Spirituality and distress in palliative care consultation.
Spirituality and distress in palliative care consultation.
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DOI：
10.1089/jpm.2005.8.782
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发表时间：
2005-08-01
影响因子：
2.8
通讯作者：
Shott, Susan
中科院分区：
文献类型：
--
作者：
Hills, Judith;Paice, Judith A;Shott, Susan
背景：一个人的灵性或宗教信仰和实践可能会对个人如何应对晚期疾病带来的痛苦产生深远的影响。先前的几项研究表明，消极的宗教应对可以显着影响健康结果。目的：本研究的主要目的是探讨转介姑息治疗咨询服务的一组住院患者的灵性、宗教应对和痛苦症状之间的关系。设计：试点研究。背景：该研究是在一个拥有综合姑息治疗和家庭临终关怀计划的大型学术医疗中心进行的。测量：（1）国家综合癌症网络痛苦管理评估工具； （2）Pargament简要宗教应对量表（Brief RCOPE）； （3）慢性病治疗功能评估-精神健康（FACIT-Sp）； (4)普哈尔斯基的FICA； (5) 情绪状态简表 (POMS-SF)。 结果：接受调查的 31 名受试者经历了中度痛苦 (5.8 +/- 2.7)、主要的身体和心理社会症状负担，以及功能下降和显着的护理需求。大多数人 (87.2%) 认为自己至少有一定程度的宗教信仰，其中 77.4% 的人承认至少有一定程度的宗教信仰。消极的宗教应对（即有关上帝惩罚或遗弃的陈述）与痛苦、困惑、抑郁呈正相关，与身体和情感健康以及生活质量呈负相关。结论：姑息治疗临床医生应警惕精神困扰的症状并进行相应的干预。未来的研究需要确定解决消极宗教应对问题的最佳技术。
BACKGROUND: One's spirituality or religious beliefs and practices may have a profound impact on how the individual copes with the suffering that so often accompanies advanced disease. Several previous studies suggest that negative religious coping can significantly affect health outcomes.OBJECTIVE: The primary aim of this study was to explore the relationship between spirituality, religious coping, and symptoms of distress among a group of inpatients referred to the palliative care consult service.DESIGN: Pilot study.SETTING: The study was conducted in a large academic medical center with a comprehensive Palliative Care and Home Hospice Program.MEASUREMENT: (1) National Comprehensive Cancer Network Distress Management Assessment Tool; (2) Pargament Brief Religious Coping Scale (Brief RCOPE); (3) Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp); (4) Puchalski's FICA; and (5) Profile of Mood States-Short Form (POMS-SF).RESULTS: The 31 subjects surveyed experienced moderate distress (5.8 +/- 2.7), major physical and psychosocial symptom burden, along with reduced function and significant caregiving needs. The majority (87.2%) perceived themselves to be at least somewhat spiritual, with 77.4% admitting to being at least somewhat religious. Negative religious coping (i.e., statements regarding punishment or abandonment by God) was positively associated with distress, confusion, depression, and negatively associated with physical and emotional well-being, as well as quality of life.CONCLUSIONS: Palliative care clinicians should be alert to symptoms of spiritual distress and intervene accordingly. Future research is needed to identify optimal techniques to address negative religious coping.