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A Model of Collaborative Spiritual and Psychiatric Care of Oncology Patients

机译：肿瘤学患者的协作精神和精神病案

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Background Many oncology patients see both chaplains and consultation-liaison (C-L) psychiatrists during medical hospitalizations. Studies show that spirituality and mental health influence one another, and that patients often prefer that physicians understand their spirituality. Though models of inpatient chaplaincy-psychiatry collaboration likely exist, none are apparent in the literature. In this study, we present one model of chaplaincy-psychiatry collaboration, hypothesizing that both specialties would find the intervention helpful. Methods From April through December 2015, the C-L psychiatry service at Brigham & Women’s Hospital piloted 13 sessions of interdisciplinary rounds, where chaplains and C-L psychiatrists discussed common oncology patients. Participants completed questionnaires including quantitative and qualitative prompts before the intervention, after each session, and at the study’s conclusion. Results Eighteen individuals completed baseline questionnaires. Between baseline and final surveys, the proportion of participants describing themselves as “very satisfied” with the 2 services’ integration rose from 0–36%. The proportion of participants feeling “not comfortable” addressing issues in the other discipline declined from 17–0%. The most frequently chosen options on how discussions had been helpful were that they had enhanced understanding of both patient needs (83.3%) and the other discipline (78.6%). Qualitative data yielded similar themes. At conclusion, all respondents expressed preference that interdisciplinary rounds continue. Conclusion This study describes a model of enhancing collaboration between chaplains and C-L psychiatrists, an intervention not previously studied to our knowledge. A pilot intervention of the model was perceived by both specialties to enhance both patient care and understanding of the other discipline.
机译：背景技术许多肿瘤患者在医疗住院期间看到杂交和咨询 - 联络（C-L）精神科医生。研究表明，彼此的灵性和心理健康彼此影响，并且患者往往更喜欢医生了解他们的灵性。虽然可能存在住院性杂志 - 精神病学合作的模型可能存在，但文献中没有明显。在这项研究中，我们展示了一种杂志 - 精神病学家合作，假设两种专业都会有助于帮助。方法从2015年4月到2015年12月，Brigham＆Personal医院的C-L精神病院服务在跨学科的一系列跨学科的一系列会议上举行了13个跨学科课程，其中Chaplins和C-L精神科医生讨论了常见的肿瘤学患者。与会者完成了调查问卷，包括在每次会议后，在学习结束后在干预之前的定量和定性促销。结果十八个个人完成了基线问卷。基线和最终调查之间，将自己描述为“非常满意”的参与者与2个服务融合的比例从0-36％上升起。参与者的比例感到“不舒服”解决其他纪律问题的问题从17-0％下降。最常见的选择是如何讨论如何有用的，他们对患者需求（83.3％）和其他纪律（78.6％）提高了理解。定性数据产生了类似的主题。最后，所有受访者都表达了跨学科循环的偏好。结论本研究描述了一种提高杂耍和C-L精神病学家之间合作的模型，这是一种未以前研究过我们知识的干预。两种专业都认为模型的试验干预，以增强患者关心和对其他纪律的理解。

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