The spiritual dimension: What gives meaning to patients with life-limiting illness?

International journal of palliative nursing Pub Date : 2026-02-02 Epub Date: 2026-03-06 DOI:10.12968/ijpn.2025.0020
Elisabeth Romarheim, Sidsel Ellingsen
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Abstract

Background: Including the spiritual dimension as a part of patient care is a key principle in palliative care. However, studies have shown that this aspect of care is often neglected, although healthcare professionals have a responsibility to provide holistic care.

Aim: Explore what gives meaning to patients living with severe incurable disease.

Method: Semi-structured interviews were conducted with patients suffering from life-threatening illness. All had cancer as main diagnosis. Data were analysed using a phenomenological-hermeneutic method described by Lindseth and Norberg.

Findings: The analysis resulted in four main themes: previous life experiences, feeling significant to others, feeling prepared for end of life and life-giving impressions.

Conclusion: Experiences, beliefs, impressions and relationships provide meaning to patients living with severe incurable disease. Focusing on these dimensions of spirituality can help healthcare professionals to understand and provide spiritual care. Spiritual care encompasses being open and sensitive to what patients express and focussing on what is important to the individual.

精神层面:是什么赋予了限制生命的疾病患者生命的意义?
背景:将精神维度作为患者护理的一部分是姑息治疗的关键原则。然而,研究表明,尽管医疗保健专业人员有责任提供全面的护理,但这方面的护理经常被忽视。目的:探索对患有严重不治之症的患者有何意义。方法:对危重病患者进行半结构式访谈。所有人的主要诊断都是癌症。使用Lindseth和Norberg描述的现象学-解释学方法分析数据。研究结果:分析得出了四个主要主题:前世经历、感觉对他人重要、为生命结束做好准备以及给予生命的印象。结论:经历、信念、印象和关系为患有严重不治之症的患者提供了意义。关注灵性的这些维度可以帮助医疗保健专业人员理解和提供精神护理。精神护理包括对病人的表达保持开放和敏感,并关注对个人重要的事情。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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