Religion, spirituality, and medicine: Research findings and implications for clinical practice
Religion, spirituality, and medicine: Research findings and implications for clinical practice
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DOI：
10.1097/01.smj.0000146489.21837.ce
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发表时间：
2004-12-01
影响因子：
1.1
通讯作者：
Koenig, HG
中科院分区：
文献类型：
--
作者：
Koenig, HG
越来越多的科学研究表明，宗教、灵性与身心健康之间存在联系。这些发现在患有严重或慢性疾病的患者中尤其明显，这些患者正在经历压力性的心理和社会变化，以及与意义和目的有关的生存斗争。最近的研究表明，宗教信仰影响医疗决定，如使用化疗和其他挽救生命的治疗，有时可能与医疗护理相冲突。本文讨论了医生如何使用这些信息。灵性是一个让许多医生感到不舒服的领域，因为医学院的培训和继续医学教育计划是有限的。大多数医生不仅缺乏必要的培训，他们还担心花更多的时间与病人在一起，超越道德界限。虽然这些关切是合理的，但每一个关切都可以以合理的方式加以解决。采取精神的历史，支持病人的信仰，并精心策划的精神需求的实现是本文将解决的主题。其目标是帮助医生提供对许多患者理解和科普医学疾病的方式敏感的医疗服务。
A growing body of scientific research suggests connections between religion, spirituality, and both mental and physical health. The findings are particularly strong in patients with severe or chronic illnesses who are having stressful psychologic and social changes, as well as existential struggles related to meaning and purpose. Recent studies indicate that religious beliefs influence medical decisions, such as the use of chemotherapy and other life-saving treatments, and at times may conflict with medical care. This article addresses the ways physicians can use such information. Spirituality is an area that makes many physicians uncomfortable, since training in medical schools and continuing medical education programs are limited. Not only do most physicians lack the necessary training, they worry about spending additional time with patients and overstepping ethical boundaries. While these concerns are valid, each can be addressed in a sensible way. Taking a spiritual history, supporting the patient's beliefs, and orchestrating the fulfillment of spiritual needs are among the topics this article will address. The goal is to help physicians provide medical care that is sensitive to the way many patients understand and cope with medical illness.