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題 名 | 以照顧癌末病人之醫學倫理,建構醫師靈性成長課程=The Construction of Spiritual Growth Programs for Physicians Based on Medical Ethics of Caring for Terminal Cancer Patients |
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作 者 | 方俊凱; 賴明亮; 呂欣芹; 林明慧; 李佩怡; | 書刊名 | 臺灣癌症醫學雜誌 |
卷 期 | 26:3 2010.06[民99.06] |
頁 次 | 頁100-111 |
分類號 | 410.3 |
關鍵詞 | 醫師; 靈性成長; 靈性安適; 醫學倫理; Physician; Spiritual growth; Spirituality well-being; Medical ethics; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究探討醫師的靈性狀態與靈性成長現象,據以規劃醫師靈性成長課程及評估的 基礎。採用現象學取向的質性研究法,以立意取樣研究對象,半結構訪談及焦點團體收 集資料。結果發現照顧末期病患醫師所遭遇之困難與成長需求包括:醫病關係與溝通、 病患的生理、心理、靈性照顧、醫師自我照顧、醫療團隊與制度七大層面。因此規劃了 八小時的「醫路同行」醫師靈性成長課程及「醫師靈性安適量表」,分別在馬偕紀念醫院 與成大醫院進行,共177 位醫師參與課程並完成量表。結果發現「醫師靈性安適量表」 的四個內涵為醫師的特質、行醫困境、因應轉變及整體安適狀態,可解釋總變異量為 65.65%,量表的四個次概念為:自我肯定、照顧病患、活出意義、人際關係。計算全量 表的內在一致性其Cronbach’α 為0.871,因素分析後各因素(遭逢困境、各人特質、因應 轉變、整體安適)四層面的內在一致性Cronbach’α 值介於0.63~0.74 之間。折半信度為 0.865。顯示此量表有滿意的信度及效度,可作為評估醫師靈性安適的指標,以及作為發 展促進靈性成長教育之參考。 |
英文摘要 | A physician is the leader and decision-maker of a medical team and has a direct influence on the well-being of all team members as well as patients and their families. A physically and mentally fit physician is especially important to the well-being of a terminal patient. However, little attention has been paid to the spiritual well-being of physicians. This study explored physicians’ spiritual status and spiritual growth, and the results served as a basis for planning spiritual growth programs for physicians and assessing their spiritual well-being. The present study adopted Heidegger's qualitative phenomenological method and selected through purposive sampling physicians who took care of terminal cancer patients as study participants. Data were collected through semi-structured interviews and from focus groups. Results showed that the physicians faced difficulties in doctor-patient relationships and communication, patient’s physical, mental and spiritual care, physician’s self-care, the medical team and the medical system. Based on these findings, an 8-hour spiritual growth program for physicians and a ‘Physician’s Spiritual Well-Being Scale’ ( PSpWBS) were established at the Mackay Memorial Hospital and the National Cheng Kung University Hospital. A total of 177 physicians completed the program and the PSpWBS before and after the program. The study results showed that the lower- than-expected spiritual well-being of physicians was an important issue. Physicians’ high level of satisfaction with the program indicated a need for programs in medical ethics. |
本系統中英文摘要資訊取自各篇刊載內容。