Kichenadasse Ganessan, Sweet Linda, Harrington Ann, Ullah Shahid
Flinders Centre for Innovation in Cancer, Flinders Medical Centre, South Australia, Australia.
School of Nursing & Midwifery, Flinders University, South Australia, Australia.
Asia Pac J Clin Oncol. 2017 Oct;13(5):e506-e514. doi: 10.1111/ajco.12654. Epub 2016 Dec 22.
Limited data are available on how spiritual needs of patients with cancer care are addressed by Australian oncologists. The objectives of this study were to explore the current practice, preparedness and education of Australian oncologists and oncology trainees on the provision of spiritual care for their patients with cancer.
Participants were recruited through oncology professional organizations and data collected through an anonymous online survey using a validated questionnaire.
Responses from a total of 69 medical professionals were suitable for data analysis. The majority of the respondents had encountered patients with spiritual care needs during clinical consultations. Only 45% of the respondents perceived that they were able to meet the spiritual needs of their patients. Barriers to providing spiritual care identified a lack of time, education and understanding of spirituality and spiritual care in the context of health. Only 25% stated they had received some form of education on spiritual care with 7% of these stated that the education was adequate. Participants believed that they learnt how to provide spiritual care on the job or because of their self-interest, and not as formal training.
The results of this study indicate that Australian oncology professionals often encounter patients with spiritual care needs in their clinical practice. Despite this finding, only a small proportion of the medical professionals had education on spiritual care during their professional training. Forty-five percent of the medical practitioners believed that they were able to partly or completely meet their patients' spiritual care needs.
关于澳大利亚肿瘤学家如何满足癌症患者精神需求的数据有限。本研究的目的是探讨澳大利亚肿瘤学家及肿瘤学实习生在为癌症患者提供精神护理方面的当前实践、准备情况和教育情况。
通过肿瘤学专业组织招募参与者，并使用经过验证的问卷通过匿名在线调查收集数据。
共有69名医学专业人员的回复适合进行数据分析。大多数受访者在临床会诊中遇到过有精神护理需求的患者。只有45%的受访者认为他们能够满足患者的精神需求。提供精神护理的障碍包括缺乏时间、对健康背景下的灵性和精神护理缺乏教育和理解。只有25%的人表示他们接受过某种形式的精神护理教育，其中7%的人表示教育是充分的。参与者认为他们是在工作中或出于自身兴趣学会如何提供精神护理的，而不是通过正规培训。
本研究结果表明，澳大利亚肿瘤学专业人员在临床实践中经常遇到有精神护理需求的患者。尽管有这一发现，但只有一小部分医学专业人员在专业培训期间接受过精神护理教育。45%的医生认为他们能够部分或完全满足患者的精神护理需求。
