運用人性化護理理論於一位主要照顧者之加護護理經驗

A Nursing Experience of Applying Humanistic Nursing Theory to an Intensive Patient’s Caregiver

本文分享以人性化護理理論，照護一位加護病房病人之主要照顧者的護理經驗。護理期間為2010年9月28日至10月7日。筆者於加護病房的環境中，藉由觀察與深入會談收集資料，經評估發現，病人先生認為妻子發病時自己未在身旁，且無法替妻子承受病痛而感到罪惡及自責，加上病人病況持續未好轉，產生失落哀傷、緊張焦慮的情緒，以致於處在身、心、靈極度不安的狀態，出現生活作息混亂，並有飲食與睡眠失常的問題。筆者運用人性化護理及家庭護理的原則與個案「同在」，互動時展現「真誠」並「開放接納」其情緒，鼓勵表達內心的痛苦，提供「支持」使其省思妻子住院過程，對自己帶來的人生意義，進而產生正向的力量與勇氣，耐心陪伴妻子復原的歷程。

In this paper, we shared the nursing experience of applying humanistic nursing theory to a caregiver whose wife was admitted in the intensive care unit. The nursing period was from September 28, 2010 to October 7, 2010. The caregiver was frustrated and depressed about the poor recovery of her wife. With close observation and dialogue, the nurse identified the guilt conveyed. By using the humanistic nursing care and family nursing theory, the nurse accompanied with the caregiver, interacted with him genuinely, and accepted his emotional catharsis. The nurse guided the caregiver to reflect on the care experienced to search for the meaning of the event. Finally, the caregiver demonstrated his courage and patience to care for his wife.