姑息医学领域心灵关怀的困扰  

Spiritual care in palliative medicine

作　　者：李金祥[1] 陈慧平[1] 黄俊波[1] 贾艳皊[1] 王晶[1] 

机构地区：[1]李嘉诚基金会全国宁养医疗服务计划四川大学华西宁养院,四川大学华西第四医院姑息关怀科,610041

出　　处：《实用疼痛学杂志》2014年第6期457-461,共5页Pain Clinic Journal

基　　金：本文的发表得到了李嘉诚基金会全国宁养医疗服务计划项目的赞助和支持

摘　　要：姑息关怀的焦点是全人的关怀,包括生物心理社会的,文化的和心灵的多元化的需求.生命末期关怀应该包括心灵关怀,此是生命末期关怀运动的倡导者Dr.Dame Cicely Saunders的学术魅力的精髓.遭患严重疾病的人们时常应用和寻求宗教或心灵信仰的依赖,如果不关注心灵的痛苦可能会扼杀生命末期提高生存质量的机会,导致难治性症状,并引发“不安宁的死亡”.姑息关怀执业者时常抱怨,对生命末期患者提供心灵关怀让他们感到沮丧.什么是心灵的关怀？心灵的痛苦是什么？怎样进行心灵的分析？什么是心灵的干预？本文将对这些问题做出应答.Palliative care has been a focus on the whole person, including biopsychosocial, culture and spiritual needs. The end-of-life care incorporated some consideration of spiritual care is consistent with the vision of Dr. Dame Cicely Saunders, advocator of hospice movement. People suf feted from serious illness sometime draw on religious or spiritual beliefs. If the spiritual distress is unconcerned the opportunity for growthing the quality of life at the end of the life may be stifle, lead ing to poorly controlled symptoms, and resulting in an ＂unquiet death＂. Yet health-care providers frequently report that they feel ill equipped to provide spiritual care at the end of life and wrestle with many questions about it. What is spiritual care？ What is the distressing of spirituality？ How does a spiritual assessment conduct？ What are some spiritual interventions for end-of-life care？ These ques tions will be answered in this paper.

关 键 词：心灵关怀 痛苦 姑息医学 

分 类 号：R395.6[哲学宗教—心理学]