Spiritual Care und chronischer Schmerz: Die Sicht von Fachpersonen. Eine qualitative Untersuchung

Rettke, Horst; Naef, Rahel; Rufer, Michael; Peng-Keller, Simon

doi:10.1515/spircare-2019-0072

Cited by 6 publications

(7 citation statements)

References 40 publications

(33 reference statements)

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“…Inwieweit bei diesen Teilnehmenden auch negative religiöse Coping-Strategien zum Tragen kamen [ 2 ], geht aus den Interviewbeiträgen nicht hervor. Bemerkenswert ist, dass negative oder schädigende Aspekte und Erfahrungen unter den Teilnehmenden kaum zur Sprache kamen, während diese im Gegensatz dazu Gegenstand expliziter Diskussion unter den Fachpersonen waren [ 27 ]. Jedoch nahmen auch solche Beiträge Raum ein, die keinen Zusammenhang mit Religiosität herstellten.…”

Section: Diskussionunclassified

Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

Rettke¹,

Naef²,

Rufer

et al. 2021

Schmerz

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Zusammenfassung Hintergrund Chronischer Schmerz betrifft alle menschlichen Lebensdimensionen und wirft auch spirituelle Fragen auf, die im Rahmen eines multimodalen Behandlungsmodells berücksichtigt werden sollten. Ziel der Arbeit Wir untersuchten die Perspektive von Patienten mit chronischen Schmerzen zu spirituellen Themen und deren möglicher Integration in den Behandlungsprozess. Material und Methoden Es wurden fünf Fokusgruppen- und zwei Kleingruppeninterviews an fünf Studienzentren durchgeführt. Daran nahmen 42 Patienten mit chronischen Schmerzen teil, die aktuell in ambulanter oder stationärer Schmerzbehandlung waren. Die Interviews wurden transkribiert und einer thematischen Analyse unterzogen. Ergebnisse Drei Themen traten hervor: 1. Chronischer Schmerz durchdringt die gesamte menschliche Existenz. 2. Spirituelle Ressourcen stellen eine Möglichkeit im Umgang mit chronischen Schmerzen dar. 3. Patienten ist es ein Anliegen, mit Fachpersonen in einen Dialog treten zu können, der auch für spirituelle Themen offen ist. Diese haben aus Sicht der Teilnehmenden große Relevanz. Sie verknüpften sie vielfach, aber nicht ausschließlich mit religiösen Überzeugungen. Häufig wurde geschildert, in der Schmerzerfahrung nicht ernst genommen zu werden. Diskussion Strategien für einen effektiven Umgang mit chronischem Schmerz zu finden, stellt einen Wendepunkt im Leben dar. In diesem Prozess unterstützt ein offener Dialog mit Fachpersonen, der auch spirituellen Themen Rechnung trägt.

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Section: Diskussionunclassified

Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

Rettke¹,

Naef²,

Rufer

et al. 2021

Schmerz

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“…This may underscore the view that chronic pain is a complex phenomenon affecting mental, physical, social and spiritual dimensions of life and that spiritual aspects should therefore be assessed and integrated in treatment plans. 7,33 However, limiting a spiritual assessment to distressing aspects would neglect what empirical research has proven in many ways: the relevance of spirituality for coping with chronic illnesses and suffering. The SDRQ assesses both dimensions: spiritual distress and spiritual resources.…”

Section: Discussionmentioning

confidence: 99%

“…Accordingly, we conducted and analyzed focus group interviews with 42 chronic pain patients and, separately, 34 health care professionals. 21,22 Subsequently we constructed a provisional version of the SDRQ that was assessed for content validity by five nurses and five physicians, as well as pretested by ten chronic pain patients also providing feedback on the instrument's suitability and ease of comprehension. 19,23 They were recruited from the participating healthcare centers.…”

Section: Sdrq Development and Descriptionmentioning

confidence: 99%

“…5 Many clinicians report that they lack the required communication skills to address spiritual concerns adequately and therefore avoid raising them. 6,7 However, spiritual needs can only be integrated into care delivery if known to the practitioner. Since patients are not used to bringing up their spiritual needs in conversation with their care-givers, an explicit assessment is necessary.…”

Section: Introductionmentioning

confidence: 99%

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Including the Spiritual Dimension in Multimodal Pain Therapy. Development and Validation of the Spiritual Distress and Resources Questionnaire (SDRQ)

Peng-Keller

Moergeli

Hasenfratz

et al. 2021

Journal of Pain and Symptom Management

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Context. Valid instruments for assessing spiritual resources and distress in pain therapy are scarce. The Spiritual Distress and Resources Questionnaire (SDRQ) was developed to fill this gap.Goals. The objective of this study was to investigate the SDRQ's psychometric properties. Methods. We presented the SDRQ to 219 patients with chronic pain conditions and examined its measurement properties, namely reliability and structural, convergent and discriminant validity. To investigate test−retest reliability, the SDRQ was presented a second time to a subsample of 58 randomly selected participants.Results. Factor analysis required a grouping of the 22 SDRQ items into four subscales: spiritual distress, spiritual coping, immanence and transcendence, the latter two representing spiritual resources. Cronbach's alpha was high for spiritual distress (0.93), transcendence (0.85), and immanence (0.81) while it was somewhat lower but still satisfactory for spiritual coping (0.70). The construct validity of the SDRQ was shown by correlations with established measures in the field. Higher levels of spiritual distress were associated with signs of more severe illness, such as emotional distress and pain intensity.Conclusion. The results from this study suggest that the SDRQ is an easy-to-use, reliable and valid screening instrument for assessing spiritual distress, spiritual resources and spiritual coping in patients with chronic pain. The SDRQ has the potential to be used with patients suffering from other chronic diseases and to disseminate the palliative approach to pain treatment to other areas of medicine.

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“…This project was funded by the Swiss National Research Program "Smarter Health Care" [NRP-74 (21)]. Findings from a previously published, qualitative study within this NRP-74 research project suggested that patients as well as health care professionals consider spiritual aspects to be important in the treatment of chronic pain (22,23). Although this qualitative study yielded valuable insights regarding which aspects chronic pain patients consider to be spiritual and how they wish to address them, quantitative data on whether patients with chronic pain in Switzerland wish spiritual aspects to be taken into account in their treatment is still lacking.…”

Section: Introductionmentioning

confidence: 99%

Do Chronic Pain Patients Wish Spiritual Aspects to Be Integrated in Their Medical Treatment? A Cross-Sectional Study of Multiple Facilities

et al. 2021

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Background: Chronic pain is a complex, multidimensional experience. Spirituality is hypothesized to impact pain experience in various ways. Nevertheless, the role that spirituality plays in multimodal pain therapy remains controversial and, to date, quantitative data on whether and for which patients spiritual aspects should be considered in the treatment of chronic pain is lacking. The aim of this study was thus to investigate the proportion and characteristics of patients with chronic pain who wish spiritual aspects to be integrated in their treatment.Methods: Two hundred nine patients with chronic pain were recruited from five inpatient departments and outpatient clinics in the German-speaking part of Switzerland. Patients filled out validated questionnaires, such as the Hospital Anxiety and Depression Scale (HADS), the Resilience Scale (RS-11), the Spiritual and Religious Attitudes in Dealing with Illness (SpREUK), and the 12-item Spiritual Well-Being Scale (FACIT-Sp-12).Results: More than 60% (CI95%: 55.5–67.9%) of the patients wanted to address spiritual aspects in their treatment. These patients were significantly younger, had higher levels of education, and suffered from more frequent and more severe pain than patients who did not wish to address spiritual aspects. Furthermore, there were high correlations with existing spiritual resources and higher scores of spirituality.Conclusions: These results confirm that the majority of chronic pain patients wish spiritual aspects to be considered in their treatment. Additionally, the finding that these patients had more spiritual resources underlines the importance of integrating spiritual aspects in a resource-oriented, patient-centered care approach for this condition.

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Spiritual Care und chronischer Schmerz: Die Sicht von Fachpersonen. Eine qualitative Untersuchung

Cited by 6 publications

References 40 publications

Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

Including the Spiritual Dimension in Multimodal Pain Therapy. Development and Validation of the Spiritual Distress and Resources Questionnaire (SDRQ)

Do Chronic Pain Patients Wish Spiritual Aspects to Be Integrated in Their Medical Treatment? A Cross-Sectional Study of Multiple Facilities

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