Spiritual support of cancer patients and the role of the doctor
Spiritual support of cancer patients and the role of the doctor
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DOI：
10.1007/s00520-013-2091-1
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发表时间：
2014-05-01
影响因子：
3.1
通讯作者：
Olver, Ian
中科院分区：
文献类型：
--
作者：
Best, Megan;Butow, Phyllis;Olver, Ian
研究目的灵性关怀对癌症患者非常重要，但医生在提供灵性关怀中的角色尚不清楚。我们承诺了解澳大利亚癌症患者的精神支持的性质和他们的喜好，对精神护理从doctors.Methods使用扎根理论，半结构化的采访进行了15例癌症晚期疾病在各种护理环境。患者被问及他们的精神支持的来源，以及他们希望他们的医生如何与他们在精神问题上进行接触。（1）帮助病人科普疾病和满足精神需要的精神支持来源，（2）精神支持的促进者，（3）医生在精神支持中的作用。无论宗教背景如何，大多数病人希望医生能询问他们的精神支持来源，并提供方便。病人不希望医生提供精神指导，而是希望得到全面的治疗，并有良好的关系，让他们能够讨论他们的恐惧。医生对病人精神层面的理解是其中的一部分。结论精神是一种普遍现象。世俗社会的病人希望他们的医生对他们的精神支持感兴趣，并在生病期间方便他们获得精神支持。
Purpose Spiritual care is reported as important for cancer patients, but the role of the doctor in its provision is unclear. We undertook to understand the nature of spiritual support for Australian cancer patients and their preferences regarding spiritual care from doctors.Methods Using grounded theory, semistructured interviews were conducted with 15 cancer patients with advanced disease in a variety of care settings. Patients were asked about the source of their spiritual support and how they would like their doctors to engage with them on spiritual issues.Results Three themes were identified as follows: (1) sources of spiritual support which helped patients cope with illness and meet spiritual needs, (2) facilitators of spiritual support, and (3) role of the doctor in spiritual support.Regardless of religious background, the majority of patients wanted their doctor to ask about their source of spiritual support and facilitate access to it. Patients did not want spiritual guidance from their doctors, but wanted to be treated holistically and to have a good relationship, which allowed them to discuss their fears. Doctors' understanding of the spiritual dimension of the patient was part of this.Conclusions Spirituality is a universal phenomenon. Patients in a secular society want their doctor to take an interest in their spiritual support and facilitate access to it during illness.