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Dileo & Dneaster π—°«‘™“°“√¥â“π¥πμ√’ À≈—ß®“°°“√∫”∫—¥‡ √Á® ‘Èπ≈ß π—°¥πμ√’∫”∫—¥®–
∫”∫—¥ ‰¥â·∫àß√–¥—∫¢Õß°“√„Àâ∫√‘°“√¥πμ√’∫”∫—¥„π „À⺟âªÉ«¬ª√–‡¡‘πº≈À≈—ß°“√∫”∫—¥ ‡æ◊ËÕ¥Ÿ§«“¡
ºŸâªÉ«¬√–¬– ÿ¥∑⓬‡ªìπ 3 √–¥—∫ ‰¥â·°à (1) Support- ‡ª≈’ˬπ·ª≈ß·≈–°“√μÕ∫ πÕߢÕß°‘®°√√¡ π—°
ive level, (2) Communicative/Expressive level, ¥πμ√’∫”∫—¥®–‡°Á∫√«∫√«¡º≈¢Õߥπμ√’∫”∫—¥·≈–

·≈– (3) Transformative level ¥—ßπ’È ∑” √ÿªº≈§«“¡°â“«Àπâ“„π°“√∫”∫—¥ ∑—Èßπ’Èπ—°¥πμ√’
√–¥—∫∑’Ë 1: Supportive level ∫”∫—¥ “¡“√∂‡¢â“√à«¡ª√–™ÿ¡°—∫∑’¡°“√∫”∫—¥√—°…“
‡πâπ°“√∑”„À⺟âªÉ«¬√Ÿâ ÷° ∫“¬°“¬ ∫“¬„® ‡ªÑ“ ‡æ◊ËÕ√“¬ß“πº≈·≈–§«“¡§◊∫Àπâ“„π°“√∫”∫—¥„Àâ°—∫

À¡“¬°“√„Àâ∫√‘°“√¥πμ√’∫”∫—¥√–¥—∫∑’Ë 1 §◊Õ ≈¥ ∑’¡ À«‘™“™’扥â
§«“¡°√– —∫°√– à“¬ ≈¥ª«¥ ‡æ‘Ë¡§«“¡ºàÕπ§≈“¬ ‡§√◊ËÕß¡◊Õ∑’Ë„™âª√–‡¡‘πº≈°“√∫”∫—¥ ·∫àßμ“¡

°‘®°√√¡¥πμ√’∫”∫—¥∑’Ë„™â ‡™àπ °“√øí߇æ≈ß ¥πμ√’ ‡ªÑ“À¡“¬°“√„Àâ∫√‘°“√ ¥—ßπ’È
·≈–¡‚π¿“æ (Music and Imagery) 1. ‡ªÑ“À¡“¬¥â“π§ÿ≥¿“æ™’«‘μ ‰¥â·°à
√–¥—∫∑’Ë 2: Communicative/Expressive o Hospice Quality of Life Index-Re-

level vised (HOLI-R)
‡æ◊ËÕ®—¥‡μ√’¬¡‚Õ°“ „À⺟âªÉ«¬‰¥â· ¥ßÕÕ° 2. ‡ªÑ“À¡“¬¥â“πÕ“√¡≥å ‰¥â·°à

·≈–√–∫“¬§«“¡√Ÿâ ÷°¢Õßμπ‡Õß ¥πμ√’®–™à«¬„À⺟â o Visual Analog Scale
ªÉ«¬√—∫√Ÿâ∂÷ߧ«“¡√Ÿâ ÷°¢Õßμπ‡Õ߉¥âßà“¬¢÷Èπ ∑”„À⺟â o Rogersû Happy/Sad Faces Assess-
ªÉ«¬√Ÿâ ÷°ª≈Õ¥¿—¬∑’Ë®–· ¥ß§«“¡√Ÿâ ÷°¢Õßμπ‡Õß ment Tool

ÕÕ°¡“ ‰¡à«à“®–‡ªìπ∑“ß°“√查À√◊Õ°“√°√–∑” ‡ªÑ“ o A 5-minute pretest recording of
À¡“¬°“√∑”¥πμ√’∫”∫—¥√–¥—∫∑’Ë 2 §◊Õ „À⺟âªÉ«¬‰¥â HRV
· ¥ßÕÕ°∂÷ߧ«“¡√Ÿâ ÷°¢Õßμπ‡Õß °‘®°√√¡¥πμ√’ 3. ‡ªÑ“À¡“¬¥â“𧫓¡ª«¥ ‰¥â·°à

∫”∫—¥·≈–‡∑§π‘§ ‰¥â·°à «‘‡§√“–Àå‡π◊ÈÕ‡æ≈ß ·≈– o Nursing Assessment of Pain Inten-
·μà߇æ≈ß sity