Spiritual Care for Terminal Patients with Head and Neck Cancer
釋宗惇(Tsung-Tueng Bhikkhuni)；釋滿祥(Man-Shyang Baikkhuni)；陳慶餘(Ching-Yu Chen)；胡文郁(Wen-Yu Hu)；邱泰源(Tai-Yuan Chiu)；釋惠敏(Hui-Ming Bhikkhu)
palliative medicine ； spiritual care ； clinical Buddhist chaplain ； dhamma-practice ； dying preparation
|Volume or Term/Year and Month of Publication||
7卷4期（2002 / 11 / 01）
269 - 282
To investigate the service and professional role of clinical Buddhist chaplains as a team member in taking care of terminal patients with head and neck cancer, this study recruited 23 patients from May to October 2003 at palliative care ward of National Taiwan University Hospital. There were 17 male (73.9%) and 6 female (26.1%). The mean age was 56.3 years and mean survival time was 40.7 days. The mean contact time and frequency by clinical chaplains were 128.6 minutes and 6 times during admission. The total good death score was 14.3 points. Among 38 times of caring processes: 8 times the patients were awake and the spiritual care was indirect (21.1%); 16 times the patients were awake and the spiritual care was direct (42.1%); 6 times the patients were unconscious and the spiritual care was direct (15.8%); and 8 times the patients were unconscious and the spiritual care was indirect (21.1%). In regard to service contents, 35 out of 38 times the clinical Buddhist chaplains were helping the patient and the relatives to face death with the proper attitude (92.1%). Most widely employed methods by the patients were to recite Buddhas' name (63.2%) and to give charity (47.4%). Spiritual care issues raised by patients were: fear of death (39.5%); not willing to pass away due to concern of one's family (34.2%); not willing to pass away due to one's unfinished concern (28.9%); not willing to pass away due to against one's will (18.4%); concerned about being transferred to another hospital (15.8%); losing one's self- respect (13.2%); having misunderstanding about the Truth (13.2%); having unfulfilled wishes (10.5%); abandoning oneself and not willing to pass away due to one's past mistakes (5.3%). To analyze the spiritual care processes with services by the clinical Buddhist chaplains, the methods employed and the concerns of the patients, only the methods of reciting Buddhas' name and giving charity showed significant differences. Moreover, in comparison of relationship between fear of death and spiritual strength on admission and before death, the former was reducing and the latter was increasing significantly along with spiritual care sessions provided by the clinical Buddhist chaplains.
醫藥衛生 > 社會醫學