Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients: A study at a Midwestern US Teaching Institution
Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients: A study at a Midwestern US Teaching Institution
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DOI：
10.1097/00001888-200506000-00011
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发表时间：
2005-06-01
影响因子：
7.4
通讯作者：
Tsevat, J
中科院分区：
文献类型：
--
作者：
Luckhaupt, SE;Yi, MS;Tsevat, J
目的评估初级保健住院医师对灵性和宗教在临床与病人接触中的作用的信念。方法2003年，在美国中西部一所主要的教学机构，247名初级保健住院医师接受了一份改编自《医疗遭遇中的宗教和精神研究》的问卷调查，以评估初级保健院的官员是否认为他们应该与病人讨论宗教和精神问题，与病人一起祈祷，或者两者兼有，以及住院医师的个人特征，包括他们自己的精神健康、宗教信仰、以及使用精神和宗教应对机制的倾向，与他们对精神和宗教在医疗保健方面的看法有关。进行了简单的描述性、单变量和两种类型的多变量分析。结果收集了内科、儿科、内科/儿科和家庭医学住院医师227人（92%）的数据。104名（46%）受访者认为他们应该在患者的精神或宗教生活中发挥作用。在多变量分析中，这种情绪与参加有组织的宗教活动的频率较高（比值比[OR] 1.55, 95%可信区间[Cl] 1.20-1.99），较高的个人灵性水平（OR 1.05, 95% Cl 1.02-1.08）和较大的居民年龄（OR 1.11, 95% Cl 1.02-1.21； c统计量为0.76）相关。总的来说，提倡精神和宗教参与通常与高水平的个人精神和宗教应对以及家庭医学培训计划有关。随着患者病情的加重，住院医师更倾向于同意将精神和宗教融入患者就诊中（p < 0.0001）。结论：大约一半的初级保健住院医师认为他们应该在病人的精神或宗教生活中发挥作用。住院医生对具体精神宗教活动的同意程度取决于病人的病情和住院医生的个人特点。
Purpose To assess primary care residents' beliefs regarding the role of spirituality and religion in the clinical encounter with patients.Method In 2003, at a major midwestern U.S. teaching institution, 247 primary care residents were administered a questionnaire adapted from that used in the Religion and Spirituality in the Medical Encounter Study to assess whether primary care house officers feel they should discuss religious and spiritual issues with patients, pray with patients, or both, and whether personal characteristics of residents, including their own spiritual well-being, religiosity, and tendency to use spiritual and religious coping mechanisms, are related to their sentiments regarding spirituality and religion in health care. Simple descriptive, univariate, and two types of multivariable analyses were performed.Results Data were collected from 227 residents (92%) in internal medicine, pediatrics, internal medicine/pediatrics, and family medicine. One hundred four (46%) respondents felt that they should play a role in patients' spiritual or religious lives. In multivariable analysis, this sentiment was associated with greater frequency of participating in organized religious activity (odds ratio [OR] 1.55, 95% confidence interval [Cl] 1.20-1.99), a higher level of personal spirituality (OR 1.05, 95% Cl 1.02-1.08), and older resident age (OR 1.11, 95% Cl 1.02-1.21; C-statistic 0.76). In general, advocating spiritual and religious involvement was most often associated with high personal levels of spiritual and religious coping and with the family medicine training program. Residents were more likely to agree with incorporating spirituality and religion into patient encounters as the gravity of the patient's condition increased (p < .0001).Conclusions Approximately half of primary care residents felt that they should play a role in their patients' spiritual or religious lives. Residents' agreement with specific spiritual and religious activities depended on both the patient's condition and the resident's personal characteristics.