Renz M, Mao M Schuett, Omlin A, Bueche D, Cerny T, Strasser F
Psycho-oncology, Oncology, Cantonal Hospital, St Gallen, Switzerland
Psycho-oncology, Oncology, Cantonal Hospital, St Gallen, Switzerland.
Am J Hosp Palliat Care. 2015 Mar;32(2):178-88. doi: 10.1177/1049909113512201. Epub 2013 Nov 20.
Spirituality encompasses a wide range of meanings between holistic wellbeing and mysticism. We explored advanced cancer patients' spiritual experiences of transcendence.
A total of 251 patients with advanced cancer were included and observed (participant observation) over 12 months by a psycho-oncologist/music-therapist. She recorded and documented patients' spontaneously expressed spiritual experiences during hospitalisation. Interpretative Phenomenological Analysis was applied.
135 patients communicated a spiritual experience, as expressed by altered body-awareness, less pain, less anxiety, higher acceptance of illness/death, new spiritual identity. Spiritual experiences were communicated by patients across different religious affiliations/attitudes. We identified types of spiritual experiences.
The occurrence of spiritual experiences seems to be frequent and associated with profound, powerful reactions. Our results indicate that experienced-based spiritual care may complement current needs-based approaches.
灵性涵盖了从整体幸福感到神秘主义的广泛含义。我们探究了晚期癌症患者的超越性精神体验。
总共纳入251名晚期癌症患者，并由一名心理肿瘤学家/音乐治疗师在12个月内进行观察（参与观察）。她记录并整理了患者在住院期间自发表达的精神体验。采用了解释现象学分析方法。
135名患者表达了精神体验，表现为身体意识改变、疼痛减轻、焦虑减轻、对疾病/死亡的接受度提高、新的精神身份认同。不同宗教信仰/态度的患者都表达了精神体验。我们确定了精神体验的类型。
精神体验似乎很常见，且与深刻、强烈的反应相关。我们的结果表明，基于体验的精神关怀可能补充当前基于需求的方法。
