major earthquake and tsunami hit northeastern Honshu, Japan in March 2011. Amidst mourning for the tens of thousands of victims, survivors have just begun the difficult and urgent tasks of rebuilding. Many survivors suffer from post-traumatic stress disorder (PTSD). PTSD causes chronic, long-term suffering for patients and their families and inevitably burdens social and medical care systems. This article tries to integrate PTSD evidence-based treatment experiences into a practical and detailed nursing intervention protocol for PTSD. We also elicit the function and effect of ”family-centered care.” We hope that nursing professionals apply family-centered care principles to PTSD treatment and care approaches in order to promote PTSD patient resilience. Nurses can thus enhance PTSD care efficacy and improve the opportunity for PTSD patients to overcome their symptoms and recover their life.