護理師照顧一位喪偶的個案,下列哪句陳述顯示正向的悲傷調適過程?
A nurse is caring for a client who is mourning the loss of a spouse. Which statement by the client indicates healthy grieving?
- AI have been staying in the house to avoid facing people who pity me我一直待在家裡,以避免面對那些憐憫我的人
- BI am unable to eat or sleep since the funeral last month自從上個月的葬禮以來,我無法進食或睡眠
- CI find myself talking to my spouse every night before I go to sleep✓ 正解我發現自己每晚睡前都會跟配偶說話
- DI think I should have been a better spouse so this would not have happened我想我應該是個更好的配偶,這樣就不會發生這種事了
悲傷調適(grieving process)是失去親人後的正常心理反應。個案與過世配偶進行內在對話(Internal dialogue)是常見的調適機制,代表個案仍試圖維持與逝者的心理連結,協助其逐步適應失去的現實,屬於正常的悲傷表現。相反地,社交退縮、過度病態的自責、或生理功能(如飲食、睡眠)長期嚴重受損,則可能暗示悲傷調適出現障礙或演變為憂鬱症,需護理師進一步評估。
The grieving process is a normal psychological response after the loss of a loved one. The client engaging in internal dialogue with the deceased spouse is a common coping mechanism—it reflects the client's attempt to maintain a psychological connection with the deceased and aids gradual adaptation to the reality of loss, representing a normal expression of grief. Conversely, social withdrawal, excessive pathological self-blame, or prolonged severe impairment of physiologic functions (such as eating and sleeping) may indicate complicated grief or evolving depression, and warrant further nursing assessment.