安寧緩和療護專業團隊的最後一片拼圖：心理師的功能與角色

Abstract

[[abstract]]生命末期病人與家屬的心理照護，在安寧緩和醫療中特別受到重視。得到適切的心理照護，是病人的權益，也是每位照顧者的責任。即使心理議題如此重要，在台灣及英、美，心理師加入安寧團隊仍是較晚近的事。心理師在安寧緩和療護領域的功能與角色，具有相當的複雜性，加上在跨領域專業團隊合作照護中，不同專業角色的思考模式與溝通語言不盡相同，在溝通上也須多加磨合，這些都是初入安寧領域的年輕心理師的常見挑戰與困惑。本文整理國內外安寧心理師的相關文獻，期能提供心理師與安寧團隊合作時的參考，展現其專業效能，並讓安寧團隊更了解心理師的角色功能，讓跨領域團隊照護發揮更大的功效。 Psychological care for patients and families during their end of life stage is highly respected in palliative care. It is a patient's right to have appropriate psychological care, and it also is a caregiver's responsibility to make it. Even though the psychological care is greatly valued, however, psychologists have not been included in the palliative care team until the recent decade. The complexity of the psychologists' role and function in palliative care, and the diverse communication styles and jargons among the multi-disciplinary medical team, challenge the novice psychologists and make them confused when they just acquire this position. In this article, studies about psychologists in the end of life care were reviewed. The authors expected the information could provide the novice psychologists a reference to elaborate their professional efficiency when taking part in the interdisciplinary team. Besides, we also aimed to improve the staff’s understanding of how to cooperate with a psychologist in order to optimize the team’s effectiveness and care quality