人生の終わりに宗教や霊的問題を議論する: 医師のための実用的なガイド
Bernard Lo1, Delaney Ruston, Laura W Kates
1bernie@medicine.ucsf.edu
JAMA
|February 20, 2002
まとめ
医師は,人生の終わりに近づいている患者を,精神的,宗教的な問題に対処することによって,より良くサポートすることができます. 共感的に耳を傾け,信念を探求することは,患者が情報に基づいた決定を下し,閉店を見つけるのに役立ちます.
科学分野:
- 医療倫理 医療倫理について
- 緩和ケアとは,緩和ケアです.
- 医学におけるスピリチュアリティ
背景:
- 人生の終わりに近づいている患者にとって,霊的,宗教的な懸念はしばしば強まる.
- 医師は,これらの敏感な患者問題について話し合うためのスキルと快適さを欠いていることがよくあります.
- これらの問題への対処は,終末期介護の総合的なケアにおいて極めて重要です.
研究 の 目的:
- 患者や家族の精神的,宗教的な懸念に応えるための医師の指導を提供すること.
- 信仰によって影響された生命の終わりの決定に関する医師と患者のコミュニケーションを高めるために.
- 敏感な精神的ケアを通じて患者の快適さと閉店を改善する.
主な方法:
- 生命維持介入に関する決定が信仰に基づく場合の患者の信念の探求.
- 表現されていない精神的苦痛を特定し,認めるために,共感的に耳を傾ける.
- 患者/家族の意見を尊重し,医師の助言とは異なる場合でも,患者/家族の意見を尊重する.
主要な成果:
- 医者は,患者の精神的な信念を探求することによって,情報に基づいた意思決定を容易にすることができます.
- 早期の安心感のない共感的なリスニングは,患者の経験を検証することができます.
- リスペクトのある対話は,医師の勧告を考慮する患者/家族の意思を高めることができます.
結論:
- 精神的,宗教的なニーズに対する医師の敏感な反応は,終末期ケアに不可欠です.
- 信仰に基づく懸念についての効果的なコミュニケーションは,より大きな患者の快適さと閉鎖につながる可能性があります.
- 精神的なケアを医療実践に組み込むことは,患者と医師の関係を強化します.
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