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我的医疗服务提供者应该和我一起祈祷吗?城市哮喘青少年对在假设临床环境中解决宗教和精神问题的看法。

Should my provider pray with me? Perspectives of urban adolescents with asthma on addressing religious and spiritual issues in hypothetical clinical settings.

作者信息

Cotton Sian, Grossoehme Daniel H, Bignall Whitney R, Weekes-Kanu Jerren C

机构信息

Department of Family and Community Medicine, University of Cincinnati College of Medicine, P.O. Box 670566, Cincinnati, OH, 45267-0840, USA,

出版信息

J Relig Health. 2014 Apr;53(2):604-13. doi: 10.1007/s10943-013-9790-2.

DOI:10.1007/s10943-013-9790-2
PMID:24173602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4609438/
Abstract

This qualitative study examined the preferences of urban adolescents with asthma for including religious/spiritual (R/S) inquiry in a variety of hypothetical clinical encounters. Twenty-one urban adolescents (M(age) = 15.6 years, 52 % female, 81 % African American) with asthma participated in a semi-structured interview. Interviews were transcribed and underwent a thematic analysis. R/S preferences were contextual rather than personal, driven by: (1) acuity of the hypothetical clinical context; (2) nature of the patient-provider relationship; and (3) level of R/S intervention/inquiry. Most adolescents welcomed prayer if near death, but did not see the relevance of R/S in a routine office visit.

摘要

这项定性研究调查了城市哮喘青少年在各种假设临床情境中对纳入宗教/精神(R/S)询问的偏好。21名患有哮喘的城市青少年(年龄中位数 = 15.6岁,52%为女性,81%为非裔美国人)参与了半结构化访谈。访谈内容被转录并进行了主题分析。R/S偏好是情境性而非个人性的,其受以下因素驱动:(1)假设临床情境的严重程度;(2)医患关系的性质;(3)R/S干预/询问的程度。大多数青少年在濒临死亡时欢迎祈祷,但认为R/S在常规门诊就诊中无关紧要。

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本文引用的文献

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J Relig Health. 2013 Dec;52(4):1253-66. doi: 10.1007/s10943-012-9565-1.
2
Attention to inpatients' religious and spiritual concerns: predictors and association with patient satisfaction.关注住院患者的宗教和精神关怀:预测因素及其与患者满意度的关联。
J Gen Intern Med. 2011 Nov;26(11):1265-71. doi: 10.1007/s11606-011-1781-y. Epub 2011 Jul 1.
3
Spirituality within the patient-surgeon relationship.医患关系中的灵性。
J Surg Educ. 2011 Jan-Feb;68(1):36-43. doi: 10.1016/j.jsurg.2010.08.007. Epub 2010 Nov 5.
4
Spirituality and religiosity in urban adolescents with asthma.城市青少年哮喘患者的灵性和宗教信仰。
J Relig Health. 2012 Mar;51(1):118-31. doi: 10.1007/s10943-010-9408-x.
5
Evaluation of the FICA Tool for Spiritual Assessment.FICA 工具在精神评估中的应用评价。
J Pain Symptom Manage. 2010 Aug;40(2):163-73. doi: 10.1016/j.jpainsymman.2009.12.019. Epub 2010 Jul 8.
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Pediatrician characteristics associated with attention to spirituality and religion in clinical practice.儿科医生在临床实践中与关注灵性和宗教相关的特征。
Pediatrics. 2007 Jan;119(1):e117-23. doi: 10.1542/peds.2006-0642.
7
Religion/spirituality and adolescent health outcomes: a review.宗教/精神信仰与青少年健康状况:一项综述
J Adolesc Health. 2006 Apr;38(4):472-80. doi: 10.1016/j.jadohealth.2005.10.005.
8
Discussing spirituality with patients: a rational and ethical approach.与患者探讨精神层面的问题:一种理性且符合伦理的方法。
Ann Fam Med. 2004 Jul-Aug;2(4):356-61. doi: 10.1370/afm.71.
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