Sanchez-Reilly Sandra, Morrison Laura J, Carey Elise, Bernacki Rachelle, O'Neill Lynn, Kapo Jennifer, Periyakoil Vyjeyanthi S, Thomas Jane de Lima
South Texas Veterans Health Care System, San Antonio, TX 78229, USA.
J Support Oncol. 2013 Jun;11(2):75-81. doi: 10.12788/j.suponc.0003.
It is well known that clinicians experience distress and grief in response to their patients' suffering. Oncologists and palliative care specialists are no exception since they commonly experience patient loss and are often affected by unprocessed grief. These emotions can compromise clinicians' personal well-being, since unexamined emotions may lead to burnout, moral distress, compassion fatigue, and poor clinical decisions which adversely affect patient care. One approach to mitigate this harm is self-care, defined as a cadre of activities performed independently by an individual to promote and maintain personal well-being throughout life. This article emphasizes the importance of having a self-care and self-awareness plan when caring for patients with life-limiting cancer and discusses validated methods to increase self-care, enhance self-awareness and improve patient care.
众所周知，临床医生会因患者的痛苦而感到困扰和悲伤。肿瘤学家和姑息治疗专家也不例外，因为他们经常经历患者的离世，且常常受到未处理的悲伤情绪的影响。这些情绪会损害临床医生的个人幸福感，因为未经审视的情绪可能导致职业倦怠、道德困扰、同情疲劳以及糟糕的临床决策，进而对患者护理产生不利影响。减轻这种伤害的一种方法是自我关怀，自我关怀被定义为个人独立开展的一系列活动，旨在促进和维持一生的个人幸福感。本文强调了在照顾患有晚期癌症的患者时制定自我关怀和自我认知计划的重要性，并讨论了经过验证的提高自我关怀、增强自我认知以及改善患者护理的方法。
