Preventive Cardiology, St Agnes Hospital, 900 Caton Avenue, Baltimore, MD, 21229, USA.
Cardiac Outpatient Rehabilitation, St Agnes Hospital, 900 Caton Avenue, Baltimore, MD, 21229, USA.
Heart Fail Rev. 2017 Sep;22(5):581-591. doi: 10.1007/s10741-017-9635-2.
As patients face serious and chronic illness, they are confronted with the realities of dying. Spiritual and existential issues are particularly prominent near the end of life and can result in significant distress. It is critical that healthcare professionals know how to address patients' and families' spiritual concerns, diagnose spiritual distress and attend to the deep suffering of patients in a way that can result in a better quality of life for patients and families. Tools such as the FICA spiritual history tool help clinicians invite patients and families to share their spiritual or existential concerns as well as sources of hope and meaning which can help them cope better with their illness. This article presents ways to help clinicians listen to the whole story of the patient and support patients in their care.
当患者面临严重和慢性疾病时，他们会面对死亡的现实。在生命末期，精神和存在问题尤为突出，可能会导致严重的痛苦。医疗保健专业人员必须知道如何解决患者和家属的精神关切，诊断精神困扰，并以一种能够改善患者和家属生活质量的方式关注患者的深层痛苦。FICA 精神病史工具等工具可以帮助临床医生邀请患者和家属分享他们的精神或存在问题以及希望和意义的来源，这可以帮助他们更好地应对疾病。本文介绍了帮助临床医生倾听患者的全部故事并为患者提供支持的方法。
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