Flannery J
Florida State University, School of Nursing, Tallahassee.
J Neurosci Nurs. 1990 Apr;22(2):92-9. doi: 10.1097/01376517-199004000-00007.
Resolution of the crisis created by a catastrophic neurologic event can be obstructed by the patient's or family's feelings of guilt. This article describes the stages of guilt and manifestations that can be assessed by the nurse. The need for the nurse to assess personal values and responses is discussed. Barriers that may exist in the nurse/patient/family situation and hinder guilt resolution are also listed along with specific interventions to resolve guilt--the crisis within a crisis. Two case studies are included to demonstrate nurse and family interaction in a guilt crisis.
灾难性神经事件引发的危机的解决可能会受到患者或其家人内疚感的阻碍。本文描述了内疚的阶段以及护士可评估的表现。文中讨论了护士评估个人价值观和反应的必要性。还列出了护士/患者/家庭关系中可能存在的、阻碍内疚情绪化解的障碍，以及化解内疚（危机中的危机）的具体干预措施。文中包含两个案例研究，以展示在内疚危机中护士与家人的互动。
