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摘要


靈性為生命中必要組成,末期病人面對生命終點時,產生的衝突與矛盾,會增加對靈性的需求。本文依據Walker & Avant (2011)步驟進行靈性照護之概念分析,藉此對此概念的定義、定義性特徵、前因、後果進行綜整。並透過典型案例、邊緣案例、相反案例及相關案例釐清此概念以及靈性照護之前置因素與後果;同時檢視靈性照護評估工具,以及提供具體建議,期望提供護理人員進行靈性照護時之建議和準則,達到以病人為中心的全人護理。

並列摘要


Spirituality is a fundamental aspect of life, particularly for terminal patients facing the end of their lives, which often heightens their spiritual needs due to increased conflicts and contradictions. This paper defines operational concepts of spiritual care through a comprehensive literature review, synthesis, and induction. According to the steps suggested by Walker & Avant (2011), the definitions of spiritual care include the followings: a) creating a comforting environment by providing a safe space for patients to express feelings of desperation, fear, and loneliness, b) maintaining dignity by upholding patients' dignity through presence, companionship, listening, communication, and respect, c) fostering inner strength through life review, meditation, and mindfulness, and d) achieving balance by assisting patients in finding a balance between themselves and others. In this paper, the antecedents, attributes and consequences of spiritual care were identified using model, borderline, contrary, and related case for concept analysis. Additionally, various assessment tools for spiritual care were examined to offer appropriate recommendations in this research arena to provide practical advice and guidelines to enhance spiritual care, thereby promoting patient-centered holistic care.

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