Cancer Patient Perspectives on the Meaning of Healing and the Clinician as a Healer.

IF 1.5 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES American Journal of Hospice & Palliative Medicine Pub Date : 2024-06-01 Epub Date: 2023-07-24 DOI:10.1177/10499091231191697
Cindy Y Yang, Thomas J Smith, Amy R Knowlton
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Abstract

Background: The experience of living with cancer is marked by suffering and loss, which creates a need for healing. Understanding what healing means to patients and how clinicians can play a role in the healing process is essential to holistic cancer care.

Objective: The aim of this study was to explore the perspectives of cancer patients on the meaning and experiences of healing and the qualities of a clinician and the clinician-patient relationship that are healing.

Methods: A qualitative study was conducted using semi-structured interviews with 14 cancer patients. Participants were asked about their illness experience, definition of healing, qualities of a healer, and relationships with clinicians that were healing. Interview transcripts were coded, and qualitative analysis was conducted to identify major themes.

Results: Participants defined the nature of healing as comprising aspects of physical, mental, emotional, and spiritual well-being. Participants described healing as alleviating pain and symptoms; promoting mental strength, emotional comfort, and spiritual connection; restoring and adapting to losses; and improving quality of life. The qualities of a clinician that contributed to a healing relationship included listening, empathy and compassion, understanding patients' values and goals, and caring for the patient as a whole person.

Conclusion: Participants viewed healing as physical, psychosocial, and spiritual in nature and an important part of their cancer experience with an emphasis on quality of life. Clinicians played an important role beyond treating the cancer by helping in the healing process through their humanistic qualities and holistic approach to patient care.

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癌症患者对治疗意义的看法以及作为治疗者的临床医生。
背景介绍癌症患者的生活经历以痛苦和失落为特征,这就产生了治愈的需求。了解治愈对患者的意义以及临床医生如何在治愈过程中发挥作用,对癌症综合治疗至关重要:本研究旨在探讨癌症患者对治愈的意义和体验的看法,以及临床医生和临床医生与患者关系中具有治愈作用的品质:对 14 名癌症患者进行了半结构式访谈。受访者被问及他们的患病经历、治愈的定义、治愈者的特质以及与临床医生之间的治愈关系。对访谈记录进行了编码,并进行了定性分析,以确定主要的主题:结果:参与者将治疗的本质定义为包括身体、心理、情感和精神健康的各个方面。参与者将治疗描述为减轻疼痛和症状;促进精神力量、情感慰藉和精神联系;恢复和适应损失;以及提高生活质量。有助于治疗关系的临床医生素质包括倾听、同理心和同情心、理解患者的价值观和目标,以及将患者视为一个完整的人:参试者认为治疗是身体、社会心理和精神方面的治疗,是他们癌症经历的重要组成部分,重点是生活质量。临床医生在治疗癌症之外还发挥着重要作用,他们通过人文素质和整体护理病人的方法,帮助病人完成康复过程。
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来源期刊
American Journal of Hospice & Palliative Medicine
American Journal of Hospice & Palliative Medicine HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.80
自引率
5.30%
发文量
169
审稿时长
6-12 weeks
期刊介绍: American Journal of Hospice & Palliative Medicine (AJHPM) is a peer-reviewed journal, published eight times a year. In 30 years of publication, AJHPM has highlighted the interdisciplinary team approach to hospice and palliative medicine as related to the care of the patient and family. This journal is a member of the Committee on Publication Ethics (COPE).
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