以敘事取向沙盤淺談醫療人員人際關係──以彰化基督教醫院為例之初探性研究

Using Narrative-oriented Sandtray to Explore Interpersonal Relationship Among Medical Personnel–An Exploratory Study Taking Changhua Christian Hospital as An Example

醫療工作環境高壓，影響個人身心狀態，常見出現職業倦怠與身心健康狀況不佳之情形；其中「人際關係」不但影響工作效能，也影響個人的幸福感受。為進一步瞭解醫療人員若採以敘事的方式梳理自我，以達到用寬容之心態來看待負面經驗後，是否可以因此降低個人之心理困擾－作為醫療人員之心理健康、人際議題以及自我照顧關聯性之探討，故本方案試以彰化基督教醫院為例，仿照本土既有之敘事取向沙盤研究架構，討論沙盤應用於敘事治療之問句與對話之下，推論是否得以個體擴充對自身人際關係的看法，並以量表進行醫療人員參與工作坊前後個人心理健康狀態、人際關係與自我同情變化之初探性研究。
參與單日敘事沙盤工作坊後，成員自陳找到自己新的定位或想法，其整體心情有所變化，並且獲有復原力，足矣返回職場上面對繁重的工作業務與人際互動；部份參與者則表示更能夠接受對親密關係與家庭關係的事實，學習從不同角度看待與接納在關係中存在著不同的經驗與感受，多為正向且帶有希望感，且反映在個人自評成人心理健康量表「整體心理困擾」之結果改善。

The medical work environment is highpressure, affecting personal physical and mental status, and job burnout and poor physical and mental health are common. Among them, the ''interpersonal relationship'' not only affects work efficiency, but also affects personal happiness. In order to further understand whether medical personnel can reduce personal psychological distress if they use Narrative-oriented sandtray to organize themselves, and confront negative experiences with a tolerant attitude - used to discuss the correlation between mental health, interpersonal issues and self-compassion for medical personnel. Therefore, this project attempts to take Changhua Christian Hospital as an example, imitate the existing local Narrativeoriented sandtray research structure, and discuss whether the sandtray can be used to expand the individual's view of his/her interpersonal relationship under the questions and dialogues of narrative therapy. In addition, used a scale to initially explore the changes in personal mental health, interpersonal relationships and selfcompassion among medical personnel before and after participating in the workshop.
After participating in the one-day Narrativeoriented sandtray workshop, members reported that they had found their new position or ideas, their overall mood had changed, and they had gained resilience enough to return to the workplace and face heavy workloads and interpersonal interactions; some Participants expressed that they are more able to accept the facts about intimate relationships and family relationships, and learn to view and accept different experiences and feelings in relationships from different perspectives. Most of them are positive and have a sense of hope, and are reflected in their personal self-evaluations. Overall psychological distress outcomes improved.