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审视姑息治疗中的艺术家与患者关系。对艺术家关于与姑息治疗患者相遇的反思进行主题分析。

Examining the artist-patient relationship in palliative care. A thematic analysis of artist reflections on encounters with palliative patients.

作者信息

Anderson Kathleen G C, Langley Julia, O'Brien Katherine, Paul Shadae, Graves Kristi

机构信息

a The Washington Home and Community Hospices , Washington , DC , USA.

b Georgetown Lombardi Comprehensive Cancer Center , Washington , DC , USA.

出版信息

Arts Health. 2019 Feb;11(1):67-78. doi: 10.1080/17533015.2017.1413401. Epub 2017 Dec 22.

Abstract

BACKGROUND

Although therapeutic arts are used in the palliative care setting, little has been described about what happens during the artist-patient encounter and how these interactions can complement and integrate into the interdisciplinary model of palliative care. The objective of this study is to describe the artist-patient encounter and how artists can function in the palliative interdisciplinary model of care.

METHODS

Authors reviewed 229 reports written by artists about encounters with palliative patients, and performed thematic analysis on 95.

RESULTS

Artists describe physical, emotional and spiritual responses by patients including relaxation, invigoration and accessing spirituality, some of which were unique to the artist-patient interaction. Artists also described personal reactions including themes of professional fulfillment, kinship and empathy with patient suffering. Themes surrounding the artist-patient bond and trust also emerged.

CONCLUSIONS

The artist-patient encounter has an effect on both patients and artists, and can create a therapeutic relationship between them. Artists provide unique perspectives and contribute to care paradigms when integrated with  the palliative team.

摘要

背景

尽管治疗性艺术已应用于姑息治疗环境,但关于艺术家与患者接触期间所发生的情况以及这些互动如何补充并融入姑息治疗的跨学科模式,相关描述甚少。本研究的目的是描述艺术家与患者的接触情况以及艺术家在姑息治疗跨学科模式中所发挥的作用。

方法

作者查阅了艺术家撰写的229份关于与姑息治疗患者接触的报告,并对其中95份进行了主题分析。

结果

艺术家描述了患者的身体、情感和精神反应,包括放松、振奋和触及精神层面,其中一些反应是艺术家与患者互动所特有的。艺术家还描述了个人反应,包括职业成就感、亲情以及对患者痛苦的同理心等主题。围绕艺术家与患者之间的联系和信任的主题也浮现出来。

结论

艺术家与患者的接触对患者和艺术家都有影响,并能在他们之间建立一种治疗关系。当与姑息治疗团队整合时,艺术家能提供独特的视角并为护理模式做出贡献。

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