Yang Hsing-Yu
PhD, RN, Assistant Professor, Department of Nursing, Mackay Medical College, Taiwan, ROC.
Hu Li Za Zhi. 2018 Jun;65(3):5-10. doi: 10.6224/JN.201806_65(3).02.
To date, most of the literature in Taiwan on clinical spiritual care has focused either on improving the spiritual well-being of patients or on developing assessment tools suitable for use with end-stage cancer patients. Few articles have discussed spiritual care in the context of intensive care unit (ICU) patients and their family members. When ICU patients face life-threatening and complex physiological problems, spiritual care plays an important role in disease recovery and adaptation and impacts the satisfaction and medical decision-making of critical patients and their family members. This article describes the synergy model and spiritual care guidelines for ICU patients and their families. Furthermore, this article supplements two recent interventional studies that targeted ICU patients in intensive care unit with direct and easily understood instructions for self-implementation of the two dimensions, vertical and horizontal, of spiritual well-being. The author hopes to provide a practical reference for implementing spiritual care with ICU patients and their families in clinical practice.
迄今为止,台湾地区关于临床精神照护的大多数文献要么侧重于改善患者的精神健康,要么侧重于开发适用于晚期癌症患者的评估工具。很少有文章讨论重症监护病房(ICU)患者及其家属的精神照护。当ICU患者面临危及生命且复杂的生理问题时,精神照护在疾病康复和适应过程中起着重要作用,并影响重症患者及其家属的满意度和医疗决策。本文介绍了针对ICU患者及其家属的协同模式和精神照护指南。此外,本文还补充了两项近期的干预研究,这些研究针对重症监护病房的ICU患者,提供了直接且易于理解的指导,以便他们自行实施精神健康的两个维度,即纵向和横向维度。作者希望为临床实践中对ICU患者及其家属实施精神照护提供实用参考。