安寧病房遺族對喪親關懷服務之態度調查研究

A Survey of the Attitudes of the Bereaved about the Bereavement Care Service in the Palliative Care Ward

10.6537/TJHPC.201912_23(3).02

蔡佩真(Pei-Jen Tsai)

喪親關懷 ； 安寧療護 ； Bereavement care ； palliative care

安寧療護雜誌

23卷3期（2019 / 12 / 01）

221 - 238

繁體中文

研究目的：本研究希望了解喪親遺族對安寧病房提供喪親關懷服務的態度。材料與方法：採郵寄問卷調查，針對曾住安寧病房而親人死亡三個月以上至一年半以內的遺族，寄出450份問卷，回收107份有效問卷，回收率23.8%。結果：生活恢復程度與其喪親關懷接受度有顯著相關性，復元導向的遺族包括較不悲傷者與生活恢復較好者越不害怕再與安寧病房接觸，對喪親關懷服務有較高接受度；而狀況較不好者較有迴避的態度。遺族建議安寧病房改善瀕死照護、準確的瀕死預告、簡化病危返家的行政流程並增加彈性、關懷陪伴與聯繫、喪親關懷能個別化與適度介入。結論：以醫院為基礎的喪親關懷任務是屬急性悲傷支持性質，家屬期待對瀕死者提供好的醫療照顧、生命末期照顧、瀕死護理、屍體護理，善待逝者即是善待生者，好的瀕死照顧即是好的喪慟關懷，此外要尊重喪親者接受度之差異性，對於願接受服務之遺族應採非病理導向關注其悲傷復元經驗。

Purpose: This study want to survey family attitudes of the bereavement care service in hospice ward. Materials and Methods: In this study, a questionnaire survey was conducted to send out 450 questionnaires for the bereaved families of the hospice ward who had lost their loved ones for more than three months, and recovered 107 valid questionnaires. The recovery rate was 23.8%. Results: There is a significant correlation between the degree of life recovery and the acceptance of bereavement care. Recovery-oriented family members, including those who are less sad and those with better life recovery, are less afraid to contact the hospice ward and have higher acceptance of bereavement care services. Lost-oriented family members, such as those who are sad, and whose life recovery is worse, are more evasive to the hospitals that their loved ones died, are more evasive to contact the medical team and hospice ward. The needs of the bereaved families include pre-dying notification, good for the deceased, body care, providing information, talking about the deceased, companionship, religious and psychological support, and respect for solitude. Conclusion: The important task of hospital-based bereavement care is acute grief support. The needs of family are to provide good medical care, end-of-life care, predying care, and body care for the deceased. To be kind to the deceased is to be kind to the living, and good care for the dead is regarded as good bereavement care. Bereavement care needs to consider the tendency of the bereaved family to the bereavement service. For the bereaved families who are willing to accept services, the palliative care team should adopt a non-pathological orientation to appreciate their recovery experience from loss.

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