Terpstra Jodi, Lehto Rebecca, Wyatt Gwen
Michigan State University, East Lansing, MI, USA.
J Transcult Nurs. 2021 Mar;32(2):161-172. doi: 10.1177/1043659620952524. Epub 2020 Aug 27.
While spirituality and quality of life (QOL) are essential components of end-of-life (EOL) care, limited studies have examined these constructs for indigenous peoples. Therefore, the purpose of this article was to examine the state of the science regarding spirituality and QOL at EOL for indigenous people, particularly Native Americans.
The Arksey and O'Malley (2005) framework guided this scoping review, which examined 30 articles that included qualitative and quantitative studies, commentary papers, and reviews.
The findings identified five spiritual dimensions: the life and death journey, a belief in spirits, tribally grounded traditions, dominant cultural religion influences, and a family focus. QOL indicators included survivorship, optimization of holistic health, communication, and access to appropriate resources. Death rituals were important EOL elements.
Given the importance of spirituality to QOL for indigenous people, clinicians must be knowledgeable and responsive to indigenous spiritual needs to promote QOL at EOL.
虽然灵性与生活质量（QOL）是临终关怀（EOL）的重要组成部分，但针对原住民群体研究这些概念的研究有限。因此，本文旨在探讨原住民尤其是美国原住民在临终时灵性与生活质量方面的科学现状。
本范围综述以阿克西和奥马利（2005年）的框架为指导，审查了30篇文章，包括定性和定量研究、评论文章及综述。
研究结果确定了五个灵性维度：生死旅程、对灵魂的信仰、基于部落的传统、主流文化宗教影响以及家庭焦点。生活质量指标包括生存、整体健康优化、沟通以及获得适当资源。死亡仪式是临终关怀的重要元素。
鉴于灵性对原住民生活质量的重要性，临床医生必须了解并响应原住民的灵性需求，以在临终时提高生活质量。
