在生命的尽头讨论宗教和精神问题:一本实用指南给医生
Bernard Lo1, Delaney Ruston, Laura W Kates
1bernie@medicine.ucsf.edu
JAMA
|February 20, 2002
概括
医生可以通过解决精神和宗教问题,更好地支持临终患者. 富有同情心的倾听和探索信仰有助于患者做出明智的决定,并找到结束.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 医学中的灵性在医学中
背景情况:
- 临终患者的精神和宗教问题往往会加剧.
- 医生经常缺乏技能和舒适度来讨论这些敏感的患者问题.
- 解决这些问题对于整体终身护理至关重要.
研究的目的:
- 为医生提供指导,帮助医生应对患者和家人的精神和宗教问题.
- 加强医生与患者之间的沟通,以信仰为基础,做出生命末期决策.
- 通过敏感的精神护理来改善患者的舒适性和闭合性.
主要方法:
- 探讨患者的信仰,当关于维持生命干预的决定是基于信仰的.
- 富有同情心地倾听,以识别和承认未表达的精神困境.
- 尊重患者/家庭的观点,即使不同于医疗建议.
主要成果:
- 医生可以通过探索患者的精神信仰来促进知情决策.
- 在没有过早安慰的情况下, empathetic 倾听可以验证患者的经验.
- 尊重对话可以增加患者/家人考虑医疗建议的意愿.
结论:
- 医生对精神和宗教需求的敏感反应对于生命末期的护理至关重要.
- 关于基于信仰的担忧的有效沟通可以带来更大的患者舒适和关闭.
- 将精神护理融入医疗实践中,可以增强患者与医生的关系.
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