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家庭医学中的宗教信仰与实践。

Religious beliefs and practices in family medicine.

作者信息

Oyama O, Koenig H G

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.

出版信息

Arch Fam Med. 1998 Sep-Oct;7(5):431-5. doi: 10.1001/archfami.7.5.431.

Abstract

OBJECTIVES

To determine whether the religious beliefs and behaviors of family medicine outpatients differed from those of their physicians and whether patients' religiousness affects their expectations of their physicians regarding religious matters.

DESIGN

A survey study was performed on a consecutive sample of 380 family medicine clinic outpatients and 31 family medicine faculty and residents in 2 family medicine residency programs.

SETTING AND SUBJECTS

Outpatients were recruited from an outpatient clinic of a family medicine residency program in North Carolina. Family medicine physicians and residents were recruited from this program and another in Texas.

MAIN OUTCOME MEASURES

Scores were obtained from the Springfield Religiosity Scale, the Hoge Intrinsic Religiosity Scale, and a religious beliefs questionnaire designed for this study.

RESULTS

Absence of religious affiliation was more common for physicians than patients. Physicians were less likely than patients to pray privately and less likely to hold intrinsic religious attitudes. Patients were more likely than physicians to be interested in their own physician's religious beliefs, more likely to feel that they should know their physician's religious beliefs, and more likely to want their physician to pray with them under certain circumstances. When sex and age were controlled, some of these differences disappeared. When compared with patients, physicians tended to be younger and male--characteristics inversely associated with religious belief and practice. Regardless of sex or age, however, the more religious the patients, the more likely the desire to know their physician's religious beliefs and share their own religious beliefs.

CONCLUSIONS

Patients are more involved in religious beliefs and practices than physicians, a finding partially explained by age and sex. The more religious the patients, the more important it is for them to know their physician's beliefs, share their beliefs with their physician, and want their physicians to pray with them.

摘要

目的

确定家庭医学门诊患者的宗教信仰和行为是否与其医生不同,以及患者的宗教信仰是否会影响他们在宗教事务方面对医生的期望。

设计

对连续抽取的380名家庭医学门诊患者以及2个家庭医学住院医师培训项目中的31名家庭医学教员和住院医师进行了一项调查研究。

地点和研究对象

门诊患者从北卡罗来纳州一个家庭医学住院医师培训项目的门诊诊所招募。家庭医学医生和住院医师从该项目以及德克萨斯州的另一个项目招募。

主要观察指标

从斯普林菲尔德宗教信仰量表、霍格内在宗教信仰量表以及为本研究设计的宗教信仰问卷中获取得分。

结果

医生中无宗教信仰的情况比患者更常见。与患者相比,医生私下祈祷的可能性较小,持有内在宗教态度的可能性也较小。患者比医生更有可能对自己医生的宗教信仰感兴趣,更有可能觉得自己应该了解医生的宗教信仰,并且更有可能希望医生在某些情况下与他们一起祈祷。在控制了性别和年龄后,其中一些差异消失了。与患者相比,医生往往更年轻且为男性——这些特征与宗教信仰和实践呈负相关。然而,无论性别或年龄如何,患者宗教信仰越强,就越有可能希望了解医生的宗教信仰并分享自己的宗教信仰。

结论

患者比医生更多地参与宗教信仰和实践,这一发现部分可由年龄和性别来解释。患者宗教信仰越强,对他们来说了解医生的信仰、与医生分享自己的信仰以及希望医生与他们一起祈祷就越重要。

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