Coats Heather, Crist Janice D, Berger Ann, Sternberg Esther, Rosenfeld Anne G
1 The University of Arizona, Tucson, Arizona, USA.
2 National Institute of Health Clinical Center, Bethesda, Maryland, USA.
Qual Health Res. 2017 Apr;27(5):634-648. doi: 10.1177/1049732315620153. Epub 2016 Jul 9.
The foundation of culturally sensitive patient-centered palliative care is formed from one's social, spiritual, psychological, and physical experiences of serious illness. The purpose of this study was to describe categories and patterns of psychological, social, and spiritual healing from the perspectives of aging seriously ill African American (AA) elders. Using narrative analysis methodology, 13 open-ended interviews were collected. Three main patterns were "prior experiences," "I changed," and "across past, present experiences and future expectations." Themes were categorized within each pattern: been through it . . . made me strong, I thought about . . . others, went down little hills . . . got me down, I grew stronger, changed priorities, do things I never would have done, quit doing, God did and will take care of me, close-knit relationships, and life is better. "Faith" in God helped the aging seriously ill AA elders "overcome things," whether their current illness or other life difficulties.
以文化敏感为导向的以患者为中心的姑息治疗的基础源于一个人在重病中的社会、精神、心理和身体体验。本研究的目的是从身患重病的非裔美国（AA）老年患者的角度描述心理、社会和精神治愈的类别及模式。采用叙事分析方法，收集了13份开放式访谈。三种主要模式分别是“既往经历”、“我改变了”以及“跨越过去、现在的经历和未来期望”。每个模式下的主题分类如下：经历过……让我变得坚强，我想到了……他人，经历小挫折……让我沮丧，我变得更坚强了，改变了优先事项，做了我从未做过的事，不再做了，上帝过去做了并且会照顾我，紧密的人际关系，以及生活更美好了。对上帝的“信仰”帮助身患重病的老年非裔美国患者“克服困难”，无论是他们当前的疾病还是其他生活困境。
