Borragini-Abuchaim Silvia, Alonso Luis Garcia, Tarcia Rita Lino
Center for the Development of Higher Education in Health (CEDESS), Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Department of Morphology and Genetics, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Front Psychol. 2021 Dec 24;12:787340. doi: 10.3389/fpsyg.2021.787340. eCollection 2021.
The high degree of religious/spiritual involvement that brings meaning and purpose to a patients' life, especially when they are weakened by pain, is among the various reasons to consider the spiritual dimension in clinical practice. This involvement may influence medical decisions and, therefore, should be identified in the medical history of a patient (anamnesis). To verify the opinion of undergraduate medical students of the Paulista School of Medicine - Federal University of São Paulo regarding the use of a patient's Spirituality/Religiosity as a therapeutic resource in clinical practice. Quantitative approach of the transversal analytical observational type. The sample was composed of academics' medical program, from the first to the sixth year, regularly enrolled in 2017. Data collection was performed with a standardized questionnaire divided into three sections: sociodemographic profile; Duke University Religious Index; Spirituality/Religiosity in the clinical and academic context. Participated in the survey 72% of the enrolled students, of which 61.4% had religious affiliation, 26.2% declared themselves agnostic and 12.4% atheists. All of them proposed to answer questions about the insertion of Spirituality/Religiosity in the patient care process. Through the Duke Religiosity Index, we evaluated the importance of religiosity in the student's personal life and the pertinence of religiosity as a therapeutic insertion for medical treatment. Regarding the clinical and academic context, most participants considered relevant the proposition of didactic-pedagogical actions in medical education related to the spiritual dimension of the patient. We conclude, through our research, that the insertion of the Spirituality/Religiosity of the patient as a therapeutic resource in clinical practice is feasible for most undergraduate students in Medicine of the Escola Paulista de Medicina - Universidade Federal de São Paulo (Paulista School of Medicine - Federal University of São Paulo). The result of the research, although it shows only the opinion of medical students at a Brazilian university, indicates that Spirituality/Religiosity is already part of the contemporary medical universe.
高度的宗教/精神参与为患者的生活带来意义和目标，尤其是当他们因疼痛而虚弱时，这是在临床实践中考虑精神层面的诸多原因之一。这种参与可能会影响医疗决策，因此，应在患者病史（问诊）中加以识别。为核实圣保罗大学医学院 - 圣保罗联邦大学本科医学生对于将患者的精神性/宗教性用作临床实践中治疗资源的看法。采用横向分析观察类型的定量方法。样本由2017年正常注册的医学课程一年级至六年级的学生组成。使用分为三个部分的标准化问卷进行数据收集：社会人口学概况；杜克大学宗教指数；临床和学术背景下的精神性/宗教性。72% 的注册学生参与了调查，其中61.4% 有宗教信仰，26.2% 自称不可知论者，12.4% 是无神论者。他们都提议回答关于在患者护理过程中纳入精神性/宗教性的问题。通过杜克宗教指数，我们评估了宗教信仰在学生个人生活中的重要性以及宗教信仰作为医疗治疗中治疗手段的相关性。关于临床和学术背景，大多数参与者认为在医学教育中开展与患者精神层面相关的教学行动的提议是相关的。通过我们的研究得出结论，对于圣保罗大学医学院 - 圣保罗联邦大学的大多数本科医学生而言，将患者的精神性/宗教性作为临床实践中的治疗资源是可行的。该研究结果虽然仅显示了一所巴西大学医学生的看法，但表明精神性/宗教性已经是当代医学领域的一部分。
