Varner-Perez Shelley E, Comer Amber R, Fitchett George
School of Health & Human Sciences, Indiana University, Indianapolis, Indiana, USA.
Department of Spiritual Care and Chaplaincy, Indiana University Health, Indianapolis, Indiana, USA.
Palliat Med Rep. 2024 Sep 6;5(1):396-398. doi: 10.1089/pmr.2024.0035. eCollection 2024.
In 2022, a JAMA systematic review of 342 high quality studies called for spiritual care to be a routine part of care for patients with serious illness. The review's multidisciplinary panel made several recommendations for addressing patients' and families' spiritual concerns. Despite these evidence-based recommendations, there are no clinical guidelines that inform when and how such spiritual care should be provided. We propose convening a multi-disciplinary workgroup to generate specific and actionable guidelines for incorporating spiritual care in serious illness care. We suggest three workgroup priorities: (1) determining best approaches to identifying patient and family members' spiritual care needs; (2) developing ways to integrate chaplains into routine clinical care; and (3) determining best approaches to communicate availability of spiritual care. Developing these guidelines is an imperative next step to deliver high quality, person and family-centered care.
2022年，《美国医学会杂志》对342项高质量研究进行的系统评价呼吁，将精神关怀作为重症患者护理的常规组成部分。该评价的多学科小组针对解决患者及其家属的精神问题提出了多项建议。尽管有这些基于证据的建议，但尚无临床指南告知应在何时以及如何提供此类精神关怀。我们提议召集一个多学科工作组，以制定将精神关怀纳入重症护理的具体且可操作的指南。我们建议工作组的三个优先事项：（1）确定识别患者及家庭成员精神关怀需求的最佳方法；（2）制定将牧师纳入常规临床护理的方法；（3）确定传达精神关怀可用性的最佳方法。制定这些指南是提供高质量、以患者和家庭为中心的护理的必要下一步。
