台灣自 1982 年起癌症而死亡的人數一直位居國人十大死因之首，且每年死於癌症的人數更是逐年漸增。早期醫學在病人臨終時不管是否有治癒的可能性，總是要被進行急救到底，絕無第二個選擇！但對無法治癒的末期疾病病人而言，急救不僅無法換回生命，反而徒增痛苦、無法善終；大多數的病人在疾病末期經過長期的治療過程中，皆承受了身、心、靈之極大的煎熬後痛苦而死。安寧緩和醫療及臨終關懷提供在生命最後階段，安身立命的具體服務。 研究者身為安寧病房護理師，每日工作的對象是即將邁入死亡的末期病患及照護末期疾病之家屬，面對他們諸多面向的情緒反應－無奈與感慨，針對末期個案及家屬檢視相關文獻，有相關性者研究甚多，但針對需照護末期病患之安寧護理師心路歷程相關研究，微乎其微！故起心動念，探討安寧護理師照顧經驗的迷思及因應歷程。本研究探討安寧護理師照顧經驗轉變的內在經驗和感受，以質性研究進行深度訪談，共找五位安寧護理師，收集訪談資料，並加以探討。 The mortality of cancer has been the top of the ten causes of death in Taiwan since 1982. The number of death due to cancer is increasing each year. In the past, patient whether there is a possibility of cure or at the end of life, always have to be performed resuscitation eventually. However, resuscitation can not save life when patients have terminally ill, but it will increase suffering and has not a good death. Most patients will undergo tremendous physical, mental and spiritual distress during the long-term treatment of their terminal illnesses, and die at suffering finally. Hospice palliative care can provide specific services for the end of life and obtain good death lastly. Nurses in the hospice have performed daily care with terminally ill patients and their family members; and have faced with many aspects of their emotional responses-helplessness and emotion. However, those are related to the end-stage cases and family inspections. According to the literature, there are many studies on those having relevance, but there are very few research on the mental journey of the nurse who need to care for the patients at the terminally ill. Therefore, my aim is to discuss the mental journey of the hospital nurses for the exchange experience in the nursing care. This study will explore the care myth and its coping process of HPC, conduct in-depth interviews with qualitative research, and finally, collect and discuss the interview data of five hospice nurses.
