Unruh Anita M
School of Health Services Administration, Dalhousie University, Halifax, Nova Scotia, Canada.
Can J Nurs Res. 2007 Jun;39(2):66-86.
Understanding the relationships between spirituality and health has become increasingly important in health research, including nursing research. Very little of the research thus far has focused on spirituality, religion, and pain even though spiritual views have been intertwined with beliefs about pain and suffering throughout history. Spiritual views can have a substantial impact on patients' understanding of pain and decisions about pain management. The author reviews the research literature on spirituality and pain from a historical perspective. The analysis is concerned with how spirituality and religion have been used to construct a meaning of pain that shapes appraisal, coping, and pain management. The clinical implications include respectful communication with patients about spirituality and pain, inclusion of spirituality in education and support programs, integration of spiritual preferences in pain management where feasible and appropriate, consultation with pastoral care teams, and reflection by nurses about spirituality in their own lives. A discussion of research implications is included.
在健康研究（包括护理研究）中，理解灵性与健康之间的关系变得越来越重要。尽管在历史上，灵性观点一直与关于疼痛和苦难的信仰交织在一起，但迄今为止，很少有研究关注灵性、宗教和疼痛。灵性观点会对患者对疼痛的理解以及疼痛管理决策产生重大影响。作者从历史角度回顾了关于灵性与疼痛的研究文献。该分析关注的是灵性和宗教如何被用来构建疼痛的意义，这种意义塑造了评估、应对和疼痛管理。临床意义包括与患者就灵性和疼痛进行尊重性沟通，将灵性纳入教育和支持项目，在可行且适当的情况下将灵性偏好纳入疼痛管理，与牧灵关怀团队协商，以及护士对自身生活中灵性的反思。还包括对研究意义的讨论。
