Spiritual pain and its care in patients with terminal cancer: Construction of a conceptual framework by philosophical approach

Spiritual pain and its care in patients with terminal cancer: Construction of a conceptual framework by philosophical approach
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晚期癌症患者的精神痛苦及其护理:用哲学方法构建概念框架

DOI:
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发表时间:
2003
影响因子:
2.2
通讯作者:
Hisayuki Murata
Hisayuki Murata
中科院分区:
医学3区
文献类型:
--
作者:
Hisayuki Murata

文献摘要

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目的:在讨论晚期癌症患者的精神护理时,明确精神痛苦的结构是很重要的。方法:本文将精神痛苦定义为“因存在和自我意义的消亡而产生的痛苦”,并从人的三个维度,即建立在时间上的存在、处于关系中的存在和具有自主性的存在来评价精神痛苦的结构。结果:晚期癌症患者的精神痛苦可以描述为生命的无意义、身份的丧失、因失去未来、失去他人、失去临终个体的自主性而产生的生活的无价值。结果意义:在这些认识的基础上,归纳出晚期癌症患者的精神关怀原则为死亡后的未来康复、死亡后的他人、人类各维度对死亡的自主性。
Objective: In discussing spiritual care of patients with terminal cancer, it is important to clarify the structure of spiritual pain to be evaluated. Methods: In this article, spiritual pain is defined as “pain caused by extinction of the being and the meaning of the self,” and its structure was evaluated according to the three dimensions of the human being, that is, a being founded on temporality, a being in relationship, and a being with autonomy. Results: As a result, spiritual pain of patients with terminal cancer could be described as meaninglessness of life, loss of identity, and worthlessness of living derived from loss of the future, loss of others, and loss of autonomy of a dying individual. Significance of results: On the basis of these understandings, the author deduced principles of spiritual care of terminally ill cancer patients as recovery of the future beyond death, others beyond death, and autonomy toward death in each dimension of the human being.