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直面手术，探寻精神力量？罗马尼亚外科与非外科患者的日常精神体验量表（DSES）得分研究。

Facing the Knife, Finding the Spirit? A Study of Daily Spiritual Experiences Scale (DSES) Scores in Romanian Surgical and Non-Surgical Patients.

作者信息

Cucu Andrei Ionut, Turliuc Şerban, Sandiuc Pietsch Mihaela Cristina, Dascălu Cristina Gena, Boişteanu Otilia, Bobu Amelian Mădălin, Costea Claudia Florida, Prutianu Iulian, Cărăuleanu Alexandru, Buzdugă Catalin Mihai, Covali Roxana, Tamaş Camelia, Hristea Adriana, Pătrăşcanu Emilia

机构信息

Faculty of Medicine and Biological Sciences, University Stefan cel Mare of Suceava, 720229 Suceava, Romania.

Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Iasi, Romania.

出版信息

Healthcare (Basel). 2025 Jul 25;13(15):1820. doi: 10.3390/healthcare13151820.

DOI:10.3390/healthcare13151820
PMID:40805853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12345760/
Abstract

: Spirituality is increasingly seen as a key component of patient-centered care, especially in serious illness or surgery. However, its role among surgical patients in Eastern Europe remains underexplored. : To assess daily spiritual experiences among surgical patients compared to healthy individuals in the Bucovina region (northeastern Romania). : This observational case-control study included 102 participants (51 surgical patients and 51 healthy controls), recruited between March 2023 and April 2024. Participants completed the validated Romanian version of the Daily Spiritual Experiences Scale (DSES). : Surgical patients reported significantly higher mean DSES scores (M = 66.27, SD = 16.40) than healthy individuals (M = 55.06, SD = 12.81; < 0.001). Higher scores were also associated with female gender ( = 0.002), older age, and oncological conditions. Widowed and highly educated participants showed a trend toward higher spirituality, though it was not statistically significant. : Surgery may intensify spiritual experiences, possibly as a coping response to perceived risk. Addressing spiritual needs in perioperative care-particularly among women, older adults, and oncology patients-could enhance holistic care and improve patient well-being.

摘要

灵性越来越被视为以患者为中心的护理的关键组成部分，尤其是在重症疾病或手术中。然而，其在东欧外科患者中的作用仍未得到充分探索。

目的

评估罗马尼亚东北部布科维纳地区外科患者与健康个体相比的日常灵性体验。

这项观察性病例对照研究纳入了102名参与者（51名外科患者和51名健康对照），于2023年3月至2024年4月招募。参与者完成了经过验证的罗马尼亚语版《每日灵性体验量表》（DSES）。

外科患者报告的DSES平均得分（M = 66.27，SD = 16.40）显著高于健康个体（M = 55.06，SD = 12.81；< 0.001）。更高的得分也与女性性别（= 0.002）、年龄较大和肿瘤疾病相关。丧偶和受过高等教育的参与者显示出灵性较高的趋势，尽管在统计学上不显著。

手术可能会强化灵性体验，这可能是对感知到的风险的一种应对反应。在围手术期护理中满足灵性需求——特别是在女性、老年人和肿瘤患者中——可以加强整体护理并改善患者的幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/27f88cae15ca/healthcare-13-01820-g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/0a01baf8d044/healthcare-13-01820-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/27f88cae15ca/healthcare-13-01820-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/502e80e3a1f9/healthcare-13-01820-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/6d2294214cec/healthcare-13-01820-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c56/12345760/7a0b50cd6db5/healthcare-13-01820-g003.jpg
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本文引用的文献

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J Relig Health. 2025 Feb;64(1):672-684. doi: 10.1007/s10943-024-02120-6. Epub 2024 Sep 10.
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Exploring the Connections between Medical Rehabilitation, Faith and Spirituality.探索医学康复、信仰与精神性之间的联系。
Healthcare (Basel). 2024 Jun 15;12(12):1202. doi: 10.3390/healthcare12121202.
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Are religious patients less afraid of surgery? A cross-sectional study on the relationship between dimensions of religiousness and surgical fear.
宗教信仰会降低患者对手术的恐惧吗？一项关于宗教信仰维度与手术恐惧之间关系的横断面研究。
PLoS One. 2023 Jul 13;18(7):e0287451. doi: 10.1371/journal.pone.0287451. eCollection 2023.
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