本土五面三階跨宗教靈性關懷模式臨床運用成效之研究──以臺灣北部某區域教學醫院安寧病房為例

Effectiveness of the Interfaith 5F3S Spiritual Care Model Implementing in Hospice Care: An Example of a Hospital in Taipei

黃麗慧(Li-Hui Huang) ； 蔣寶玲(Pao-Ling Chiang) ； 吳森棋(Shen-Chi Wu) ； 邱仲峯(Jeng-Fong Chiou)

《安寧療護雜誌》 27卷1期 (2023/03) Pp. 19-31

https://doi.org/10.6537/TJHPC.202303_27(1).02

摘要

研究目的：撰寫本文的目的是為探討本土發展之跨宗教5F3S安寧靈性關懷模式在安寧病房的臨床運用成效。研究方法：研究方法含回溯安寧病房的訪視紀錄，統計分析以探討5F3S模式的臨床關懷內涵與成效；並個別訪問病房關懷師，以使用者的心得評價5F3S的臨床實用性。結果：回溯兩年關懷師的訪視紀錄，四位時段制約聘靈性關懷師針對417位住院病人，執行病房訪視共1,130次，包含病人570次及家屬560次。記錄分析發現病人常見的靈性困擾為不放心、捨不得、和缺乏愛與支持。關懷師的靈性行動以關心撫慰最常見，依序為催化關係互動，提供資訊或轉介，確認信仰靈性提升，和生命統整生死無憾。病人對關懷過程的回饋，以感恩認可關懷行動為最多。其次，感受困擾解決靈性平安。最後，情緒紓解生活品質提升。約有1%的訪視次數，病人拒絕靈性關懷，也有約1%次數，病人決定再積極治療。至於四位關懷師使用5F3S的心得與評價，一致認為5F3S簡明易學，適用於關懷安寧病房的病人。結論：因此，5F3S是一個可行有效的靈性關懷模式，適合任何宗教信仰的關懷師使用，亦可跨宗教關心不同信仰的病人。

關鍵字

跨宗教靈性關懷模式 ； 靈性關懷模式 ； 靈性關懷 ； 安寧照護

並列摘要

Background: Five Facets Three Stage (5F3S) interfaith spiritual care model was developed as an educating instrument for training spiritual care professionals to fulfill the needs of Taiwan multi-religious culture and global emphasis on holistic health care. Purpose: The purpose of this study aimed to explore the effectiveness of the 5F3S spiritual care model that implemented in hospice of Taiwan. Methods: The researcher employed quantitative and qualitative methods in this study. First, the researcher designed a E-charting format for collecting quantitative data of spiritual care services including assessment, intervention, and results; then, conducted individual interviews for four clinical spiritual care professionals to explore their clinical experiences and opinions on using 5F3S model. Results: The data showed that four part time spiritual care professionals served 417 patients within two years, with the total 1,130 visits including 570 visits for patients and 560 visits for families. The findings indicated that spiritual distresses were focused on "not ready to die," "hard to let it go," and "lack of love and support." Spiritual care professionals spent most of their time on being present and comforting patients and their families, followed by the order of the weight of frequencies on facilitating relational interaction, providing information or making a referral, affirming the hope and enhancing spirituality, and helping self-integrated toward a good death without any regression. After patients received spiritual care, the feedbacks from patients included gratitude for being cared for, feeling of peace from reduced distresses, emotional relief with an improved quality of life. There were 1% of the visits indicated that the patient or families refused spiritual care service, and 1% of the visits reported that patients changed their mind and wanted to seek active treatments. The opinions from four spiritual care professionals indicated that the 5F3S model was an excellent model for beginners. In addition, spiritual care professionals declared that they could confidently use 5F3S model to care patients from any religious backgrounds. Conclusion: The study concluded that the 5F3S was a workable and effective interfaith spiritual care model for use in hospice.

並列關鍵字

interfaith spiritual care model ； spiritual care model ； spiritual care ； hospice care

參考文獻

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