临终时无家可归者的精神关怀
The spiritual concerns of people experiencing homelessness at the end of life.
作者信息
Webb Wendy Ann, Mitchell Theresa, Snelling Paul, Nyatanga Brian
机构信息
Doctoral Student, University of Worcester, Worcester, UK.
Associate Professor of Nursing, University of Worcester, Worcester, UK.
出版信息
Int J Palliat Nurs. 2018 Sep 2;24(9):428-435. doi: 10.12968/ijpn.2018.24.9.428.
BACKGROUND
: Spiritual care is a fundamental component of holistic end-of-life (EoL) care.
AIM
: To explore what is known about the spiritual concerns of people experiencing homelessness towards the EoL.
METHODS
: A narrative literature review was conducted from 1997 to June 2018 using CINAHL Complete, MEDLINE and PubMed. This identified just 11 relevant papers; eight papers report on studies based in the US, one paper reports on a study based in the Republic of Ireland (ROI), and two of the papers are literature reviews.
RESULTS
: Both the ROI and US studies report the primacy of religious beliefs and spiritual experience for people experiencing homelessness considering EoL issues. However, the findings of studies from the US and the ROI are not necessarily transferable to the other populations of people experiencing homelessness. Furthermore, it cannot be assumed that the spiritual needs of people experiencing homelessness mirror those of the housed population.
CONCLUSION
: There is a need for further research into the international perspective on the spiritual needs of homeless people towards the EoL, especially in secular countries.
背景
精神关怀是整体临终关怀的基本组成部分。
目的
探讨无家可归者对临终关怀的精神关切。
方法
于1997年至2018年6月使用CINAHL Complete、MEDLINE和PubMed进行叙述性文献综述。仅识别出11篇相关论文；8篇论文报告了基于美国的研究，1篇论文报告了基于爱尔兰共和国（ROI）的研究，2篇论文为文献综述。
结果
ROI和美国的研究均报告，对于考虑临终问题的无家可归者而言，宗教信仰和精神体验至关重要。然而，美国和ROI的研究结果不一定能适用于其他无家可归人群。此外，不能假定无家可归者的精神需求与有家可归者的需求相同。
结论
有必要进一步从国际视角研究无家可归者对临终关怀的精神需求，尤其是在世俗国家。
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