McCord Gary, Gilchrist Valerie J, Grossman Steven D, King Bridget D, McCormick Kenelm E, Oprandi Allison M, Schrop Susan Labuda, Selius Brian A, Smucker D O William D, Weldy David L, Amorn Melissa, Carter Melissa A, Deak Andrew J, Hefzy Hebah, Srivastava Mohit
Department of Family Medicine, Northeastern Ohio Universities College of Medicine, Rootstown, Ohio 44272, USA.
Ann Fam Med. 2004 Jul-Aug;2(4):356-61. doi: 10.1370/afm.71.
This study was undertaken to determine when patients feel that physician inquiry about spirituality or religious beliefs is appropriate, reasons why they want their physicians to know about their spiritual beliefs, and what they want physicians to do with this information.
Trained research assistants administered a questionnaire to a convenience sample of consenting patients and accompanying adults in the waiting rooms of 4 family practice residency training sites and 1 private group practice in northeastern Ohio. Demographic information, the SF-12 Health Survey, and participant ratings of appropriate situations, reasons, and expectations for physician discussions of spirituality or religious beliefs were obtained.
Of 1,413 adults who were asked to respond, 921 completed questionnaires, and 492 refused (response rate = 65%). Eighty-three percent of respondents wanted physicians to ask about spiritual beliefs in at least some circumstances. The most acceptable scenarios for spiritual discussion were life-threatening illnesses (77%), serious medical conditions (74%) and loss of loved ones (70%). Among those who wanted to discuss spirituality, the most important reason for discussion was desire for physician-patient understanding (87%). Patients believed that information concerning their spiritual beliefs would affect physicians' ability to encourage realistic hope (67%), give medical advice (66%), and change medical treatment (62%).
This study helps clarify the nature of patient preferences for spiritual discussion with physicians.
本研究旨在确定患者认为医生询问其精神信仰或宗教信仰何时合适、他们希望医生了解其精神信仰的原因，以及他们希望医生如何处理这些信息。
经过培训的研究助理在俄亥俄州东北部的4个家庭医学住院医师培训点和1个私人团体诊所的候诊室，对同意参与的患者及其陪同的成年人组成的便利样本进行问卷调查。获取了人口统计学信息、SF-12健康调查，以及参与者对医生讨论精神信仰或宗教信仰的合适情况、原因和期望的评分。
在1413名被要求作答的成年人中，921人完成了问卷调查，492人拒绝回答（回复率 = 65%）。83%的受访者希望医生至少在某些情况下询问其精神信仰。进行精神信仰讨论最可接受的情形是危及生命的疾病（77%）、严重的医疗状况（74%）和失去亲人（70%）。在那些希望讨论精神信仰的人中，讨论的最重要原因是渴望医患之间的理解（87%）。患者认为有关其精神信仰的信息会影响医生鼓励现实希望的能力（67%）、提供医疗建议的能力（66%）以及改变治疗方案的能力（62%）。
本研究有助于阐明患者对于与医生进行精神信仰讨论的偏好的本质。
