Wasner Maria, Longaker Christine, Fegg Martin Johannes, Borasio Gian Domenico
Interdisciplinary Centre for Palliative Medicine, Ludwig-Maximilians-University, Munich.
Palliat Med. 2005 Mar;19(2):99-104. doi: 10.1191/0269216305pm995oa.
Little is known about the effects of spiritual care training for professionals in palliative medicine. We therefore investigated prospectively the effects of such training over a six-month period. All 63 participants of the three and a half-day training were asked to fill out three questionnaires: before and after the training, as well as six months later. The questionnaires included demographic data, numeric rating scales about general attitudes towards the work in palliative care, the Self-Transcendence Scale (STS), the spiritual subscale of the Functional Assessment of Chronic Illness Therapy (FACIT-Sp) and the Idler Index of Religiosity (IIR). Forty-eight participants (76%) completed all three questionnaires (91% women, median age 49 years; 51% nurses, 16% hospice volunteers, 14% physicians). Significant and sustained improvements were found in self-perceived compassion for the dying (after the training: P=0.002; 6 months later: P=0.025), compassion for oneself (P <0.001; P =0.013), attitude towards one's family (P =0.001; P =0.031), satisfaction with work (P < 0.001; P = 0.039), reduction in work-related stress (P < 0.001; P = 0.033), and attitude towards colleagues (P = 0.039; P = 0.040), as well as in the FACIT-Sp (P < 0.001; P = 0.040). Our results suggest that the spiritual care training had a positive influence on the spiritual well-being and the attitudes of the participating palliative care professionals which was preserved over a six-month period.
对于姑息医学专业人员的精神关怀培训效果,人们了解甚少。因此,我们前瞻性地研究了这种培训在六个月期间的效果。参加为期三天半培训的所有63名参与者被要求填写三份问卷:培训前、培训后以及六个月后。问卷包括人口统计学数据、关于对姑息治疗工作总体态度的数字评分量表、自我超越量表(STS)、慢性病治疗功能评估的精神亚量表(FACIT-Sp)以及怠惰宗教指数(IIR)。48名参与者(76%)完成了所有三份问卷(91%为女性,年龄中位数49岁;51%为护士,16%为临终关怀志愿者,14%为医生)。在对临终者的自我感知同情心(培训后:P=0.002;六个月后:P=0.025)、对自己的同情心(P<0.001;P=0.013)、对家庭的态度(P=0.001;P=0.031)、工作满意度(P<0.001;P=0.039)、工作相关压力的减轻(P<0.001;P=0.033)以及对同事的态度(P=0.039;P=0.040),还有FACIT-Sp(P<0.001;P=0.040)方面,都发现了显著且持续的改善。我们的结果表明,精神关怀培训对参与的姑息治疗专业人员的精神健康和态度产生了积极影响,并且这种影响在六个月期间得以保持。