Harvard Medical School,Boston,Massachusetts,USA.
Department of Medicine,King Abdulaziz University,Jeddah,Saudi Arabia.
Int Psychogeriatr. 2019 Jan;31(1):31-38. doi: 10.1017/S1041610218000716. Epub 2018 Jul 10.
ABSTRACTWe examine how to sensibly integrate spirituality into the care of older adult medical and psychiatric patients from a multi-cultural perspective. First, definitions of spirituality and spiritual integration are provided. Second, we examine the logic that justifies spiritual integration, including research that demonstrates an association between religious/spiritual (R/S) involvement and health in older adults and research that indicates widespread spiritual needs in later life and the consequences of addressing or ignoring them. Third, we describe how and when to integrate spirituality into the care of older adults, i.e. taking a spiritual history to identify spiritual needs and then mobilizing resources to meet those needs. Fourth, we examine the consequences of integrating spirituality on the well-being of patients and on the doctor-patient relationship. Finally, we describe boundaries in addressing R/S issues that clinicians should be cautious about violating. Resources will be provided to assist with all of the above.
摘要 我们从多文化视角审视如何明智地将灵性融入老年医学和精神科患者的治疗中。首先，我们给出了灵性和灵性融入的定义。其次，我们探讨了使灵性融入合理化的逻辑，包括证明老年人群中宗教/精神信仰与健康之间存在关联的研究，以及表明老年人普遍存在灵性需求以及处理或忽视这些需求的后果的研究。第三，我们描述了如何以及何时将灵性融入老年患者的治疗中，即通过了解灵性史来确定灵性需求，然后调动资源来满足这些需求。第四，我们探讨了灵性融入对患者的幸福感和医患关系的影响。最后，我们描述了临床医生在处理宗教/精神信仰问题时应谨慎避免的界限。我们将提供资源来帮助解决上述所有问题。
