本研究目的分別平估以支持團體對癌症病逝者中老年人遺族探討悲傷焦慮程度、社會 心理與調適策略研究，並且瞭解支持團體過程中團體滿意度情形以及各別成員改變的 差異內涵。重要結果如下：1.本研究係以六週支持團體為介入方案，用質化的研究方 法以評估支持團體方案對癌症病逝者中老年人遺族悲傷、焦慮程度社會心理的影響發 現支持團體介入可有效明顯低悲傷、焦慮。2.在深入訪談的研究結果發現，成員改變 之內涵包括傾向樂觀積極、社會支持的擴充、共多學習與成長、調整自己與人的互動 、從封閉心情中走出來、以及學習克服自己所面臨日常生活的改變，社會支持網路被 擴充方面：透過六次團體活動方案設計，成員可以透入感情從活動中學會被支持，從 悲傷情緒中建立新的生死觀念，也從成員當中彼此友誼有進一步發展與互動，增加自 己的社會支持網路。3.本研究再依Worden(上標 (30))提出的悲傷反應，包括感覺、 生理、認知、及行為方面加以分析癌症病逝者中老年人遺族，大致上與其理論相符。 本研究結果發現，建議以支持團體工作模式應用Worden(上標 (30))提出的悲傷反應 分析以提供臨床醫療及相關專業人員對癌症病逝者中老年人遺族臨床服務之參考，讓 臨床工作者更熟悉悲傷輔導技巧，因而能給喪親者適當悲傷輔導，透過支持團體對癌 症病逝者中老年人遺族的個人改變內涵以上之正向改變。 This study is to evaluate the grief degree, anxiety degree, and psycho-social adjustment strategy with the influence of the support group to the elders, whose relative died of cancer. Meanwhile, this study is to figure out the satisfaction degree of support group in process and the individual difference of the members' inner changes. The significant result is as follows, 1. The intervention program is placed by the support group for 6 weeks, applying the qualitative analysis to appraise the influence of the supporting group to the elders on the grief degree, anxiety degree, and social psychology. It is clear that the support group can efficiently decrease the degree of grief and anxiety. 2. After the profound interviews , the result shows that the elders move to a positive attitude, expanding their social support, learning and growing together, adjusting the interaction of themselves and others, getting away from the blocked mind, then learning to face and deal with the changes in daily life, and having the network of social support widen. With the six cases of group activities, the members can express the feeling and get the support from the activities. The members can set up a new concept of life and death from bereavement; meanwhile, the members will develop and interact from the mutual friendship, in order to increase the network of social support. 3. This study follows to apply the grief reactions proposed by Worden ( 2001), which includes of feeling, physiology, cognition, and behavior, in order to analysis the elders whose relative died of cancer. Most of all, they accord with the theory. This study reveals and suggests the structure of support group to apply the grief reactions proposed by Worden (2001) , in order to provide the reference to the clinical application and the related professionals when they practice the clinical assistance to the elders whose relative died of cancer. In other words, the clinical professionals will be more acquainted with the guidance technique and to provide the proper guidance to the bereaved ones. Together with the support group, it will lead the bereaved elders to a positive change from personal inner world. ; 附設醫院社會工作室 ; 醫學院附設醫院 ; 期刊論文