Spiritual needs of the Chinese stroke survivors in holistic care

Abstract

目的:探讨脑卒中患者在住院及回家康 复阶段的灵性需求及其特质。方法:应用质性研究的现象学方法,访谈脑卒中患者15例,以主题分析法分析资料,描述脑卒中患者的生活经验。结果:在脑卒中患 者的生活经验中,显示了3个灵性需求主题:①突发性身体残障牵动灵性困扰;②中国文化塑造的灵性需求;③"矛盾"的家庭及社会联系。结论:脑卒中导致突发 性身体缺损,随之诱发心理及心灵困扰。研究显示了灵性需求的特质受中国文化的影响,它能赋予患者顺应、希望和内在平安。另外,家庭的参与和关爱能提升患者 的灵性健康。落实整体护理,必须纳入中国化的灵性照顾内容和建立家庭参与模式。 Objective:To explore the spiritual needs of the Chinese stroke survivors in holistic care during hospitalization and in transition to home.Methods:It was a qualitative study using the phenomenological method.Fifteen stroke survivors were interviewed.Spiritual meaning units reflecting the lived experiences of these informants were obtained through thematic analysis.Results:Three themes regarding spiritual needs were identified:1.suddenness of bodily insults evoked spiritual distress;2.Chinese culture shaped the spiritual needs;3.paradoxical family and social connectedness.Conclusion:Suddenness of the stroke episodes with its consequences is the breaking point for holism,evoking an individual’s psychological and spiritual distress.The findings identifies the attributes of spiritual needs which is shaped by Chinese culture.These attributes can provide positive impetus by promoting the "let go" feeling,inner peace and hope.Family participation and love is an important connecting agent.Holistic care should embrace Chinese culture in shaping spiritual care with the involvement of family.