Fenwick Peter, Brayne Sue
King's College Institute of Psychiatry, London, United Kingdom.
Am J Hosp Palliat Care. 2011 Feb;28(1):7-15. doi: 10.1177/1049909110374301. Epub 2010 Aug 27.
A recent study shows that the greatest fear for many Britons is to die alone. More than half the complaints received by the UK National Health Service (NHS) concern end-of-life care, with an emphasis on spiritual matters. Much has been written on the spiritual needs of the dying, but many doctors and nurses still find this a difficult area to approach. They lack the confidence and/or training to recognize or discuss spiritual aspects of death and dying or to affirm the spiritual needs of the dying person. Our end-of-life experience (ELE) research suggests that deathbed visions (DVs) and deathbed coincidences (DCs) are not uncommon, and that the dying process appears to involve an instinctive need for spiritual connection and meaning, requiring compassionate understanding and respect from those who provide end-of-life care.
最近的一项研究表明，许多英国人最大的恐惧是孤独地死去。英国国家医疗服务体系（NHS）收到的投诉中，超过一半与临终关怀有关，其中重点是精神层面的问题。关于临终者的精神需求，已有诸多著述，但许多医生和护士仍觉得这是一个难以触及的领域。他们缺乏识别或讨论死亡及临终精神层面问题的信心和/或培训，也无法确认临终者的精神需求。我们的临终体验（ELE）研究表明，临终幻象（DVs）和临终巧合（DCs）并不罕见，而且临终过程似乎涉及对精神联系和意义的本能需求，这需要提供临终关怀的人员给予同情理解和尊重。
