Best Megan, Butow Phyllis, Olver Ian
PoCoG, The University of Sydney, Level 6 North, The Lifehouse (C39Z), Sydney, NSW, 2006, Australia.
University of South Australia, PO Box 2471, Adelaide, SA, 5001, Australia.
Support Care Cancer. 2016 Aug;24(8):3295-306. doi: 10.1007/s00520-016-3135-0. Epub 2016 Mar 5.
A previous survey of the Multinational Association of Supportive Care in Cancer (MASCC) members found low frequency of spiritual care provision. We hypothesized that physicians with special training in palliative medicine would demonstrate an increased sense of responsibility for and higher self-reported adequacy to provide spiritual care to patients than health professionals with general training.
We surveyed members of the Australian and New Zealand Palliative Medicine Society (ANZSPM) to ascertain their spiritual care practices. We sent 445 e-mails on four occasions, inviting members to complete the online survey. Tabulated results were analyzed to describe the results.
One hundred and fifty-eight members (35.5 %) responded. Physicians working primarily in palliative care comprised the majority (95 %) of the sample. Significantly more of the ANZSPM than MASCC respondents had previously received training in spiritual care and had pursued training in the previous 2 years. There was a significant difference between the two groups with regard to interest in and self-reported ability to provide spiritual care. Those who believed it was their responsibility to provide spiritual care were more likely to have had training, feel they could adequately provide spiritual care, and were more likely to refer patients if they could not provide spiritual care themselves.
Training in spiritual care was more common in healthcare workers who had received training in palliative care. ANZSPM members gave higher scores for both the importance of spiritual care and self-reported ability to provide it compared to MASCC members.
先前对癌症支持治疗多国协会（MASCC）成员的一项调查发现，提供精神关怀的频率较低。我们假设，接受过姑息医学专门培训的医生，相较于接受过一般培训的医护人员，会表现出更强的责任感，并且在自我报告中认为自己更有能力为患者提供精神关怀。
我们对澳大利亚和新西兰姑息医学协会（ANZSPM）的成员进行了调查，以确定他们的精神关怀实践情况。我们分四次发送了445封电子邮件，邀请成员完成在线调查。对列表结果进行分析以描述调查结果。
158名成员（35.5%）回复了调查。主要从事姑息治疗工作的医生占样本的大多数（95%）。ANZSPM的受访者中，接受过精神关怀培训以及在过去两年中接受过相关培训的人数显著多于MASCC的受访者。两组在对提供精神关怀的兴趣和自我报告的能力方面存在显著差异。那些认为自己有责任提供精神关怀的人更有可能接受过培训，觉得自己能够充分提供精神关怀，并且如果自己无法提供精神关怀，更有可能将患者转介给他人。
在接受过姑息治疗培训的医护人员中，精神关怀培训更为普遍。与MASCC成员相比，ANZSPM成员在精神关怀的重要性和自我报告的提供精神关怀的能力方面得分更高。
