Patient perspectives on spirituality and the patient-physician relationship
Patient perspectives on spirituality and the patient-physician relationship
复制标题
患者对灵性和医患关系的看法
DOI：
10.1111/j.1525-1497.2001.01034.x
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发表时间：
2001
影响因子：
5.7
通讯作者：
L. Cooper
中科院分区：
文献类型：
--
作者：
Randy S. Heabert;M. Jenckes;D. Ford;D. O’Connor;L. Cooper
目的：为了确定的偏好和关注的重病患者讨论宗教和精神信仰与physics.DESIGN：三个焦点小组讨论的患者谁经历了最近的危及生命的疾病。对讨论进行录音、逐字记录，并由两名研究者独立审查，以确定用于分组的离散评论。第三名研究者裁定意见分歧。然后由一名健康服务研究人员和一名牧师顾问独立审查评论的相关性和一致性。设置：学术医疗中心。参与者：22名最近因危及生命的疾病住院的患者的参考样本。测量和主要结果：几乎所有的562条评论都可以分为五大领域之一：1）宗教信仰/灵性，2）祈祷，3）医患关系，4）宗教/精神对话，5）对医生的建议。上帝、祈祷和精神信仰经常被认为是安慰、支持和治愈的源泉。所有参与者都强调了医生同情的重要性。愿意参与与医生的灵性讨论与医患关系密切相关。尽管在适当的背景下存在分歧，但患者一致认为，医生必须有很强的人际交往能力，才能使讨论富有成效。医生发起的谈话没有强烈的医患关系被认为是不适当的，并暗示预后不良。结论：宗教和精神是许多患者的安慰来源。虽然不一定期望医生讨论灵性，但患者希望医生询问应对和支持机制。这项探索性的研究表明，如果病人透露精神信仰在他们生活中的重要性，他们希望医生尊重这些价值观。
OBJECTIVE: To identify the preferences and concerns of seriously ill patients about discussing religious and spiritual beliefs with physicians.DESIGN: Three focus group discussions with patients who had experienced a recent life-threatening illness. Discussions were audiotaped, transcribed verbatim, and reviewed independently by two investigators to identify discrete comments for grouping into domains. A third investigator adjudicated differences in opinion. Comments were then independently reviewed for relevance and consistency by a health services researcher and a pastoral counselor.SETTING: Academic medical center.PARTICIPANTS: Referred sample of 22 patients hospitalized with a recent life-threatening illness.MEASUREMENTS AND MAIN RESULTS: Almost all of the 562 comments could be grouped into one of five broad domains: 1) religiosity/spirituality, 2) prayer, 3) patient-physician relationship, 4) religious/spiritual conversations, and 5) recommendations to physicians. God, prayer, and spiritual beliefs were often mentioned as sources of comfort, support, and healing. All participants stressed the importance of physician empathy. Willingness to participate in spiritual discussions with doctors was closely tied to the patient-physician relationship. Although divided on the proper context, patients agreed that physicians must have strong interpersonal skills for discussions to be fruitful. Physician-initiated conversation without a strong patient-physician relationship was viewed as inappropriate and as implying a poor prognosis.CONCLUSION: Religion and spirituality are a source of comfort for many patients. Although not necessarily expecting physicians to discuss spirituality, patients want physicians to ask about coping and support mechanisms. This exploratory study suggests that if patients then disclose the importance of spiritual beliefs in their lives, they would like physicians to respect these values.
DOI：
10.1176/ajp.149.12.1693
发表时间：
1992
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Koenig,HG;Cohen,HJ;Blazer,DG;Pieper,C;Meador,KG;Shelp,F;Goli,V;DiPasquale,B
通讯作者：
DiPasquale,B
DOI：
--
发表时间：
1999
期刊：
Annals of internal medicine.
影响因子：
--
作者：
Lo,B;Quill,T;Tulsky,J
通讯作者：
Tulsky,J