Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

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

doi:10.1007/s00482-020-00524-3

Cited by 11 publications

(10 citation statements)

References 31 publications

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“…Of the participating chronic pain patients, 61.7% wanted spiritual aspects to be considered in their medical treatment. This is a remarkably high proportion which is in accordance with the qualitative results of the previous focus group interviews with chronic pain patients in Switzerland (22).…”

Section: Discussionsupporting

confidence: 89%

“…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%

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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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Section: Discussionsupporting

confidence: 89%

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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“…The concept of total pain is essential in palliative care; however, it should not only be taken into consideration in a palliative setting, but whenever patients experience high burdens on various dimensions such as pain, anxiety, grief or existential distress [ 2 , 4 , 17 , 37 , 38 ]. We were able to thoroughly educate students on total pain and its relevance in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…Fig. 1 ) [ 1 – 4 ]. Understanding the importance of spirituality in everyday clinical practice and what it entails, however, is a challenge for health care professionals (HCP) in all medical disciplines across the world [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Implementing spiritual care education into the teaching of palliative medicine: an outcome evaluation

Batzler,

Stricker,

Bakus

et al. 2024

BMC Med Educ

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Background The concept of “total pain” plays an important role in palliative care; it means that pain is not solely experienced on a physical level, but also within a psychological, social and spiritual dimension. Understanding what spirituality entails, however, is a challenge for health care professionals, as is screening for the spiritual needs of patients. Objective This is a novel, interprofessional approach in teaching undergraduate medical students about spiritual care in the format of a seminar. The aim of this study is to assess if an increase in knowledge about spiritual care in the clinical context is achievable with this format. Methods In a mandatory seminar within the palliative care curriculum at our university, both a physician and a hospital chaplain teach strategies in symptom control from different perspectives (somatic domain – spiritual domain). For evaluation purposes of the content taught on the spiritual domain, we conducted a questionnaire consisting of two parts: specific outcome evaluation making use of the comparative self-assessment (CSA) gain and overall perception of the seminar using Likert scale. Results In total, 52 students participated. Regarding specific outcome evaluation, the greatest gain was achieved in the ability to define total pain (84.8%) and in realizing its relevance in clinical settings (77.4%). The lowest, but still fairly high improvement was achieved in the ability to identify patients who might benefit from spiritual counselling (60.9%). The learning benefits were all significant as confirmed by confidence intervals. Overall, students were satisfied with the structure of the seminar. The content was delivered clearly and comprehensibly reaching a mean score of 4.3 on Likert scale (4 = agree). The content was perceived as overall relevant to the later work in medicine (mean 4.3). Most students do not opt for a seminar solely revolving around spiritual care (mean 2.6). Conclusions We conclude that implementing spiritual care education following an interprofessional approach into existing medical curricula, e.g. palliative medicine, is feasible and well perceived among medical students. Students do not wish for a seminar which solely revolves around spiritual care but prefer a close link to clinical practice and strategies.

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“…In another study, 88 percent of hospitalized patients accepted the offer of prayer after a massage, and 85 percent felt that it resulted in some benefit to their condition (McMillan and Taylor 2018). Patients with chronic pain syndromes as well as cancer patients often welcome spiritual care provisions, as documented by several studies (Rettke et al 2021; Weaver and Flannelly 2004). Patients with heart failure appreciate spiritual counseling while hospitalized, independent of any religious preference (Naghi et al 2012; Tadwalkar et al 2014), a phenomenon that has been confirmed by others (Ross and Miles 2020).…”

Section: Doctor Will You Pray With Me?mentioning

confidence: 99%

Is There Such a Thing as Theological Medicine?

et al. 2023

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The idea that science must be understood in existential contradiction to religion and even theology is more of a conviction than a philosophical or experiential necessity. Indeed, we may now propose “Theological Medicine” as a new terminology for a perennial reality: that most physicians, health care providers, patients, and their caretakers experience the reality of illness within a theological framework, at least for those who have some degree of spiritual or religious belief. Developing a curriculum in Theological Medicine could develop a mechanism to offer appropriate training to healthcare providers. Such a course would have to be created and delivered by experienced physicians and nursing staff, spiritual advisors, clergy representatives such as pastors or priests from different churches or faith communities, bioethicists, psychologists, social workers, psychotherapists, patient support group members, members of institutional review boards, researchers, and even legal advisors, if available. Continuing professional education requirements also create an opportunity to introduce and evaluate competency in theological medicine, an emerging discipline that could add significant value to the lived experience of medical practice which remains based on the uniquely rich relationship between physician and patient.

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Spiritualität und Behandlung. Die Perspektive von Patienten mit chronischen Schmerzen

Cited by 11 publications

References 31 publications

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

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

Implementing spiritual care education into the teaching of palliative medicine: an outcome evaluation

Is There Such a Thing as Theological Medicine?

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