本案例報告是運用Worden之「悲傷輔導理論」，
協助一位年輕女性在母親突然昏倒住院，一週後
去世之護理經驗，敘述護理人員如何協助其度過
悲傷期並完成「哀悼的四個任務」。依Worden提
出的悲傷反應自7篇行為過程紀錄加以分析，結
果發現個案的悲傷反應在感覺方面包括驚嚇、否
定、愧疚自責、害怕；生理感官知覺方面出現失
眠、不安；認知方面有難以相信、沉迷對母親的
思念；行為方面出現社會退縮、避免提起失去母
親的感受、呼喚、嘆氣、哭泣等反應。筆者運
用悲傷輔導的概念與原則，以悲傷復原的四個任
務為目標，陪伴並支持個案經歷悲傷過程，協助
其完成體認喪親的哀慟，個案在喪母後二個月已
逐漸完成接受失落的事實，重新適應母親不在的
新環境及將情感重新投注在生活上等四個哀悼任
務。期望藉此個案報告，讓護理人員對家屬之悲
傷反應更為敏感接納，並嘗試運用悲傷輔導技巧
協助家屬。

This case report describes a nurse’s experience applying William Worden’s Grief Counseling on a
young woman whose mother had passed away after a brief period in a coma. The report describes
how the nurse facilitated this case and assisted the woman though the grief process, during which the
woman completed the four tasks of mourning. Seven behavioral process records were analyzed base
on Worden’s grief responses. Emotional reactions included shock, denial, guilt and fear. Insomnia was
the sole physical reaction indicated. Cognitive reactions included disbelief with regard to the death
and preoccupation with her mother. Social withdrawal, avoidance of mentioning her mother, calling
out, sighing and crying comprised the main behavioral reactions. The author applied the concepts and
principles of grief counseling by accompanying and supporting this case though the grief process, and
helping the patient complete the four tasks of mourning, which are: (1) to experience the pain of grief, (2)
to accept the reality of the death, (3) to adjust to life after the death, and (4) to move on with life. It is
hoped that this case report will help nursing staffs be more sensitive and receptive to family grieving
and be better equipped to provide proper grief care.