护理学报 ›› 2019, Vol. 26 ›› Issue (14): 34-37.doi: 10.16460/j.issn1008-9969.2019.14.034
王玉洁1,2, 路潜2, 国仁秀1
摘要: 目的 总结癌症患者灵性需求的研究现状及其主要的干预方法,为灵性照护的临床实践提供理论依据。方法 通过检索PubMed、Web of Science、CNKI等数据库,归纳癌症患者灵性需求的相关概念、评估方法及研究现状,并对其主要的干预方法进行综述。结果 灵性需求是个人寻找人生目的与价值的期望,尚无统一的评估工具。目前,灵性需求的主要干预方法有意义疗法、尊严疗法、宗教疗法、艺术疗法等,我国关注较多的是意义疗法和尊严疗法。结论 灵性需求的分类及评估方法尚不统一,我国癌症患者普遍存在灵性需求,建议医护工作者根据我国的文化背景和患者特点,结合多种干预方法,进一步探讨适合我国国情的灵性照护模式。
中图分类号:
[1]Martsolf D S, Mickley J R.The Concept of Spirituality in Nursing Theories: Differing World-views and Extent of Focus[J]. J Adv Nurs,1998,27(2):294-303.DOI:10.1046/j.1365-2648.1998.00519.x. [2]National Consensus Project for Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care[M]. 3rd ed. Pittsburgh, PA: National Consensus Project for Quality Palliative Care,2013. [3]Evangelista C B,Lopes M E,Costa S F,et al.Palliative Care and Spirituality: An Integrative Literature Review[J].Rev Bras Enferm,2016,69(3):591-601.DOI:10.1590/0034-7167.2016690324i. [4]成琴琴,梁赛,谌永毅,等. 癌症患者灵性需求的研究进展[J]. 中华护理杂志,2016,51(3):330-335.DOI:10.3761/j.issn.0254-1796.2016.03.015. [5]Büssing A, Balzat H J, Heusser P.Spiritual Needs of Patients with Chronic Pain Diseases and Cancer-validation of the Spiritual Needs Questionnaire[J].Eur J Med Res,2010,15(6):266-273. DOI:10.1186/2047-783X-15-6-266. [6]Hermann C P.Spiritual Needs of Dying Patients:A Qualitative Study[J].Oncol Nurs Forum,2001,28(1):67-72. [7]Sharma R K, Astrow A B, Texeira K, et al.The Spiritual Needs Assessment for Patients (SNAP): Development and Validation of a Comprehensive Instrument to Assess Unmet Spiritual Needs[J].J Pain Symptom Manage,2012,44(1):44-51.DOI:10.1016/j. jpainsymman.2011.07.008. [8]Yong J, Kim J, Han S S, et al.Development and Validation of a Scale Assessing Spiritual Needs for Korean Patients with Cancer[J]. J Palliat Care,2008,24(4):240-246.DOI:10.1097/JOM.0b013e31818a388e. [9]Taylor E J.Spiritual Needs of Patients with Cancer and Family Caregivers[J]. Cancer Nurs,2003,26(4):260-266.DOI:10.1097/00002820-200308000-00002. [10]刘红英,许璐伟,黄媛媛,等. 中文版灵性需求量表应用于维持性血液透析患者的信效度分析[J]. 护理管理杂志,2018,18(10):694-698.DOI:10.3969/j.issn.1671-315x. 2018.10.003. [11]成琴琴,刘翔宇,谌永毅,等. 中文版灵性需求量表的信效度研究[J]. 护理学杂志,2018,33(3):16-19.DOI:10.3870/j.issn.1001-4152.2018.03.016. [12]谢海燕,李梦奇,王颖,等. 中文版患者对护士提供灵性照护的需求量表信效度初步检验[J].中国护理管理,2017,17(5):610-614.DOI:10.3969/j.issn.1672-1756.2017.05.010. [13]Astrow A B, Kwok G, Sharma R K, et al.Spiritual Needs and Perception of Quality of Care and Satisfaction with Care in Hematology/Medical Oncology Patients: A Multicultural Assessment[J].J Pain Symptom Manage,2018,55(1):56-64.DOI:10.1016/j.jpainsymman.2017.08.009. [14]Höcker A, Krüll A, Koch U, et al.Exploring Spiritual Needs and Their Associated Factors in an Urban Sample of Early and Advanced Cancer Patients[J]. Eur J Cancer Care (Engl, 2014,23(6):786-794.DOI:10.1111/ecc.12200. [15]Ghahramanian A, Markani A K, Davoodi A, et al.Spiritual Needs of Patients with Cancer Referred to Alinasab and Shahid Ghazi Tabatabaie Hospitals of Tabriz, Iran[J].Asian Pac J Cancer Prev,2016,17(7):3105-3109.DOI:10.14456/apjcp.2016.61/APJCP. 2016.17.7.3105. [16]Dedeli O, Yildiz E, Yuksel S.Assessing the Spiritual Needs and Practices of Oncology Patients in Turkey[J]. Holist Nurs Pract, 2015, 29(2):103-113.DOI:10.1097/HNP.0000 000000000070. [17]Vilalta A, Valls J, Porta J, et al.Evaluation of Spiritual Needs of Patients with Advanced Cancer in a Palliative Care Unit[J]. J Palliat Med,2014,17(5):592-600.DOI:10.1089/jpm.2013.0569. [18]Caldeira S, Carvalho E C D, Vieira M. Between Spiritual Wellbeing and Spiritual Distress: Possible Related Factors in Elderly Patients with Cancer[J]. Rev Lat Am Enfermagem, 2014,22(1):28-34. DOI:10.1590/0104-1169.3073.2382. [19]蔡丽丽,王会英. 胃癌病人灵性照护需求现状及影响因素[J]. 护理研究,2018,32(21):3463-3466. DOI:10.12102/j.issn.1009-6493.2018.21.042. [20]李梦奇,王颖,谢海燕,等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志,2017,52(8):930-934. DOI:10.3761/j.issn.0254-1769.2017.08.007. [21]Martoni A A, Varani S, Peghetti B, et al.Spiritual Well-Being of Italian Advanced Cancer Patients in the Home Palliative Care Setting[J]. Eur J Cancer Care (Engl),2017,26(4):1-9. DOI:10.1111/ecc.12677. [22]Thomas L P M, Meier E A, Irwin S A. Meaning-Centered Psychotherapy: A form of Psychotherapy for Patients with Cancer[J]. Curr Psychiatry Rep,2014,16(10):488. DOI:10.1007/s11920-014-0488-2. [23]Lee V, Robin C S, Edgar L, et al.Meaning-making Intervention During Breast or Colorectal Cancer Treatment Improves Self-esteem, Optimism, and Self-efficacy[J]. Soc Sci Med, 2006,62(12):3133-3145.DOI:10.1016/j.socscimed.2005.11.041. [24]明星,赵继军.晚期癌症患者生命意义干预方案的构建与应用效果研究[J].护理管理杂志,2017,17(3):195-198. DOI:10.3969/j.issn.1671-315X.2017.03.015. [25]Breitbart W, Poppito S, Rosenfeld B, et al.Pilot Randomized Controlled Trial of Individual Meaning-centered Psychotherapy for Patients with Advanced Cancer[J]. J Clin Oncol, 2012, 30(12:1304-1309.DOI:10.1200/JCO.2011.36.2517. [26]Kwan C W M, Ng M S N, Chan C W H. The Use of Life Review to Enhance Spiritual Well-being in Patients with Terminal Illnesses: An Integrative Review[J]. J Clin Nurs, 2017, 26(23/24):4201-4211. DOI:10.1111/jocn.13977. [27]马玉霞,王丹文,张姮. 人生回顾疗法在带病生存患者重建生命意义过程中的运用与启示[J].解放军护理杂志,2016,33(16):49-51. DOI:10.3969/J.ISSN.1008-9993.2016.16.013. [28]吉晓玲. 生命回顾对晚期癌症患者自尊、生命意义、生活质量的影响[D]. 太原:山西医科大学,2016. [29]Chochinov H M, Hack T, Hassard T, et al.Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of Life[J]. J Clin Oncol,2005,23(24):5520-5525.DOI:10.1200/JCO.2005.08.391. [30]Dose A M,Hubbard J M,Mansfield A S,et al.Feasibility and Acceptability of a Dignity Therapy/Life Plan Intervention for Patients with Advanced Cancer[J]. Oncol Nurs Forum, 2017, 44(5):E194-E202.DOI:10.1188/17.ONF.E194-E202. [31]Julião M, Oliveira F, Nunes B, et al.Efficacy of Dignity Therapy on Depression and Anxiety in Portuguese Terminally Ill Patients: A Phase II Randomized Controlled Trial[J]. J Palliat Med,2014,17(6):688-695. DOI:10.1089/jpm.2013.0567. [32]宁晓东,万恩桂,杨春,等. 尊严疗法及人生回顾干预对晚期住院癌症患者尊严及心理状况的影响[J].护理学报,2018,25(13):64-68. DOI:10.16460/j.issn1008-9969.2018.13.064. [33]Thuné-Boyle I C V, Stygall J, Keshtgar M R S, et al. Religious/Spiritual Coping Resources and their Relationship with Adjustment in Patients Newly Diagnosed with Breast Cancer in the UK[J]. Psychooncology,2013,22(3):646-658. DOI:10.1002/pon. 3048. [34]Zhang M F, Wen Y S, Liu W Y, et al.Effectiveness of Mindfulness-based Therapy for Reducing Anxiety and Depression in Patients with Cancer: A Meta-analysis[J]. Medicine (Baltimore,2015,94(45):1-9. DOI:10.1097/MD.0000000000000897. [35]Meghani S H, Peterson C, Kaiser D H, et al.A Pilot Study of a Mindfulness-based Art Therapy Intervention in Outpatients with Cancer[J]. Am J Hosp Palliat Care,2018,(4):1-6. DOI:10.1177/1049909118760304. |
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