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对康复住院患者的灵性与灵性照护的探索。

An exploration of spirituality and spiritual care with rehabilitation inpatients.

作者信息

Jones Kate Fiona, Pryor Julie, Best Megan C

机构信息

Institute for Ethics and Society, University of Notre Dame, Sydney, NSW, Australia.

St Vincent's Health Network, Sydney, NSW, Australia.

出版信息

Disabil Rehabil. 2025 Jun;47(13):3367-3374. doi: 10.1080/09638288.2024.2420848. Epub 2024 Oct 29.

DOI:10.1080/09638288.2024.2420848
PMID:39473224
Abstract

PURPOSE

The aim of this study was to explore spirituality in inpatient rehabilitation care from the patient's perspective.

MATERIALS AND METHODS

Participants were recruited from three inpatient rehabilitation services in Sydney, Australia. A qualitative research design was adopted. Demographic data collected included religious affiliation, age and gender. Participants completed a short survey, where they indicated the level of acceptability for 14 items which could be used in a spiritual history. This was followed by a semi-structured interview where participants discussed how they would like to be asked about spirituality, and by whom.

RESULTS

Eighteen participants were recruited (10 females, 8 males; mean age 68.8 years) and were undertaking either general rehabilitation ( = 9) or neurorehabilitation (spinal cord injury  = 6, traumatic brain injury  = 3). The impact of loss and existential struggle was evident for participants with long-lasting injuries. These participants could identify sources of spiritual strength which helped them engage with hardship and described how staff could facilitate access to these sources of strength.

CONCLUSIONS

Rehabilitation inpatients are willing to explore issues around spirituality. Staff can support inpatients to access sources of spiritual strength by creating a safe and trusting environment and finding out what is most meaningful to the patient.

摘要

目的

本研究旨在从患者角度探索住院康复护理中的精神性。

材料与方法

参与者从澳大利亚悉尼的三个住院康复服务机构招募。采用定性研究设计。收集的人口统计学数据包括宗教信仰、年龄和性别。参与者完成一份简短调查,表明对可用于精神病史的14个项目的接受程度。随后进行半结构化访谈,参与者讨论他们希望如何以及由谁询问关于精神性的问题。

结果

招募了18名参与者(10名女性,8名男性;平均年龄68.8岁),他们正在进行一般康复(n = 9)或神经康复(脊髓损伤n = 6,创伤性脑损伤n = 3)。对于有长期损伤的参与者,丧失和生存挣扎的影响很明显。这些参与者能够确定帮助他们应对困难的精神力量来源,并描述工作人员如何促进获取这些力量来源。

结论

康复住院患者愿意探索围绕精神性的问题。工作人员可以通过营造安全和信任的环境并找出对患者最有意义的事情来支持住院患者获取精神力量来源。

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