Paliatyviųjų onkologinėmis ligomis ir lėtiniu širdies nepakankamumu IV st. sergančių pacientų fizinės problemos

Valiulienė, Žaneta; Šeškevičius, Arvydas

doi:10.5200/sm-hs.2012.118

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Dvasinė gerovė lemia onkologinių pacientų gyvenimo kokybę, geresnę savijautą, mažesnį polinkį į depresiją, nuovargį bei skausmą (Rabow ir kt., 2015). Dvasinė gerovė yra šių pacientų stiprybės pamatas, o puoselėjamas dvasingumas skatina tikėti, mylėti ir atleisti, peržengti jutiminę patirtį (Valiulienė, Šeškevičius, 2012). Gilus religinis tikėjimas sumažina dvasinę įtampą ir sergančiojo nerimą ne tik sužinojus apie ligą, bet ir tolesnio gydymo metu arba esant paskutinėms ligos stadijoms.…”

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Spiritual care and support from the perspective of hospitalized cancer patients

Juškauskienė

Spirgienė

Riklikienė

2021

SMP

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The aim was to describe the experience of non-terminal patients with oncological disease about the spiritual care and support provided to them in the nursing and supportive care hospital. Methods. The study was conducted in 2018 in four Lithuanian nursing and supportive care hospitals. During the face-to-face interviews, 118 patients with non-terminal oncological diseases shared their experiences on the spiritual care and support provided in the health care institution. Purposive sample selection was applied. The answers were analyzed by the method of qualitative inductive thematic content analysis. Kaunas Regional Bioethics Committee (No. BE-2-84) issued the permission to conduct the research. Findings. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants. Patients identified clergy and spiritual advisors, also medical, nursing and social care staff, and relatives as the main providers of spirtiual care. Patients expressed a desire to receive the spiritual help and support from a multidisciplinary team whose members liaise with each other, coordinate their actions, and together seek the best solutions. One third of patients experienced that their spiritual needs and expectations left without due attention or were not met at all. Some patients felt that there was too little spiritual support and help in the hospital. Conclusions. Patients with oncological diseases, in describing the spiritual care and support they received in nursing and supportive care hospital, associated it primarily with the sacraments and religious rituals provided by clergy or their assistants and to lesser extent with conversation and communication initiated by medical staff. The spiritual needs of patients with oncological diseases must become an integral part of holistic patient care not only at the theoretical level but also in clinical practice.

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Spiritual care and support from the perspective of hospitalized cancer patients

Juškauskienė

Spirgienė

Riklikienė

2021

SMP

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Factors Determining the Provision of Psychosocial Services for Oncological Patients and Their Loved Ones in Lithuania

Gaidytė

Dunajevas

2019

STEPP

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It is acknowledged by various organizations, experts, and researchers around the world that meeting psychological and social needs is an important factor in cancer treatment. However, there is a shortage of psychosocial care supply for cancer patients and their family members in Lithuania. The aim of this study is to discern the causes of this insufficient supply. In order to find out the possible causes, Jon Elster’s action explanation framework was used. According to the framework, it is possible to deduce these factors: institutional constraints, economical (resources and labor supply) constraints, social preferences, and political preferences. Qualitative research (expert interviews) and secondary data analysis research methods were employed to gather the required data. A data analysis shows that the there are no institutional constraints for the provision of psychosocial care. However, there is a lack of public resources dedicated for the provision of psychosocial care. As a consequence, the main providers of psychosocial care for cancer patients and their family members are NGOs, which heavily depend on volunteer labor force. There is a contradiction in the point of view toward the professionalization of psychosocial care provision. It is the natural position of medical professionals that the provision of psychosocial care should be in the hands of professionals. On the other side, NGOs disagree with such a perspective. The need for psychosocial care is verbalized by experts and professionals; however, the general public prefers medical treatment. Thus, it is understandable why the public resources allocated to the provision of psychosocial care are so scarce. It is also evident that the political parties are not interested in psychosocial care, as it was shown by our analysis of their political programs.

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Paliatyviųjų onkologinėmis ligomis ir lėtiniu širdies nepakankamumu IV st. sergančių pacientų fizinės problemos

Cited by 2 publications

References 5 publications

Spiritual care and support from the perspective of hospitalized cancer patients

Spiritual care and support from the perspective of hospitalized cancer patients

Factors Determining the Provision of Psychosocial Services for Oncological Patients and Their Loved Ones in Lithuania

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