Department of Chaplain Services, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clin Proc. 2010 Nov;85(11):1002-10. doi: 10.4065/mcp.2010.0168.
To identify patient expectations regarding chaplain visitation, characteristics of patients who want to be visited by a chaplain, and what patients deem important when a chaplain visits.
Three weeks after discharge, 4500 eligible medical and surgical patients from hospitals in Minnesota, Arizona, and Florida were surveyed by mail to collect demographic information and expectations regarding chaplain visitation. The survey was conducted during the following time periods: Minnesota participants, April 6 until April 25, 2006; Arizona participants, October 16, 2008, until January 13, 2009; Florida participants, October 16, 2008, until January 20, 2009. Categorical variables were summarized with frequencies or percentages. Associations between responses and site were examined using χ(2) tests. Multivariate logistic regression was used to assess the likelihood of wanting chaplain visitation on the basis of patient demographics and perceived importance of reasons for chaplain visitation.
About one-third of those surveyed responded from each site. Most were male, married, aged 56 years or older, and Protestant or Catholic. Of the respondents, nearly 70% reported wanting chaplain visitation, 43% were visited, and 81% indicated that visitation was important. The strongest predictor of wanting chaplain visitation was denomination vs no indicated religious affiliation (Catholic: odds ratio [OR], 8.11; 95% confidence interval [CI], 4.49-14.64; P<.001; evangelical Protestant: OR, 4.95; 95% CI, 2.74-8.91; P<.001; mainline Protestant: OR, 4.34; 95% CI, 2.58-7.29; P<.001). Being female was a weak predictor (OR, 1.48; 95% CI, 1.05-2.09; P=.03), as was site. Among the reasons given by respondents for wanting chaplain visitation, the most important were that chaplains served as reminders of God's care and presence (OR, 4.37; 95% CI, 2.58-7.40; P<.001) and that they provided prayer or scripture reading (OR, 2.54; 95% CI, 1.53-4.20; P<.001).
The results of this study suggest the importance medical and surgical patients place on being visited by a chaplain while they are hospitalized. Those who valued chaplains because they reminded them of God's care and presence and/or because they prayed or read scripture with them were more likely to desire a visit. Our results also suggest that being religiously affiliated is a very strong predictor of wanting chaplain visitation.
确定患者对牧师探访的期望、希望接受牧师探访的患者特征，以及患者在接受探访时认为重要的内容。
在明尼苏达州、亚利桑那州和佛罗里达州的医院出院后 3 周，通过邮件对 4500 名符合条件的内科和外科患者进行调查，以收集人口统计学信息和对牧师探访的期望。调查在以下时间段进行：明尼苏达州的参与者，2006 年 4 月 6 日至 4 月 25 日；亚利桑那州的参与者，2008 年 10 月 16 日至 2009 年 1 月 13 日；佛罗里达州的参与者，2008 年 10 月 16 日至 2009 年 1 月 20 日。使用频率或百分比对分类变量进行总结。使用 χ(2)检验检查反应与地点之间的关系。使用多变量逻辑回归评估基于患者人口统计学和对牧师探访原因的重视程度，希望进行牧师探访的可能性。
每个地点都有近三分之一的受访者。大多数是男性、已婚、年龄在 56 岁或以上，并且是新教徒或天主教徒。在受访者中，近 70%表示希望接受牧师探访，43%的人接受了探访，81%的人表示探访很重要。希望接受牧师探访的最强预测因素是宗教信仰与无宗教信仰相比（天主教：优势比[OR]，8.11；95%置信区间[CI]，4.49-14.64；P<.001；福音派新教徒：OR，4.95；95% CI，2.74-8.91；P<.001；主流新教徒：OR，4.34；95% CI，2.58-7.29；P<.001）。女性是一个较弱的预测因素（OR，1.48；95% CI，1.05-2.09；P=.03），地点也是如此。在受访者希望接受牧师探访的原因中，最重要的是牧师提醒他们上帝的关怀和存在（OR，4.37；95% CI，2.58-7.40；P<.001）和他们提供祈祷或读经（OR，2.54；95% CI，1.53-4.20；P<.001）。
这项研究的结果表明，内科和外科患者在住院期间接受牧师探访的重要性。那些认为牧师提醒他们上帝的关怀和存在，或者与他们一起祈祷或读经很重要的人，更希望接受探访。我们的研究结果还表明，宗教信仰是希望接受牧师探访的一个非常强的预测因素。
