Department of General Surgery, College of Medicine and Medical Center, University of South Alabama, Mobile, Alabama, USA.
J Surg Educ. 2011 Jan-Feb;68(1):36-43. doi: 10.1016/j.jsurg.2010.08.007. Epub 2010 Nov 5.
To assess the attitudes of general and orthopaedic surgical outpatients regarding inquiry into their religious beliefs, spiritual practices, and personal faith.
Prospective, voluntary, self-administered, and anonymously-completed questionnaire, regarding religious beliefs, spiritual practices, and personal faith, March-August, 2009.
General and orthopaedic surgical outpatient settings, Health Services Foundation, College of Medicine, University of South Alabama, a tertiary care academic medical center in Mobile, Alabama.
All patients referred for evaluation and management of general and orthopaedic surgical conditions, pre- and postoperatively, were approached.
The questionnaire solicited data regarding patient: (1) demographics; (2) religious beliefs, spiritual practices, and personal faith; and (3) opinions regarding inquiry into those subjects by their surgeon. The latter opinions were stratified on a 5-point Likert scale ranging from "strongly disagree" to "strongly agree." Statistical analysis was conducted using software JMP(®) 8 Statistical Discovery Software (S.A.S. Institute Inc., Cary, North Carolina) and a 5% probability level was used to determine significance of results.
Eighty-three percent (83%) of respondents agreed or strongly agreed that surgeons should be aware of their patients' religiosity and spirituality; 63% concurred that surgeons should take a spiritual history; and 64% indicated that their trust in their surgeon would increase if they did so. Nevertheless, 17%, 37%, and 36% disagreed or strongly disagreed with those perspectives, respectively.
By inference to the best explanation of the results, we would argue that religiosity and spirituality are inherent perspectives of patient-surgeon relationships. Consequently, those perspectives are germane to the therapeutic milieu. Therefore, discerning each patient's perspective in those regards is warranted in the context of an integrative and holistic patient-surgeon relationship, the intent of which is to restore a patient to health and well-being.
评估普通外科和骨科门诊患者对询问其宗教信仰、精神实践和个人信仰的态度。
2009 年 3 月至 8 月，前瞻性、自愿、自我管理和匿名完成的关于宗教信仰、精神实践和个人信仰的问卷，涉及普通外科和骨科门诊患者。
阿拉巴马大学健康服务基金会，阿拉巴马大学医学院普通外科和骨科门诊，阿拉巴马州莫比尔市的一家三级保健学术医疗中心。
所有被转介进行普通外科和骨科疾病评估和管理的患者，包括术前和术后患者，均被纳入研究。
问卷收集了患者的以下数据：（1）人口统计学信息；（2）宗教信仰、精神实践和个人信仰；（3）关于其外科医生询问这些问题的意见。这些意见在 5 分李克特量表上进行分层，范围从“强烈不同意”到“强烈同意”。使用软件 JMP(®) 8 统计发现软件（S.A.S. Institute Inc.，北卡罗来纳州卡里）进行统计分析，并使用 5%的概率水平来确定结果的显著性。
83%的受访者同意或强烈同意外科医生应该了解患者的宗教信仰和精神信仰；63%的人同意外科医生应该进行精神病史记录；64%的人表示，如果外科医生这样做，他们对外科医生的信任度将会提高。然而，分别有 17%、37%和 36%的人不同意或强烈不同意这些观点。
根据对结果的最佳解释推断，我们认为宗教信仰和精神信仰是医患关系固有的观点。因此，这些观点与治疗环境有关。因此，在以恢复患者健康和幸福为目的的综合和整体医患关系背景下，了解每个患者在这些方面的观点是有必要的。
