Vlasblom Jan P, van der Steen Jenny T, Walton Martin N, Jochemsen H
Department of Spiritual and Pastoral Care, Ikazia Hospital, Rotterdam, the Netherlands (Dr Vlasblom); Department of General Practice & Elderly Care Medicine, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, the Netherlands (Dr van der Steen); Protestant Theological University, Groningen, the Netherlands (Dr Walton); and Wageningen University, Wageningen, the Netherlands (Dr Jochemsen).
Holist Nurs Pract. 2015 Nov-Dec;29(6):346-56. doi: 10.1097/HNP.0000000000000111.
There is an undeniable relationship between spirituality and health, and taking a spiritual history is a simple way to increase the focus on spiritual care. This is a pre/posttest intervention study. Questionnaires were administered before implementation of a spiritual assessment (pretest, n = 106), and afterward (posttest, n = 103). Despite a difficult implementation process, the number of consultation requests for the Department of Spiritual and Pastoral Care increased from 2 in the pretest period to 33 in the posttest period. After adjusting for patient characteristics, we found no differences between pretest and posttest measurements on the FACIT-Sp-12 total score or nurses' support regarding dealing with illness; we did, however, find a significant decrease on the subscale Faith of the FACIT-Sp-12 and on nurses' support regarding questions about purpose and meaning (97%-83%). In conclusion, taking a spiritual history may contribute to the spiritual care of patients in a general hospital in the shape of more frequent referrals to the spiritual caregiver (chaplain), but further research is needed to determine whether this also means that nurses provide less spiritual care.
精神性与健康之间存在着不可否认的关系，获取精神病史是增强对精神关怀关注的一种简单方式。这是一项前后测干预研究。在实施精神评估之前（前测，n = 106）和之后（后测，n = 103）发放问卷。尽管实施过程困难重重，但精神与宗教关怀部的咨询请求数量从前测期间的2次增加到了后测期间的33次。在对患者特征进行调整后，我们发现前测和后测在FACIT-Sp-12总分或护士在应对疾病方面的支持上没有差异；然而，我们确实发现FACIT-Sp-12的“信仰”子量表以及护士在关于目的和意义问题上的支持有显著下降（从97%降至83%）。总之，获取精神病史可能会以更频繁地转介给精神关怀提供者（牧师）的形式，为综合医院的患者精神关怀做出贡献，但需要进一步研究来确定这是否也意味着护士提供的精神关怀减少。
