在姑息治疗中解决肿瘤患者死亡的灵性问题

Manoel Pereira da Silva Junior, Michelly de Oliveira Leopoldino, Fernanda Silva Monteiro, Ana Paula Miyazawa
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摘要

对于接受姑息治疗的肿瘤患者来说,谈论死亡和临终的过程可能会引起不适,因为除了对他们未来的不安全感之外,它还会唤醒一种消极的感觉,影响患者及其家人处理疾病所带来的情况的方式。本研究的目的是讨论精神在姑息治疗患者应对死亡中的作用。这是一项描述性的探索性研究,通过文献综述采用定性方法进行。对概念和原则的来源进行了检索:国家姑息治疗机构(ancp)和国家癌症研究所(inca),以及科学电子图书馆在线(Scielo)、数据库、虚拟健康图书馆(VHL)和拉丁美洲健康科学(LILACS)在2019年7月至11月期间的研究。即使将其概念化为无神论,一个人也可以体验到灵性,因为寻求灵性并不一定意味着寻找上帝。这证明了灵性是如何具有特定的和主观的特征,而不必遵循宗教强加的绝对真理。忽视精神层面使病人的治疗方法不完整,因为它把护理的重点放在疾病上。结论是,癌症患者姑息治疗的人性化必须更进一步,考虑患者的精神问题,因为当身体症状不再是需要解决的挑战时,对死亡的关注和问题所占的比例更大。而是在面对死亡之前克服对未知的恐惧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spirituality in addressing death in oncological patients in palliative care
For the oncology patient in palliative care, talking about the process of death and dying can cause discomfort, because, in addition to insecurity about their future, it can awaken a negative feeling that influences the way the patient and his family deal with the situation imposed by illness. The aim of this study was to discuss the role of spirituality in coping with death in patients under palliative care. This is a descriptive, exploratory study with a qualitative approach carried out through a literature review. A search was carried out in the sources of concepts and principles: National Palliative Care Agency-ANCP and the National Cancer Institute-INCA, as well as research in Scientifc Eletronic Library Online (Scielo), in the databases, in the virtual health library (VHL) ) and Latin American in Health Sciences (LILACS) in the period from July to November 2019. One can experience spirituality even though conceptualizing it as atheism, as the search for spirituality does not necessarily mean a search for God. This demonstrates how spirituality has a particular and subjective character, without having to follow absolute truths imposed by religions. Ignoring the spiritual dimension makes the patient’s approach incomplete because it puts the focus of care centered on the disease. It is concluded that the humanization of palliative care for cancer patients must go further, contemplating the patient’s spiritual issues, since the concern and questions about death take on a greater proportion when physical symptoms are no longer a challenge to be addressed. overcome, but rather, the fear of the unknown before the prospect of death.
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