臨床心理師與社會工作師，在照顧心衰竭病人及家屬的角色

The Role of Clinical Psychologists and Social Workers in the Care of Heart Failure Patients and Their Families

患病後的生活品質，是建立在個人的生理自主與心理調適能力、家庭經濟、照護人力與生活物資等各項的支持度之上。如何因應由疾病而衍生的生活中種種變動，除了醫師及護理人員之外，還需要醫療社會工作師以及臨床心理師的專業介入。醫療社會工作的實務經驗，主要在穩定家庭的功能以及針對出院/福利/經濟等議題進行諮詢。而在臨床心理部分，則在於評估與了解病人或家屬在面對疾病壓力時，是否有足夠的壓力因應技巧，有足夠的彈性以調適生活中的變化。透過醫療社會工作協助以及臨床心理評估介入，協助面臨危機的病患與家庭獲得資源與喘息時間，減緩經濟與照護壓力，重新調整與適應，讓病人心理、家庭與社會功能獲得新的平衡，與醫療隊團共同面對心衰竭。

"The quality of life for people with heart failure is highly based on the support of individual's life autonomy and psychological adjustment ability, family economy, nursing manpower and living materials. Apart from the care by physicians and nurses, interventions from the medical social workers and clinical psychologists are inevitable for coping the various changes caused by the disease. The intervention of medical social workers mainly focuses on stabilizing the function of the family and consulting on discharge/welfare/economic issues; while the clinical psychologists, assess the patients’stress coping strategies. Medical social work assistance and clinical psychological evaluation can help the patients to face their physical crisis, reduce financial stress and care pressure, and allow patients to obtain a new balance of psychological health, quality of life and to face heart failure with medical team together."