意義再建構團體對於癌症喪親者的悲傷介入之成效評估研究

The effect of meaning-reconstructive group intervention for peoplewho lost their family members from Cancer

本研究運用意義再建構理論為基礎的悲傷介入團體，目的是協助癌症喪親者為悲傷經驗建構新的意義，並產生與悲傷共存的能力；同時檢視理論引導之團體介入方案對於促進癌症喪親者生活調適的成效。研究方法以介入研究形式，規劃連續六週，每週二小時的半結構式團體，採取前後測單系統研究分析，運用SF-36台灣版量表，針對團體成員參與前後及追蹤階段的健康調適狀況進行測量；並透過團體過程錄音逐字稿，分析意義再建構過程的發展與轉折。結果發現，悲傷介入團體對於提升喪親者健康適應的成效，在活力狀況與社會功能的調適方面達顯著的改善。而團體歷程有助於成員發覺悲傷經驗的正向意義、形成發展新生活方向的能量。最後，針對研究限制與未來研究方向進行討論。

The study intended to examine the theoretical-driven intervention effect of a group treatment for peoplewho lost their family members from cancer. Based on meaning reconstruction theory, the group was designed as two-hour, weekly, and semi-structured meeting sessions for six weeks. Undersingle-case designmethod, the SF-36 Taiwan version was used to measure the effect of the group interventionon the participants in terms of physical, psychological and social well-being improvement. Qualitative analysis was used to record meaning reconstruction process. After intervention, adjustment of group members improved, and the scores of vitality (VT) and social functioning (SF) increased statistically significant. The study confirmed the meaning reconstructive grief intervention worked for bereaved individual. Finally, the implications of the study are included.