運用意義療法減輕癌症復發病患死亡焦慮之照護經驗

Using Logotherapy to Relieve Death Anxiety in a Patient with Recurrent Cancer: A Nursing Experience

本文闡述運用意義療法概念及技巧，於一位在接受鼻咽癌放射治療1年後，因癌病復發面臨死亡的心理衝擊與調適之護理經驗。照護期間為2011年3月9日～2011年4月21日，運用觀察、會談、電話訪談及與醫療團隊相關人員討論等方式收集資料，經由整體性護理評估發現病患護理問題有死亡焦慮、疼痛、睡眠形態穩紊亂。而本文主要描述運用意義療法的概念與技巧，尊重病患且使其明白自己目前的處境、選擇自己認為有意義的生活方式，漸進地轉化其生命意義，減輕病患因癌病復發後之死亡焦慮的照護經驗。

We used logotherapy concepts to manage the mental impact of recurrent cancer on a patient. The patient had received radiotherapy for nasopharyngeal carcinoma approximately one year prior to the March 9th - April 21st, 2011 nursing care period. The authors interacted with the patient during the care period via personal observation and telephone interview. Patient data was also collected from medical staff. Integral nursing assessment disclosed that the patient faced several major nursing issues, including death anxiety, pain, and sleep disturbance. This report describes how logotherapy was utilized to enable the patient better understand his condition and ultimately allow him to identify and pursue renewed meaning and happiness in life. Logotherapy helped alleviate the death anxiety caused by recurrent cancer and helped the patient self-reconfirm the meaning of life.