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成人癌症患者的精神关怀:从维持希望和尊重文化到支持幸存者——叙事评论。

Spiritual care for adult patients with cancer: from maintaining hope and respecting cultures to supporting survivors-a narrative review.

机构信息

LifeSpan Health System, Providence, RI, USA.

Department of Medicine, Division of Hematology-Oncology, Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI, USA.

出版信息

Ann Palliat Med. 2023 Sep;12(5):1047-1058. doi: 10.21037/apm-22-1274. Epub 2023 May 12.

Abstract

BACKGROUND AND OBJECTIVE

Spirituality is an essential part of being human and spiritual needs are common among patients with serious illness. We will show 'Why' an interdisciplinary approach to spiritual care in adult oncology is the most effective way to support patients' spiritual needs. We will articulate 'Who' from the treatment team should provide spiritual support. We will review a means of 'How' the treatment team can provide spiritual support through being attentive to the spiritual needs, hopes, and resources of adult patients with cancer.

METHODS

This is a narrative review. We conducted an electronic PubMed search from 2000-2022 using the following sets of terms: Spirituality, Spiritual Care, Cancer, Adult, Palliative Care. We also incorporated case studies as well as the experience and expertise of the authors.

KEY CONTENT AND FINDINGS

Many adult patients with cancer report spiritual needs and a desire for the treatment team to address their spiritual needs. Addressing the spiritual needs of patients has been shown to be beneficial. Yet, the spiritual needs of patients with cancer are infrequently addressed in medical settings.

CONCLUSIONS

Adult patients with cancer experience a range of spiritual needs throughout the disease trajectory. Best practice dictates the interdisciplinary treatment team should address the spiritual needs of patients with cancer through a generalist and specialist spiritual care model. Addressing spiritual needs helps patients maintain hope, assists clinicians in sustaining cultural humility during times of medical decision-making, and promotes well-being among survivors.

摘要

背景和目的

灵性是人类存在的重要组成部分,患有重病的患者普遍存在精神需求。我们将展示为什么成人肿瘤学中的跨学科精神关怀方法是支持患者精神需求的最有效方式。我们将阐明应该由治疗团队中的谁来提供精神支持。我们将回顾治疗团队如何通过关注成年癌症患者的精神需求、希望和资源来提供精神支持。

方法

这是一篇叙述性综述。我们使用以下术语集在 2000-2022 年期间进行了电子 PubMed 搜索:灵性、精神关怀、癌症、成人、姑息治疗。我们还纳入了案例研究以及作者的经验和专业知识。

主要内容和发现

许多成年癌症患者报告有精神需求,并希望治疗团队满足他们的精神需求。满足患者的精神需求已被证明是有益的。然而,癌症患者的精神需求在医疗环境中很少得到满足。

结论

癌症患者在疾病发展过程中会经历一系列精神需求。最佳实践要求跨学科治疗团队通过一般和专业的精神关怀模式来满足癌症患者的精神需求。满足精神需求有助于患者保持希望,帮助临床医生在医疗决策时保持文化谦逊,并促进幸存者的幸福感。

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