Spohr M
Hospiz in Frechen e. V.
Z Arztl Fortbild Qualitatssich. 2000 Sep;94(7):595-601.
Considering the experiences and behaviour patterns of terminally ill patients, especially their perceptions, fears, wishes and needs, the classical phases as possible stages in the processes involved in the last big crisis in life are newly described. Consequences on how to adequately communicate and interact with these patients are represented. Psychological and social support of the dying person and their relatives demands preparation as well as accompanying (e.g. supervision and education) of an interdisciplinary team (in the context of a hospice or palliative treatment). Psycho-social offerings and interventions are discussed as well as subsequent support of the bereaved. Delimitation of psycho-social, psychological and religious support competency is outlined. The article ends with the questions which remain to be researched and conclusions.
考虑到绝症患者的经历和行为模式,尤其是他们的认知、恐惧、愿望和需求,对作为生命中最后一次重大危机所涉过程中可能阶段的经典阶段进行了重新描述。阐述了如何与这些患者进行充分沟通和互动的相关结果。对临终者及其亲属的心理和社会支持需要一个跨学科团队(在临终关怀或姑息治疗的背景下)进行准备以及全程陪同(如监督和教育)。讨论了心理社会服务和干预措施以及对丧亲者的后续支持。概述了心理社会、心理和宗教支持能力的界定。文章最后提出了有待研究的问题和结论。