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将牧师服务融入针对移民、难民和寻求庇护者的初级保健:波士顿试点干预措施。

Embedding Chaplaincy Services in Primary Care for Immigrants, Refugees and Asylum Seekers: A Boston Pilot Intervention.

作者信息

Kimball Sarah L, Syeda Haniya Saleem, Chergui Houda, Piwowarczyk Linda A, Gould Jennie

机构信息

Immigrant & Refugee Health Center, Boston Medical Center, 725 Albany Street, Suite 5b, Boston, MA, 02118, USA.

Boston Center for Refugee Health and Human Rights (BCRHHR), Boston Medical Center, Boston, MA, USA.

出版信息

J Relig Health. 2023 Feb;62(1):55-64. doi: 10.1007/s10943-022-01568-8. Epub 2022 Apr 27.

DOI:10.1007/s10943-022-01568-8
PMID:35474032
Abstract

This Boston-based pilot research was an exploratory study that integrated outpatient chaplaincy into a refugee and immigrant health primary care clinic. Patients were screened for spiritual distress and offered a meeting with chaplaincy interns. Forty-eight patients were seen in clinic, 28 were screened, and 9 met with a chaplain. Most frequent domains of spiritual distress were grief (n = 8), feelings of abandonment (n = 5), guilt (n = 4), betrayal (n = 4), fear of death (n = 3), shame (n = 3), and trust (n = 3). Faith was relevant to treatment decision-making for 6 patients. It was found that outpatient chaplaincy services are a feasible intervention to address spiritual distress in immigrant and refugee patients.

摘要

这项基于波士顿的试点研究是一项探索性研究,将门诊牧师关怀服务纳入了一家难民和移民健康初级保健诊所。对患者进行精神痛苦筛查,并安排他们与牧师实习生会面。诊所接待了48名患者,其中28名接受了筛查,9名与牧师进行了会面。精神痛苦最常见的领域是悲伤(n = 8)、被遗弃感(n = 5)、内疚(n = 4)、背叛(n = 4)、对死亡的恐惧(n = 3)、羞耻(n = 3)和信任(n = 3)。6名患者的信仰与治疗决策相关。研究发现,门诊牧师关怀服务是解决移民和难民患者精神痛苦的一种可行干预措施。

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引用本文的文献

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Evaluation of the HOPE spiritual assessment model: a scoping review of international interest, applications and studies over 20+ years.HOPE精神评估模型的评价:对20多年来国际关注度、应用情况及研究的范围综述
BMC Palliat Care. 2025 Jul 7;24(1):191. doi: 10.1186/s12904-025-01809-z.
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Exploring Patients' and Chaplains' Perspectives About a Spiritual Care Program in the Primary Care Setting.探索患者和牧师对初级保健环境中精神关怀计划的看法。
J Gen Intern Med. 2024 Jun;39(8):1400-1406. doi: 10.1007/s11606-024-08669-y. Epub 2024 Feb 12.
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Why Chaplaincy at Asylum Centers is a Good Idea: A Care Ethics Perspective on Spiritual Care for Refugees.
为什么庇护中心的牧师制度是一个好主意:从关怀伦理角度看难民的精神关怀
J Relig Health. 2023 Dec;62(6):4016-4031. doi: 10.1007/s10943-023-01889-2. Epub 2023 Aug 26.