[[alternative]]The study on the art therapy group a nurses in the intensive care unit who deal grief issues

[[abstract]]「生、老、病、死」每一個過程都是生命的一部份，當人生面臨生病及死亡時最易引發個人對生命的困惑與質疑。加護病房護理人員因工作環境的特殊性卻必須幾乎天天面對病患死亡的壓力，導致身心俱疲甚至考慮更換工作。本研究在探討藝術治療團體於加護病房護理人員面對病患死亡的悲傷經驗，透過8週藝術治療團體，再以故事敘說的方式深入探究加護病房護理人員面對病患死亡的悲傷經驗，並採取「整體-內容」的敘事研究分析方式分析所蒐集的文本資料，詮釋出其生命本質意義。依據研究結果顯示:1.加護病房護理人員的悲傷反應因人而異，隨著面對病患死亡經驗增加情感更內斂，更理智處理悲傷反應，以本研究參與者為例，悲傷反應以感覺層面為主，其餘的認知、行為、生理層面則無發生悲傷反應。2.病患死亡的形式及年齡也會影響加護病房護理人員的悲傷反應，當情感依附強度越強，失落悲傷的反應也越激烈。病患的年齡越大，加護病房護理人員越能接受病患死亡，她們認為死亡是生命的歷程；若病患為年輕人，會覺得人生怎麼如此短暫稍縱即逝。3.病患或家屬的正向回饋是加護病房護理人員的能量泉源，有了能量才能繼續服務更多的病患，也是實現自我理想的動力。4.加護病房快速的工作步調似乎也加速了護理人員的悲傷反應，經過多年歷練，加護病房護理人幾乎皆練就一身好功夫，面對病患死亡幾乎可以雲淡風輕，將悲傷反應壓在內心最深處遺忘它的存在，除非與病患有了依附關係，亦或是該病患觸動內在最深層情感，才會引發悲傷反應，但對新進護理人員而言仍就是必須經驗悲傷的痛苦。5.運用藝術治療團體的介入後，加護病房護理人員透過分享敘說及藝術創作，抒解壓抑多年面對病患死亡的悲傷痛苦，亦讓加護病房護理人員深刻體會到「藝術即是治療」的自我療癒方式。本研究建議醫療體系主管，應正視加護病房護理人員悲傷感受，而非期待護理人員「自行復原」，應協助加護病房護理人員增能措施，才能使加護病房護理人員持續發揮其專業角色。[[abstract]]Its a part of life, including birth, aging, illness, and death. When we faced with illness and death, it would easily induce us to confuse and query out lives. The nurses in ICU almost need to face the pressure of dying patients every day, and it leads to physically and mentally fatigued and even to consider change to another job.The aim of this study was to explore the grief experience of ICU nurses when they faced the death of patients through 8 weeks of art group therapy and narrative research. It was analyzed by "as a whole - content" analysis of narrative research to interpret the essential meaning of life.The results showed that, 1.the grief reaction depended on the ICU nurses. The more experiences of facing death of the patients, the more astringent and rational behavior they would have to deal with grief reaction. To take the participants of the study as examples, the principal level of grief reaction has been feeling. 2. The forms of death and age of the patients would influence the grief reactions of the ICU nurses. The more intensity on emotional attachment they had, the more intense of losing and grief reactions they would have. The ICU nurses could accept the death of the aging patients because they thought that death is a journey of life. On the contrary, they would think how short the life is when the patient is a young man. 3. The patients or their familys positive feedback is the source of energy to the ICU nurses. When they get the energy, they can serve more and more patients, and it is the power to achieve self-ideal. 4. It seemed that the ICU nurses work at a fast pace could accelerate the grief reaction. They suppressed sorrow sadness innermost their mind and forgot the presence. Only when emotional attachment with the patients or they touched sorrow sadness innermost their mind would induce their grief reactions. For those new nurses, they had to experience the grief suffering.5. By the intervention of art group therapy, the ICU nurses could released their suppressed sorrow sadness innermost their mind though sharing narrative and artistic creation, and they wound realize that "art is therapy" to cure themselves.It suggested that the manager of health care system should confront the grief feelings of the ICU nurses, rather than expect them to "self-recovery", and should help them increase their abilities to display their professional roles