[[alternative]]Ambiguous Loss and Grief on Family Caregivers of Schizophrenic Patients with Unexpected Death

[[abstract]]本研究目的在於深入了解非預期死亡之思覺失調症病人照顧者的模糊性失落及悲傷，以敘事研究方法來進行研究。透過三位受訪的思覺失調症照顧者，以半結構的深度訪談法來蒐集研究資料。研究結果發現如下：思覺失調症照顧者的模糊性失落之重要內涵：思覺失調症漸進式的病程變化不大，使得照顧者無法明顯覺察疾病的病徵，也因缺乏正確的疾病認知而不知所措、照顧者與病人都承受著來自外在的異樣眼光、被照顧與照顧者的角色因疾病而產生改變、照顧者尋求個人信仰力量以獲得心靈安慰。照顧者對非預期死亡的悲傷之重要內涵：病人非預期死亡帶給照顧者不捨的傷痛卻是病人獲得解脫的結果、照顧者對疾病與死亡的解讀受到風俗文化的影響、照顧者經由外在的人事物來穩定自我與生活狀態。本研究依據研究結果提出討論、限制與反思，並對未來研究方向提出相關建議。[[abstract]]The aim of this study is to understand the ambiguous loss of caregivers in the duration of taking care of families with schizophrenia, and their grief of unintended death of loved ones. The method of this study utilizes the narrative research. The data gathering is based on semi-structured in depth interviewing three schizophrenia caregivers and then analyze their ambiguous loss and grief. The findings are the following：The ambiguous loss of schizophrenia caregivers include：The progressive illness course makes the caregiver unable to detect the symptoms of the disease, and because of lacking of knowledge of the illness, the caregiver feels overwhelmed. They also experience the same odd attitude from others as their families with schizophrenia. The role of caretaker and caregiver change their family roles because of the illness. Lastly, they tend to seek religion for comfort and bless.The important finding about grief and bereavement of unexpected death are as follows：The unintended death of patient brings the caregiver’s suffering of unwilling let go, but the death sets the patient free. Moreover, the culture and custom influences the caregivers how to interpret the illness and death. In addition, the caregivers are preoccupied something else to stabilize themselves and to live a stable life.The study is based on the above findings to propose the discussions, limitations, refections and give suggestions for future relevant study