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Open Access Spirituality, Religion, and Pain Spiritualité, religion et douleur

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Understanding the relationships between spirituality and health has become increasingly important in health research, including nursing research. Very little of the research thus far has focused on spirituality, religion, and pain even though spiritual views have been intertwined with beliefs about pain and suffering throughout history. Spiritual views can have a substantial impact on patients' understanding of pain and decisions about pain management. The author reviews the research literature on spirituality and pain from a historical perspective. The analysis is concerned with how spirituality and religion have been used to construct a meaning of pain that shapes appraisal, coping, and pain management. The clinical implications include respectful communication with patients about spirituality and pain, inclusion of spirituality in education and support programs, integration of spiritual preferences in pain management where feasible and appropriate, consultation with pastoral care teams, and reflection by nurses about spirituality in their own lives. A discussion of research implications is included.

French
Les rapports entre spiritualité et santé occupent une place de plus en plus importante en recherche, y compris dans le domaine des sciences infirmières. Peu de travaux de recherche ont porté sur la spiritualité, la religion et la douleur jusqu'ici, même si, tout au long de l'histoire, certaines croyances spirituelles ont été empreintes de notions relatives à la souffrance. Ces croyances peuvent avoir un effet sensible sur la façon dont un patient perçoit la douleur et sur les décisions qu'il prendra relativement à sa gestion. L'auteure propose une synthèse de la recherche sur ces questions dans une perspective historique. Elle analyse en quoi la spiritualité et la religion ont servi à construire une idée de la souffrance qui se reflète sur la perception de la douleur, l'adaptation à celle-ci et sa gestion. Cette approche comporte des implications cliniques, notamment en ce qui concerne les points suivants : la communication entre soignant et patient sur les questions liées à la spiritualité et à la douleur; l'intégration de ce thème dans les programmes d'éducation et d'aide; le respect des préférences spirituelles en matière de gestion de la douleur, là où cela est possible et justifié; la consultation avec les équipes de conseillers spirituels; la réflexion que mène l'infirmière sur la place qu'occupe la spiritualité dans sa propre vie. L'article se termine sur une discussion des implications pour la recherche.

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Keywords: PAIN; RELIGION; SPIRITUALITY

Document Type: Research Article

Publication date: 2007-06-01

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