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癌症末期病人靈性照護模式

Spiritual Care Model for Terminal Cancer Patients

摘要


靈性照護可提升癌症末期病人的生活品質,達到善終。當生命逐漸消逝,病人迫切需要靈性的照護與平安,然而由於靈性是個抽象的名詞,許多靈性照護的相關文獻,也多偏重於理論的闡述,導致臨床上第一線照顧末期病人的醫護人員,在面對病人的靈性需求時,往往不知如何進行。本文目的為介紹靈性照護的關係重建與修復模式,包含個體與天、人、我、物等關係重建與修復,並訂立了解、同理、指引及成長等四階段操作步驟。希望本文可以提供靈性照護的具體介入模式。

關鍵字

靈性照護 癌症 末期

並列摘要


Providing spiritual care to patients with advanced cancer may improve the quality of life of these patients and help them experience a good death. Cancer patients are eager for additional spiritual care and for a sense of peace at the end of their life. However, spirituality is an abstract concept. The literature on spiritual care focuses primarily on elaborations of spirituality theory. Thus, first-line medical care professionals lack clear guidelines for managing the spiritual needs of terminal cancer patients. The purposes of this article were to: 1) introduce a spiritual care model based on the concept of repair and recovery of relationships that addresses the relationship between the self and God, others, id, and objects and 2) set out a four-step strategy for this model that consists of understanding, empathizing, guiding, and growing. This article provides operational guidelines for the spiritual care of terminal cancer patients.

並列關鍵字

spiritual care cancer terminal

參考文獻


李佳純、于博芮、黃秀梨(2006).靈性安適照護.安寧療護雜誌,11(1),59–74。[Li, C. C., Yu, P. J., & Hwang, S. L. (2006). Spiritual well-being of caring. Taiwan Journal of Hospice Palliative Care, 11(1), 59–74.]
杜明勳(2008).靈性照顧之臨床運用.內科學誌,19(4),318–324。[Tu, M. S. (2008). Clinical application of spiritual care. Journal of Internal Medicine of Taiwan, 19(4), 318–324.]
林沄萱、劉淑惠、陳清惠(2008).靈性護理之臨床應用.護理雜誌,55(3),69–74。[Lin, Y. H., Liou, S. H., & Chen, C. H. (2008). Spiritual care in nursing practice. The Journal of Nursing, 55(3), 69–74.] doi:10.6224/JN.55.3.69
陳秉華、程玲玲、范嵐欣、莊雅婷(2013).基督徒的靈性掙扎與靈性因應.教育心理學報,44(S),477–498。[Chen, P. H., Cheng, L. L., Fan, L. H., & Juang, Y. T. (2013). Spiritual struggle and coping among Christians. Bulletin of Educational Psychology, 44(S), 477–498.]
蔡佩真(2007).宗教信仰與喪親者的悲傷療癒.安寧療護雜誌,12(4),385–394。[Tsai, P. J. (2007). The religion and grief healing. Taiwan Journal of Hospice Palliative Care, 12(4), 385–394.]

被引用紀錄


吳詩涵、林美惠(2021)。照護一位口腔癌末期病人之護理經驗腫瘤護理雜誌21(),61-72。https://doi.org/10.6880/TJON.202110/SP_21.06
鍾芷涵、陳芝文(2019)。一位初次罹患肝癌末期病人面臨靈性困擾的護理經驗腫瘤護理雜誌19(),43-56。https://doi.org/10.6880/TJON.201911/SP_19.04
李麗明、李英芬、林惠如(2019)。老年癌症病人靈性困擾腫瘤護理雜誌19(),19-30。https://doi.org/10.6880/TJON.201911/SP_19.02
林美瑩、柯薰貴(2008)。一位口腔癌末期病患之護理經驗腫瘤護理雜誌8(1),51-64。https://doi.org/10.6880/TJON.200806_8(1).05
陳芳庭、王妍惠(2022)。運用靈性照護於一位腎臟癌末期個案之重症護理經驗高雄護理雜誌39(2),101-112。https://doi.org/10.6692/KJN.202208_39(2).0009

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