癌症末期病人靈性照護模式

Spiritual Care Model for Terminal Cancer Patients

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。

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.