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晚期患者精神痛苦的本质分析以及通过放松、心理意象与灵性(RIME)干预的意义重塑过程。

Analysis of the nature of Spiritual Pain in terminal patients and the resignification process through the relaxation, mental images and spirituality (RIME) intervention.

作者信息

Elias Ana Catarina Araújo, Giglio Joel Sales, Pimenta Cibele Andrucioli de Mattos

机构信息

Centro Universitário Nossa Senhora do Patrocínio, Brazil,

出版信息

Rev Lat Am Enfermagem. 2008 Nov-Dec;16(6):959-65. doi: 10.1590/s0104-11692008000600004.

Abstract

OBJECTIVE

To understand Spiritual Pain and the new meaning it takes on using the RIME intervention.

SUBJECTS AND METHODS

Eleven terminally ill patients (n=11), treated at public hospitals, received care from six professionals trained for RIME application. The methods used were both qualitative, through phenomenology, and quantitative, based on the descriptive method, using the Wilcoxon Test.

RESULTS

In the qualitative approach, six categories and eleven subcategories were found. The prevailing categories were: fear of dying by denying the severity of the clinical condition (n=5); fear of dying by realizing the severity of the clinical condition (n=5); fear of postmortem due to disintegration or feeling of non-existence, of being affectively forgotten (n=5). In the quantitative analysis, a statistically significant difference (p<0.0001) was noted.

CONCLUSION

The results suggested that RIME promoted quality of life in the dying process, as well as more serenity and dignity in the face of death.

摘要

目的

了解精神痛苦以及使用RIME干预所赋予它的新含义。

对象与方法

11名在公立医院接受治疗的晚期患者(n = 11)接受了6名接受过RIME应用培训的专业人员的护理。所采用的方法既有基于现象学的定性方法,也有基于描述性方法并使用威尔科克森检验的定量方法。

结果

在定性研究中,发现了6个类别和11个子类别。主要类别包括:因否认病情严重程度而害怕死亡(n = 5);因意识到病情严重程度而害怕死亡(n = 5);因解体或不存在感、被情感遗忘而害怕死后状态(n = 5)。在定量分析中,观察到具有统计学意义的差异(p < 0.0001)。

结论

结果表明,RIME在临终过程中提高了生活质量,并且在面对死亡时带来了更多的平静和尊严。

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