McLaughlin Sandra S, McLaughlin Andrew D, Van Slyke John A
Department of Psychiatry, Naval Medical Center Portsmouth, VA, USA.
South Med J. 2010 Jun;103(6):527-31. doi: 10.1097/SMJ.0b013e3181de0304.
This study of outpatients at a military medical center seeks to evaluate the extent that this population relies on religion and spirituality to cope with health-related stress. This study also assesses outpatients' desire for spiritual intervention in the context of their medical appointments.
A cross-sectional survey was conducted using a convenience sample of 670 outpatients presenting at a military medical center.
The majority of respondents endorsed a Christian religious affiliation (87%), a belief in God (91%), and attendance at religious services at least a few times a month (53%). Respondents who were male, younger than age 43, and on active duty were significantly less likely to attend religious services, believe in God (or a 'higher power'), or rely on religion or spirituality to cope with illness. Outpatients presenting for procedures or treatments were more likely to desire prayer or other religious intervention, as compared to patients who had regular clinic appointments.
Compared to the general US population, a higher percentage of this patient population believes in God (91% vs. 78%), attends religious services once a week or more (42% vs. 30%), and endorses a Christian religious affiliation (87% vs. 73%). Because one-third of the surveyed outpatients desired prayer or other religious support, we concluded that all outpatients should be explicitly notified of the pastoral care and counseling services that are available for them.
本研究针对一家军事医疗中心的门诊患者,旨在评估该人群在应对与健康相关压力时对宗教和精神信仰的依赖程度。本研究还评估了门诊患者在就医过程中对精神干预的需求。
采用横断面调查,以一家军事医疗中心的670名门诊患者为便利样本。
大多数受访者认可基督教宗教信仰(87%)、信仰上帝(91%),且每月至少参加几次宗教仪式(53%)。男性、年龄小于43岁且现役的受访者参加宗教仪式、信仰上帝(或“更高力量”)或依靠宗教或精神信仰应对疾病的可能性显著较低。与定期门诊预约的患者相比,前来接受手术或治疗的门诊患者更有可能希望得到祈祷或其他宗教干预。
与美国普通人群相比,该患者群体中更高比例的人信仰上帝(91%对78%)、每周参加一次或多次宗教仪式(42%对30%),且认可基督教宗教信仰(87%对73%)。由于三分之一的受访门诊患者希望得到祈祷或其他宗教支持,我们得出结论,应明确告知所有门诊患者他们可获得的牧师关怀和咨询服务。