Piderman Katherine M, Marek Dean V, Jenkins Sarah M, Johnson Mary E, Buryska James F, Mueller Paul S
Department of Chaplain Services, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
Mayo Clin Proc. 2008 Jan;83(1):58-65. doi: 10.4065/83.1.58.
To evaluate patients' expectations of hospital chaplains.
From April 6, 2006, through April 25, 2006, we surveyed by mail 1500 consecutive medical and surgical patients within 3 weeks of their discharge from the hospital. The survey included questions related to demographics, duration and area of hospitalization, awareness of chaplain availability, expectations regarding chaplain visits, and reasons for wanting to see a chaplain. Measured characteristics were summarized by calculating means and SDs for continuous variables and proportions for categorical variables. Proportions were statistically compared via Fisher exact tests or Monte Carlo estimates.
Surveys were returned by 535 of the 1500 patients to whom they were sent. Most of those who returned surveys had been hospitalized for less than 1 week (398/514 [77.4%]) and were male (265/510 [52.0%]), married (396/528 [75.0%]), 56 years or older (382/532 [71.8%]), or affiliated with either the Lutheran (177 [33.3%]) or Catholic (133 [25.0%]) churches. Most (78.9%) were aware of the availability of chaplains, and 62.3% would have appreciated chaplain visitation at least every few days. More than half (52.9%) reported that they were visited, and 86.4% reported that this visit was important to them. The primary reason selected for wanting to see a chaplain was "to be reminded of God's care and presence." Items related to ritual, prayer, and pastoral support were also highly endorsed. Some results were dependent on sex, age, religious affiliation, or duration of stay.
Hospitalized patients value visitation by chaplains and appreciate both religious and supportive interventions. Opportunities for patient care, education, and research are apparent.
评估患者对医院牧师的期望。
从2006年4月6日至2006年4月25日，我们对连续1500例在出院3周内的内科和外科患者进行了邮件调查。该调查包括与人口统计学、住院时间和住院区域、对牧师服务的知晓情况、对牧师探访的期望以及希望见到牧师的原因等相关的问题。通过计算连续变量的均值和标准差以及分类变量的比例来总结测量特征。通过Fisher精确检验或蒙特卡罗估计对比例进行统计学比较。
1500名被调查患者中有535人回复了调查问卷。回复调查问卷的患者中，大多数住院时间少于1周（398/514 [77.4%]），为男性（265/510 [52.0%]），已婚（396/528 [75.0%]），年龄在56岁及以上（382/532 [71.8%]），或隶属于路德教会（177人 [33.3%]）或天主教会（133人 [25.0%]）。大多数（78.9%）患者知晓有牧师服务，62.3%的患者希望牧师至少每隔几天就来探访一次。超过一半（52.9%）的患者表示接受过探访，86.4%的患者表示这种探访对他们很重要。选择希望见到牧师的主要原因是“得到上帝关怀与同在的提醒”。与仪式、祈祷和牧师支持相关的项目也得到了高度认可。一些结果取决于性别、年龄、宗教信仰或住院时间。
住院患者重视牧师的探访，并赞赏宗教和支持性干预措施。在患者护理、教育和研究方面存在明显的机会。
