信仰認知對癌末病人與其照顧者之影響

The Impact of Belief Cognition on End-Stage Cancer Patients and Their Caregivers

釋宗惇(Tsung-Tueng Bhikkuni) ； 釋法成(Far-Chen Bhikkuni) ； 陳慶餘(Ching-Yu Chen) ； 釋會焜(Hui-Kun Bhikkuni) ； 釋天琳(Tien-Lin Bhikkuni)

《安寧療護雜誌》 9卷2期 (2004/05) Pp. 124-132

https://doi.org/10.6537/TJHPC.2004.9(2).2

摘要

本研究根據過去的實務經驗，從宗教師提供靈性照顧的立場，對癌末病情及死亡即將到來事實所必須面對的課題，進行瞭解病人與家屬對疾病的認知程度和因應方式。調查結果顯示，經過團隊照顧後，多數的病人有宗教信仰，58.3%的臨終病人認為宗教信仰很重要或非常重要。大部分的病人對於死亡即將到來所面對的課題採同意或非常同意的態度，與靈性照顧精神、架構吻合。在針對癌末病人、家屬信仰認知的相關檢正中，“在生病的過程中，我體會到信仰能夠幫助我解除疾病的痛苦”、“在醫療團隊的照顧下，我能完成我的心願”、“我覺得我所信仰的不足以讓我面對死亡的恐懼”、“我需要宗教師的指導，來堅定我的信仰”四個題目出現病人與家屬的一致性，顯現癌末病人臨終階段對照顧團隊的信任、心願，以及需要靈性照顧專業人員指導，從法門的修習中提升內在力量的需求。
病人與家屬的信仰認知檢定結果更能支持宗教師的專業照顧。這份調查是在病人與家屬接觸宗教師以後進行的，其結果會受到宗教師提供專業照顧的影響，因此宗教師的專業訓練非常重要，唯有經過培訓的法師才能滿足病人、家屬與團隊成員的期待。

關鍵字

信仰認知 ； 癌末病人 ； 照顧者 ； 臨床佛教宗教師

並列摘要

The survey of brief cognition was conducted in order to gain a better understanding of how the end-stage cancer patients and their family embers face the prognosis of a terminal illness as well as the inevitable death of the patients. The result of the survey revealed that most patients became religious after getting in touch with relevant information provided by the palliative medical team. About 58.3 percent of the terminal patients surveyed think that belief cognition were “important” or “very important.” Most patients surveyed “agree” or “strongly agree” that terminal patients should face up to issues related to death, which conformed to the spirit and ideal of spiritual care provided by professionals. There are four among 10 questions in in the survey form related to the religious beliefs. The first was that “After I become sick, I realize that a religious belief can help to relieve that pain brought about by the illness.” The second question was that “with the assistance of the palliative medical team, I am able to fulfill my wished.” The third one was that “I feel that my religious belief is not able to allay my fear of death.” The fourth was that “I need the guidance of religious chaplains to strengthen my religious belief for me.” The result of these four questions revealed that patients and their caregivers have the same positive answers on these issues, showing the confidence and faith that the end-stage cancer patients have for the palliative medical team as well as their need of the counseling and guidance of professional spiritual caregivers to give them more strength to face death. The impact of belief cognition on patients and their caregivers further confirm the importance and necessity of the professional care provided by religious chaplains. This survey was conducted on patients and their caregivers only after they have contacted a chaplain. Therefore, the result of the survey was greatly affected by the professional spiritual care offered by the chaplains, which shows that the professional training for chaplains is indeed very important.

並列關鍵字

belief cognition ； terminal caner patients ； caregivers ； clinical Buddhist chaplain