Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3
| Autor: | Ruth Mächler, Noemi Sturm, Eckhard Frick, Friederike Schalhorn, Regina Stolz, Jan Valentini, Johannes Krisam, Cornelia Straßner |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Physician-Patient Relations
Communication Health Toxicology and Mutagenesis General Practice spiritual needs assessment Public Health Environmental and Occupational Health health elderly patients spirituality Article doctor-patient relationship ddc holistic care family doctor spiritual history religious coping general practitioner primary care General Practitioners Humans Medicine Aged |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 19, Iss 538, p 538 (2022) International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 19; Issue 1; Pages: 538 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Background: The “Holistic Care Program for Elderly Patients to Integrate Spiritual Needs, Social Activity and Self-Care into Disease Management in Primary Care” (HoPES3) examines the implementation of a spiritual history (SH) as part of a multifaceted intervention in German general practices. While the effectiveness of the interventions was evaluated in a cluster-randomized trial, this article investigates the patients’ views concerning the acceptability of the SH and its effects. Methods: A mixed-methods study was conducted in which 133 patients of the intervention group filled in a standardized questionnaire after the intervention. Later, 29 of these patients took part in qualitative semi-standardized interviews. Results: According to the survey, 63% (n = 77) of patients found the SH helpful. In the interviews, however, many indicated that they either kept the conversation brief or declined the offer to talk about spirituality. Contents of longer conversations referred to difficult life events, personal sources of strength, and experiences with religious institutions. Many patients who had a longer conversation about spirituality reported that their relationship with their general practitioner (GP) had improved. Almost all patients recommended integrating a personal conversation of this kind into primary care. Conclusions: The SH seems to be a possible ‘door opener’ for a trusting doctor-patient relationship, which can then be built upon. |
| Databáze: | OpenAIRE |
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