灵性疗愈在拉丁裔人群中对医疗体验的感知中的作用。
The role of spirituality healing with perceptions of the medical encounter among Latinos.
机构信息
Department of Social & Behavioral Sciences (CARO), School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard (EAD-711B), Fort Worth, TX, 76107-2699, USA.
出版信息
J Gen Intern Med. 2009 Nov;24 Suppl 3(Suppl 3):542-7. doi: 10.1007/s11606-009-1067-9.
BACKGROUND
Little is known about the relationship between spirituality healing and perceptions about the medical encounter among Latinos.
OBJECTIVES
To examine the association between spirituality healing and attitudes of self-reported perceptions about the medical encounter.
DESIGN
A cross-sectional telephone survey.
PARTICIPANTS
3,728 Latinos aged >or=18 years residing in the United States from Wave 1 of the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey.
MEASUREMENTS
Dependent variables were ever prayed for healing (yes/no), ever asked others to pray for healing (yes/no), considered important spiritual healing (very vs. somewhat or not important), and ever consulted a 'curandero' (folk healer in Latin America) (yes/no). The primary independent variables were feelings about the last time seeing a Doctor (confused by information given, or frustrated by lack of information) and perception of quality of medical care (excellent, good, fair or poor) within the past 12 months.
RESULTS
Six percent of individuals reported that they had ever consulted a curandero, 60% prayed for healing, 49% asked others to pray for healing, and 69% considered spiritual healing as very important. In multivariable analyses, feeling confused was associated with increased odds of consulting a curandero (OR = 1.58; 95% CI, 1.02-2.45), praying for healing (OR = 1.30; 95% CI, 1.03-1.64), asking others to pray for healing (OR = 1.29; 95% CI, 1.03-1.62), and considering spiritual healing as very important (OR = 1.30; 95% CI, 1.01-1.66). Feeling frustrated by a lack of information was associated with asking others to pray for healing (OR = 1.29; 95% CI, 1.04-1.60). A better perception of quality of medical care was associated with lower odds of consulting a curandero (OR = 0.83; 95% CI, 0.70-0.98).
CONCLUSION
Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero.
背景
关于灵疗与拉丁裔人群对医疗服务的看法之间的关系，我们知之甚少。
目的
检验灵疗与自我报告的对医疗服务的看法之间的关联。
设计
一项横断面电话调查。
参与者
3728 名年龄在 18 岁及以上、居住在美国的皮尤西班牙裔中心/罗伯特·伍德·约翰逊基金会拉丁裔健康调查第 1 波的拉丁裔人。
测量方法
因变量为是否曾祈祷治愈（是/否）、是否曾请他人祈祷治愈（是/否）、认为精神疗愈很重要（非常 vs. 有点或不重要）、以及是否曾咨询过“巫医”（拉丁美洲的传统治疗师）（是/否）。主要的自变量是对上次看医生时的感受（对所提供的信息感到困惑，或因缺乏信息而感到沮丧）以及过去 12 个月内对医疗服务质量的看法（极好、好、一般或差）。
结果
6%的人报告曾咨询过巫医，60%的人曾祈祷治愈，49%的人曾请他人祈祷治愈，69%的人认为精神疗愈非常重要。在多变量分析中，感到困惑与寻求巫医治疗的几率增加相关（OR = 1.58；95%CI，1.02-2.45）、祈祷治愈（OR = 1.30；95%CI，1.03-1.64）、请他人祈祷治愈（OR = 1.29；95%CI，1.03-1.62），以及认为精神疗愈非常重要（OR = 1.30；95%CI，1.01-1.66）。对缺乏信息感到沮丧与请他人祈祷治愈相关（OR = 1.29；95%CI，1.04-1.60）。对医疗服务质量的看法较好与寻求巫医治疗的几率降低相关（OR = 0.83；95%CI，0.70-0.98）。
结论
对医疗服务的感受与灵疗、祈祷治愈以及请他人祈祷治愈相关。感到困惑和对医疗服务质量的看法较差与寻求巫医治疗相关。
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