| 摘要: | 研究目的為運用「生命光碟製作」過程探討喪親照顧者失落情緒表達及抒發、喪親照顧者如何重新建構個人意義及如何協助喪親照顧者完成哀悼歷程。採質性研究，利用深度訪談搜集文本，詮釋現象學為研究方案之基礎，以主題分析法作為資料分析策略。本研究以立意取樣共訪問五位經歷照顧的親人死亡的主要照顧者。 研究結果發現喪親者的悲傷經驗共呈現四個主題，分別為「無奈送托顧，難以消彌的自責」、「他（她）選擇孤單走，徒留遺憾在心中」、「他（她）終究放手走，憂鬱卻無聲悄來」、「人離去、物已移，視線卻欲走還留」。喪親者重新詮釋與逝者之間的意義，呈現五個主題：「過去深信不疑的信仰受動搖，逝者的離去背後有更深一層的意義」、「逝者的離去，讓家人的情感連結反而緊密」、「喪親同時也失去自我價值，重新找回自我認同」、「搬開壓在心頭的大石：自責與愧疚，我已做了我該做的」、「一路以為自己很苦，回過頭來看，原來自己很幸福」。 透過本研究喪親者悲傷情緒能夠得到表達與抒發，回顧與逝者的過去，重整意義，期望喪親者能夠健康的完成悲傷任務，得到新的成長。最後針對居家護理在喪親照顧者的實務面提出建議，以作為悲傷關懷實務者之參考。
The purpose for making the ＂ memorial DVD ＂ in this study, is giving ways to explore and express the bereaved caregiver’s emotion and losses, how to re-construct its personal meaning and to help them to complete the mourning process. Qualitative research and in-depth interviews were done to collect the text. Hermeneutic phenomenology was the base of this research. Thematic analysis of data is done for analysis strategy. This study was purposive sampling, totally Five cases of Bereaved primary caregivers were interviewed. This study results showed that the bereavement experience presents in four topics, as 1＂ send to care unit helplessly , is difficult to diminish the blame of oneself＂, 2 ＂he (she) choose to die alone, leaving behind regret in their hearts＂, 3＂he (she )is letting go the one who passed away eventually, but quiet melancholy invaded silently ＂, 4＂ people passed away, things have changed, Sight was still that does go away. Bereaved one’s reinterpret the meaning between with the dead, showing in five topics: 1＂ because of the disease, faith had shaken but through the challenge,becomes stronger ＂ 2＂ the dead has gone, letting the family more consociated emotionally ＂, 3＂ bereavement also lossing self-value, self-identity eventually rediscovered ＂, 4＂ moving away the stone in the heart : remorse and guilt, I did what I had to do ＂ , 5＂ thought its way was bitter, but realizing oneself is very happy by looking back. ＂ Through this study, the bereaved can express grief and emotions, recalling the past of the dead, reforming it structurally, and be able to complete the sad parts healthy, getting new improvement in growth. Finally, suggestions were made for those who are in Home care unit to give bereavement care in a practical way, as a reference for those who practicing disconsolated care. |
