Challenges and changes in spirituality among doctors who become patients
Challenges and changes in spirituality among doctors who become patients
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DOI：
10.1016/j.socscimed.2005.04.031
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发表时间：
2005-12-01
影响因子：
5.4
通讯作者：
Daya, S
中科院分区：
文献类型：
--
作者：
Klitzman, RL;Daya, S
虽然灵性可以帮助患者科普疾病，但一些研究表明，医生对灵性的看法与患者不同。这些问题还没有在成为病人的医生中进行系统的调查，而这些医生可能能够在这一领域提供重要的信息。我们采访了来自美国主要城市中心的50名医生，他们因严重疾病而成为患者，讲述了他们在诊断前后对宗教和灵性的经历和看法，我们探讨了出现的问题。这些医生-病人揭示了精神的形式和内容的连续性。这些形式从一开始就是精神的;到精神的，但不认为自己是精神的;到想要，但不能相信。有些人继续怀疑，也许与此相关，似乎很沮丧。信仰的内容从既定的宗教传统，到混合信仰，或者有非特定的信仰（例如，关于大自然的力量）。一组医生对有组织的宗教感到警惕，因为这可能会成为信仰的障碍。其他人认为，通过祈祷可以减轻症状。有时，对灵性的自我评估很难或不准确。关于医学教育是否以及如何最好地解决这些问题，以及灵性如何影响临床工作的问题浮出水面。这项研究是我们所知道的第一个研究医生成为病人时的灵性的研究。医生注意灵性的潜在作用的障碍出现了，需要在医学教育和未来的研究中进一步探讨。提高对这些领域的认识可能具有临床相关性，加强医患关系和沟通，以及患者满意度。(c)2005爱思唯尔有限公司保留所有权利。
Though spirituality can help patients cope with illness, several studies have suggested that physicians view spirituality differently than do patients. These issues have not been systematically investigated among doctors who become patients, and who may be able to shed critical light on this area. We interviewed fifty doctors from major urban US centers who had become patients due to serious illnesses about their experiences and views relating to religion and spirituality before and after diagnosis, and we explore the range of issues that emerged. These physician-patients revealed continua of forms and contents of spirituality. The forms ranged from being spiritual to start with; to being spiritual, but not thinking of themselves as such; to wanting but being unable to believe. Some continued to doubt and, perhaps relatedly, appeared depressed. The contents of beliefs ranged from established religious traditions, to mixing beliefs, or having non-specific beliefs (e.g., concerning the power of nature). One group of doctors felt wary of organized religion, which could prove an obstacle to belief. Others felt that symptoms could be reduced through prayer. At times, self-assessments of spirituality were difficult to make or inaccurate. Questions surfaced concerning whether and how medical education could best address these issues, and how spirituality may affect clinical work. This study is the first that we know of to examine spirituality among physicians when they become patients. Obstacles to physicians' attentiveness to the potential role of spirituality arose that need to be further explored in medical education and future research. Increased a wareness of these areas could potentially have clinical relevance, strengthening doctor-patient relationships and communication, and patient satisfaction. (c) 2005 Elsevier Ltd. All rights reserved.