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臨床佛教宗教師在緩和醫療病房的角色和服務狀況調查

Investigation of the Role and Service of Clinical Buddhist Chaplains in a Palliative Care Unit

摘要


幫助癌末病人及家屬在面對死亡的過程中學習成長,從而得到善終,讓生死兩相安,是安寧緩和醫療團隊最重要且最終極的任務。因此,隨著病人的病情發展,越到末期,靈性照顧越顯得重要。在衛生署安寧療護品質保證計畫中,有團隊成員中需有專業的靈性照顧人員的相關規定。本研究在2001年5至8月間,以一位臨床佛教宗教師每週五天在病房從事第一線的照顧為基礎,以回溯性的方式調查臨床佛教宗教師的專業角色和服務狀況。調查結果顯示:三個月期間在台大醫院緩和醫療病房116位住院病人中,法師有接觸者共98位病人(84.5%);法師服務內容以協助病人、家屬面對死亡最為重要(84.4%),支持團隊成員的照顧次之(28.9%),而向法師尋求宗教儀式的諮詢僅佔18.0%;法門應用以念佛法門與眾善法門施作比例最高(各為54.6%和37.0%);往生前病患對各種法門平均接受程度為:學習階段36.6%、感應階段46.2%、新生階段10.3%、自在階段6.9%。統計分析法門應用與死亡前準備之關係,結果顯示念佛法門與眾善法門皆有助於完成「死亡前準備」中的遺願交代、佛法修持、來生期待等三個項目。本研究確認安寧緩和病房臨床佛教宗教師的專業角色和服務。

關鍵字

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並列摘要


Assisting cancer terminal patients and their families to learn how to grow up in the process of facing death in order to gain eternity and relief for both the living and dead is the most important and ultimate mission for hospice palliative care medical team. Therefore, along with the seriousness of the sickness of the patient and towards the death, the importance of spiritual care is gradually shown. According to Hospice Quality Guarantee Plan of Department of Health, there are some relevant rules of the necessity of having spiritual care professionals in the team. This retrospective study has been conducted to investigate the professional role and service by a Buddhist chaplain in the palliative care ward of National Taiwan University Hospital from May to Aug, 2001. The results were summarized as follows. Among 116 hospitalized patients, the Buddhist chaplain had contacts with totally 98 patients (84.5%). The most important service was to assist the patients and their relatives to face the death (84.4%), to support the team members (28.9%) and to provide religious ceremony consultation to the patients and the relatives (18%). Among all the Buddhist practice, the ratios of applying the recitation of Buddha's name practice(54.6%) and giving the good dharma (37.0%) are the highest. The average rates of evaluating stage in patients to learn different methodologies were: learning stage (36.6%), perceiving stage (46.2%), new born stage (10.3%), and comfort stage (6.9%). Using statistic analysis to study the relationship between the dhamma practice being applied and the preparation of death, it showed that the practice of reciting Buddha's name and giving dhamma talks were very helpful in accomplishing the patients' wills, Buddhist practice and aspiration for the next life prior to their death. This study confirmed the unique role and professional services of clinical Buddhist chaplains in Hospice Palliative Care.

被引用紀錄


釋普安、蔡昌雄、蔡淑玲(2020)。安寧臨床佛教宗教師於臨終照護的悲憫疲憊經驗初探志為護理-慈濟護理雜誌19(1),67-77。https://www.airitilibrary.com/Article/Detail?DocID=16831624-202002-202002270005-202002270005-67-77

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