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運用悲傷輔導概念照護因喪偶而哀傷的高齡透析病患之護理經驗
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Journal Article
運用悲傷輔導概念照護因喪偶而哀傷的高齡透析病患之護理經驗
2018
Overview
本文是探討一位高齡76歲之透析患者喪夫之護理經驗，護理期間2015年4月2日至6月28日，藉由觀察、會談、查閱病歷報告及簡式健康評估量表等方式收集資料，以身體、情緒、社會、智能、靈性進行整體性評估。2015年三月個案出現食慾不佳、失眠、無望感以及哀傷，運用簡式健康評估量表評估個案有自殺的想法，確立健康問題有哀傷功能失常、無望感及睡眠型態混亂。主動關懷個案、傾聽、同理個案，並且運用Worden的「悲傷輔導原則」協助個案，完成哀悼的四項任務：（一）接受失落的事實；（二）處理悲傷的痛苦；（三）適應一個沒有逝者的世界；（四）在參與新生活中找到一個和逝者永恆的連結。透過整體及持續性護理措施與家屬溝通討論，一起協助個案，使個案重新適應生活，同時繼續接受血液透析，重新找到生活的新動力。
