燒炭自殺企圖者之家庭照護

Caring for Families of Charcoal-Burning Suicide Patients

燒炭自殺是台灣第二主要自殺死亡方式。由於燒炭所產生的一氧化碳和紅血球有高度的結合性，造成燒炭自殺企圖者有難以預測多變的傷害和後遺症，尤其是遲發型神經精神後遺症（delayed neuropsychological sequelae，DNS），讓整個家庭面對漫長照護壓力和重新調適。透過護理師的理解、提供訊息、支持和引導家庭成員間的良性互動，共同檢視家庭的改變和尋求資源，透過描繪往後的家庭生活，尋求整個家庭因應策略，才能讓整個家庭產生認知、情感和行為的改變，幫助和支持燒炭自殺企圖者家庭渡過復原歷程。

Charcoal-burning is the second major cause of suicide death in Taiwan. Predicting the variable damage and sequelae in this suicide mode is difficult due to the rapid combination of carbon monoxide with red blood cells. Delayed neuropsychological sequelae (DNS) may result in significantly extended recovery times, causing additional stress to the family. Nurses may help increase family understanding and support and guide family members to more positive intra-family interactions, shared perspectives on the recovery process, and resource seeking behavior by depicting subsequent family life and helping the entire family develop coping strategies those allow all members to effect cognitive, emotional and behavioral change. This result may help families of attempted suicide individuals recover successfully.