Tgp chi Khoa hpc Nghien cdu Sue khde vd Phdt triin (Tdp 04 So 01-202 Joumal ofHealth and Development Studies (Vol.04, No.01-2020 BAI BAO NGHIEN CU'U G O C Kham pha cac yeu to tinh thin h6 tra qua trinh phuc hoi ciia nguM bfnh tur thyc tien Benh vien Phuc hdi chirc nang tinh LSm D6ng Nguyfln Thj Minh Hiln'* T M TAT M g c tieu nghien cihi: Qud trinh phuc h i i cCia nguoi bfnh doi hoi mpt qud trinh cham soc todn d i ^ tir nhieu nguon lgc lien quan Vift Nam dang phdi dfli mat vai nhiing gdnh ngng gay bfnh t|it nhu ung thir, dai thao duong, tai bien mach radu nao, tim mach w Tai nan giao thong va chdn thuang cung Id mpt nhimg nguygn nhan hang ddu gay tiJr vong a ngudi truong thanh, gay dnh huang tiSu cgc lien quan den gdnh nang v^ kinh ik, xa hpi vd chdt lugng s6ng Khi trdi qua bfnh tat, ngucri bfnh thuang Udi nghifm cam gidc mdt kSt nfli voi cdc ngufln lgc ho trp Bdi vigt nhSm kham pha cdc yfiu t6 tinh thdn h5 trgr qud trinh phgc hQi cua ngufii bfnh tai Bfnh vifn Phuc hfli chuc nang tinh Ldm D6ng Phirffng phdp nghien cihi: NghiSn cim mfl ta cdt ngang, sii dgng phuong phdp nghien ciru djnh tinh thong qua 10 cdu chuyfn tu kinh nghiem sflng - phgc hfli ciia nguai bfnh tai Bfnh vifn Phgc hoi churc nang tinh Lam ©ong, tit thdng dan thdng 10 nam 2019 Ket qua: Nhung yiu t6 tinh thdn chinh dupc phdt hifn nghien cuu bao g6m: su kien hi vd tinh thdn trdeh nhifm; su hy vpng, yeu to tam linh vd su ndng cam xiic cho nguoi benh Ket lu^n: Yeu tfl tinh thdn dong vai tro quan trpng vifc giup nguoi benh rim y nghia ciia cupc sflng Khi danh gia cac y^u tfl tinh than thyc hanh cflng tac xa hpi, nhan vien cong tac xa hpi can c6 nang \\fc ciing nhu su nhay cam v^ van hoa, ddm bdo ddy du vifc th\rc hifn cdc nguySn tde d^o dire vd tieu chuan nghe nghifp cung nhu chu trpng den y l u tfl ca nhdn hfla dS c6 the cung edp cdc djch vu phii hgrp Tir Vhii&'.yeu to tinh thdn, phuc hoi, nhdn vien cong tde xa hgi, B0nh vien Phuc hoi chiec nang tinh Ldm Dong DAT VAN D E Td tinh than "Spirimality" bat ngufln tu tiflng Latinh, cfl nghTa la "Aai /Ad" "breath" hay Theo dinh nghia cua Tfl ehdc Y tfl Thfl gidi frong tiflng Hy Lap cfl nghia la '7mA Aon" "Sue khoe la frang thai thoai mai toan difn ve "preuma" Miley (2) djnh nghTa tinh th3n la the chat, tinh than va xa hpi, chd khflng chi la "kinh nghiflm chung cua ngufli vfl phat khflng cfl bfnh hay thuong tat" (1) Tiflp can trifln y nghTa, muc dich va d^o due" Tinh toan difln dfln cham soc sdc khoe khflng chi than eho phep ca nhan trai nghifm y nghTa quan tSm dfln khia canh thfl chSt ciia nguoi sieu nhifln frong cuflc sflng Nfl thudng dugc bfnh ma lifln quan den cae khia c^nh van biflu hifln la moi quan he voi thucmg dfl nhimg hfla, tinh tii4n vk tam linh cua ngudi bfnh dflng thdi nfl cung co the la sir ket noi voi Trong qua trinh duong dau vdi bflnh tat va thifln nhifln, nghfl thuat, am nh^c, gia dinh phyc hfli, eae yflu tfl tmh tbSn frd nen can thiflt hoac eong dflng - hoac nhiing niflm tin va gia *Tdc gid Iiin h^: Nguyen Thi Wi'nA Hien Email: hiennlm@dlu.edu.vn 'Ihidng Dgi hpc Dd Lgt Ngdy nhgn bdi: 07/12/2019 Ngdy phdn bi^n: 10/02/2020 Ngdy dang bdi: 24/03/2020 Nguyht Thf Minh Hiin Tgp cl Journal ofHealth and Development Studies (Val.04, No.vi-^"'^' tri mang dfln cho ngufli sir cam nhan ve y nghta va mye dich song (3) Tinh than khflng nhat thiflt la ve tfln giao Tinh tbSn duoc biflt dfln la khat vong sau xa nhat ciia eon nguoi cho su frgn ven, kflt noi va bifln dfli (4), ba khia canh cua tinh thSn li: • Tinh than duoc xem nhu y nghTa sflng tinh tbSn la each ehung ta lam nfln y nghTa kinh nghiem eupe song Trpng tam eua yflu tfl tinh than la su hi vpng • Tinh than dugc xem nhu syr sieu viit Vfli nhimg ngudi benh theo nhimg tfln giao khac nhau, tinh tbSn chinh la niflm tin vio dang siflu hhih, nfl cho phep ngudi bflnh vugt qua bflnh tat va kflt nfli bg vdi Thugng dfl - Dang siflu nhifln cfl sdc manh sieu pham theo tfln giao eua hp • Tinh thim la cai gi lam sinh dgng Rolheiser (5) eho rang tinh thSn la nang lugng de hun due va thde diy chung ta frong hanh trinh cupc ddi Vifc phuc hfli doi hfli mpt qua trinh cham soc toan dien tu nhiflu ngufln lire lifln quan Robert (6) cung xac djnh nam yeu tfl tinh tiiSn ho frg qua trinh phuc hfli c^ nhan bao gom: 1) Duy fri hy vpng; 2) Y thuc tich cue ciia ban than; 3) Trach nhifm ea nhan; 4) Kham phd ban than dfl tim y nghTa cupc sflng va 5) Duy tri sir kflt nfli giua ban than - cpng dflng Thflng qua viflc tong quan tai lifu, chiing tfli nhan thay nhimg nghifln cuu vfl kham pha cac yflu tfl tinh than hfl frg qua trinh phuc hoi cua ngudi bfnh edn b^n ehfl Vi the, chung tdi th\rc hifn nghifln cdu voi myc tieu kham pha cac yflu tfl tinh thfln hfl tig qua trinh phyc hdi eiia ngudi bfnh tai Bfnh vifn Phyc hfli chde nang tinh Lam Dflng PHirONG PHAP N G H l t N CtTU Thilt ke nghifln cihi Nghien cdu mfl ta eit ngang, tiong sd dung phuong phap nghien cdu dinh tinh tiiflng qua vifc phong van sau ngudi bfnh, gia dmh ngudi bfnh va tiiao luan nhom tap trung nhSn vien y tfl dang Iam viflc tai Bflnh vifn Phyc hoi ehdc nang tinh Lam Dflng Dia di^m v^ thdi gian nghien cuu Nghifln cdu dugc tiiyc hifn chu yflu tai Khoa Vat Iy trj lifu - Bfnh vifn Phye hfli chde nang tinh Lam Dflng td thang nam 2019 d^n tiiang 10 nam 2019 Doi tugng nghien cuu Ngudi benh tradng (nhirng ngufli bj dpt quy, nhung ngudi bi tai nan giao thflng dang frong qua trinh diflu trj v i phyc hfli chde nang) dang diflu trj ngi tru tai Khoa Vat V/ frj lifu - Bfnh vifln Phye hoi Chuc nang tinh Lam Dflng, nhung ngudi bfnh frong dg tufli tu - day dii nhan thue va dflng y tham gia nghifln euu, gia dinh ngudi bfnh va dpi ngu nhan vifln y tfl tai bfnh vien Co* miiu, chgn m l u Chung tfli ehpn mlu cfl ehu dieh voi 10 ngudi bfnh tham gia nghifln cdu dg mfli td 18 - 70, nhung ngudi bfnh phin Idn vko bflnh vifln dieu tri bi tai bifln mach mau nao va phyc hfli chuc nang bi tai n^in giao tiiflng Nhung ngudi bfnh co gia dinh cham sdc voi 06 ngudi eham sdc thupe gia dinh ngufli bflnh va 04 nhan vien y tfl (1 lanh dao, cd nhan v|t Iy tri lifu) Phuong phdp thu thSp s6 lifu Du lifu dugc tiiu tii^p bSng each phflng van tivc tiep cac eau chuy?n va kinh nghifm ciia Tgp chi Khoa hpc Nghien cuu Sdc khoe va Phdt triin (Tgp 04, So 01-2020) Joumal ofHealth and Development Studies (Vol.04, No 01-2020) nhimg nguoi bfnh, gia dinh cua hp va tien hanh thao luan nhom tSp trung doi voi dp ngii nhan vifln y tfl Nhung eau bfli tap trung vao each thde nguoi bflnh dng voi benh tfit nhu diflu gi, nguon luc xa hpi nao lam cho eupe song va qua trinh phuc hfli cua hp tid nen y nghTa? Ban than bg da tu dng phd nhu tiifl nao frai qua bflnh t^t? va Hp mong mufln nhihig ngudi cham sdc/nhimg nguoi cung cap djch vy cham soc sue khoe quan tam dfln hg d khia eanh tinh thfln nhu the nao? Phuong pfaSp xir l;y v^ phan tich $6 lifu Dil lifu dugc go bang, lam sach theo eac chli de, td nhan difn nhiing ehu dfl chinh, phan tieh va dua du lifu minh chdng lifln quan den cac yflu tfl tinh than ho frg qua trinh phye hfli eua ngudi bfnh Vifc thu thap vd xd ly du lifu dugc thuc hifln nhu sau: Bude 1: Phong van tryc tiflp va thao luan nhflm tap trang thflng qua cau chuyfln eua nguoi bfnh, gia dinh hp va dpi ngu nhan vifln y tfl; Bude 2: Lam saeh du lieu va nhan difn nhimg ehd dfl chinh; Bude 3: Xde djnh chu dfl chinh, phan tich va dua du lieu minh chdng Diio due nghifln cihi Nhihig ngudi bfnh tham gia nghien cdu dugc gioi thifu vfl myc tiflu, ngi dung nghifln cuu Vifc tham gia nghien cuu la hoan toan ty nguyfln Ngufli bfnh e6 thfl tu chfli tra Idi nhimg cau hfli hg khflng mufln tia loi va CO thfl dung cuflc phong van bat cd lue nao Nhung thflng tin thu thap dupc tu cac cuflc phong vdn dugc ma hfla dfl khflng Iam 16 danh tinh cua nguoi bfnh KET QUA NGHlfeN CUtJ Phan Ion nhung ngudi tradng dang diflu tri npi tru t?ii Bflnh vifn Phue hfli chuc nang tinh Lam Dflng la ngufli nhihig ngufli benh bj tai bifln mach mau nao, chan thuang so nao, nhung nguoi bfnh sau phdu thuat nhu dut day chang cheo trudc cheo sau, bj thoai hfla cgt sflng cfl, lung, thoat vj dTa dem, nhirng nguoi bflnh bj hpi chdng vai gay, chan thuong nhu dut gan, bj gay ban chan w khfl khan chu yflu vfl van dpng Vdi nhirng ngudi bj tai bifln mach mau nao nhiflu ngudi CO bflnh kem theo nhu tim mach, cao huyflt dp, tieu duflfng, rfli loan lipid mau vv Sau tham gia diflu trj d myen frfln, bfnh vifn phyc hfli chuc nang dugc xem la myfln cufli dfl nhiing ngudi bflnh t?i day dugc dieu trj, cham soc va phuc hfli Nhihig ngudi bflnh tham gia nghien cdu tiong dp mfli tu 18 - 70, phan Ion sfl hp dieu trj tai benh vifn tai bifln m£ich mau nao, 6/10 ngudi bflnh la ngudi trang nifln va cao tufli (dp tufli td 55 - 70), sfl lai 4/6 ngufli bfnh tufli tu - dugc nghifln cdu bj tfln thuong tiiy sflng nguyfln nhan tai nan giao thflng va tai nan lao dgng va bi tfl nga Dai da sfl nhihig nguoi bfnh lan ddu tham gia diflu tri tai bfnh vifln hp thudng cfl tam Iy ty ti, mac cam, mpt sfl ngudi bj cang thang, khung hoang vfl tam ly, khung hoang ve tinh thdn va tidm cdm Voi nhung ngufli bflnh da diflu trj d day lau rfli da chap nhdn dieu tri, vd timg bude boa nhap voi epng dflng w Mfli mflt ca nhan dflu e6 nhung ttai nghifm va qua trinh phyc hoi khac tiiy thupc vao dac diflm ea nhdn, hoan cdnh kinh tfl, diflu kien gia dinh, dieu kien cham sfle va sy hfl frg td chinh sdch xa hpi Gregory (6) nhdn manh rdng bdn thdn mfli ngudi deu eo kha nang tu tim kiflm s\r giup dd, kiem sodt vdn menh va vupt qua kho khan cua hg Nguyen Thj Minh Hiin Tgp chl Journal OfHealth and Development SOulies (Vbl.04 No.Ol-^'"' Khi tun hieu vfl nhihig yflu tfl tinh than hfl frg qua trinh phyc hoi cua nguoi bfnh dang dieu tri tai Bflnh vien Phuc hfli chde nang tinh Lam Dong Chiing tfli nhan nhihig yflu tfl tmh thin nhu su kifln tri va tinh than trach nhiflm, su hy vgng, sy lac quan, yflu tfl tam iinh va s^ nang cam xuc la nhihig yflu tfl chinh hfl frg qua trinh phyc hfli Ngoai nhimg yeu tfl frong Glover (4) nhu su hy vgng, y thuc tieh cue va tiich nhifm ban than, nghifln cdu nhdn manh them yeu tfl su kifln tri va su nang dd cam xuc tu gia dinh dong gflp cho qua trinh hfl fro ngudi benh phue hfli S^ kifln tri va tinh tbku trach nhifm Sy kifln tri va tinh thin frach nhifm la yflu tfl quan frpng hfl frg ngudi bflnh phye hfli Chinh ban than ngudi bflnh phdi y thde dugc hp can gl? Chinh hp biflt hp phdi frd ngudi nhu thfl ndo va bdn than phdi co trach nhiflm cung nhu sy quyflt tdm de luyen tap Di vdp nga nhimg cUng cd gdng dung lin, tdi thu&ng thicc day s&m di di bg Tdi thu&ng day luc gi& sdng, toi di nhd tru&c sau m&i di ngodi vd tdi thu&ng di bd khodng 3h chieu Ngdy ndo tdi cung luyin tap Tdi rdt kiin tri, neu khdng tap luyin se bi dinh ca Nhiiu ngu&i khdng chiu ndi hg ddnh de tay bi cong (Nam, 64 mfli, cuu chifln binh) Gia dinh, dpi ngu y bac sT cung cho rang sir kifln tii tdp luyen, chifln thang ban thdn, khong bfl eupe trade nghjeh canh va hpp tac voi bac sT se giup tifln trinh hoi phyc ciia ngudi bfnh se hifu qua ban Sg^ quyit tdm va kien tri ciia ngu&i binh Nguai benh & giai dogn ddu se cdm thdy sdc vi mgt tinh than, bi binh khong ldm dugc gi Cd nhimg ngu&i binh nghe, hieu dugrc khdng van dgng khdng ndi dugc se cdm thdy cdng thdng, v&i nhihig ngudi khdng kien tri, budng xudi se dnh hu&ng den tdm ly va phucmg phdp diiu tri Mgt nhiing dieu quan trgng Id ngu&i binh phdi tu tap luyin vd hgp tde v&i thdy thuoc Hiiu qud se khdng dgt neu hg budng xudi, bd mgc (Thdo luan nhdm, NVYT) Vdi nhihig ngudi bfnh cfl tinh than trach nhiem, hp luon y thuc ty cham sfle ban than dfl CO the phuc hfli mgt so ehdc nang eua co the mpt cdch tflt nhit Tdi Id mdt ngu&i rdt guang mdu, tdi ludn ludn cd gdng tvc ldm mgi viic nhu tu vi sinh cd nhdn Tdi hd trg trai viec dua ddn chdu di hgc vd hd trg viic nhd nhu cdm cam, quit nhd Nhd cd may gigt nhimg toi tu tay gidt de van dgng ca tay (Nam, 61 tufli, edn bfl huu tri) Sir hy vgng Su hy vgng cua ngufli bflnh dugc xem nhu la yen tfl gan lien voi qua trinh phyc hfli Ngufli benh lufln hy vpng va lac quan vdo tuong lai cung nhu cd nhung kfl hoach tuong iai cho bdn thdn se gidp hp cd dpng lye diflu tri Tinh cua em cung lgc quan, em cUng cdm thdy binh thu&ng Em da cd thi tir lgp, niu khdng hdi phuc hodn todn, gia dinh cUng cdy dinh m& mdt tiim tgp hda hogc tiim cd phi di cho em ldm vd em tin minh se idm dugc (Nu 18 tufli, ngudi bfnh) Vdi nguoi bfnh can duge ndng vfl tinh thdn hg se ed tiifl tun kiflm duge eae ngufln lye y nghTa nhu sy hy vgng, tinh yeu, hfla binh, sy thodi mai, sue manh va sy kflt nfli Tinh thdn ddng mgt vai trd rdt quan trgne Bdn thdn bde sTluon ludn tgo cho ngu&i be h tinh thdn phdn chdn, minh phdi ludn tao ch • Khoa hpc Nghien cwu Sue khoe vd Phdl triin (Tpp 04 So 01-2020) Joumal ofHealth and Development Studies (Vol.04 No.01-2020) hg tdm ly vui ve Biiu trf kit hgp tdm ly rdt quan trgng di hg cd thihdiphifc binh Vi du: Chu cdn kien tri luyin tap, chii cdn phdi co niim tin vd su kiin tri thi chii se khde vd di lgi duge (Thdo luan nhdm, NVYT) Nguoi bflnh dii cfl dugc diflu tri diing, ky thi4t diing nhung suy nghT tiflu cue cung anh hudng dfln qua trmh dieu tij bfnh va phyc hoi: Su hdi phgc cua ngu&i binh thdy thudc vd ngu&i binh Vi thdy thuoc phdi diiu tri diing, ky thugt diing Ngu&i binh phdi cd tinh thdn lgc quan CUng mgt binh nhu vgy neu ngu&i binh suy nghi tich ciic, se hdi phgc nhanh nhiing ngu&i suy nghi tiiu circ se phgc hdi chgm (Thdo luan nhflm, NVYT) TSm linh Tam linh dong vai tifl quan frgng frong cham soc sue khfle cung nhu ddi song tinh than cua ngudi bfnh Viflc sflng thoai mai, cd niem tin vao diflu tflt vd suy nghi tich cyc cd dugc tu tfln giao, thifln dinh va cau nguyen CO the gop phdn chua bfnh va dem dfln cam gidc hanh phiic Cfl nhung ngudi bflnh tim dugc y nghTa frong cuflc song thflng qua viflc dpc sdch va cdu nguyfn de tim y nghTa cua cupc sflng; Th&i gian rdnh tdi dgc sdch cudn "Qudng gdnh lo di vd vui song", diiu ndy giup tdi cd thim niem tin vd sdn sdng ddn nhdn nhimg dieu cd thi den tiicmg lai (Nam, 22 tufli, sinh vifln) Hg eung tim dfln tfln giao va xem dfl nhu mpt diem tua vfl tinh tiidn Moi ngudi benh sau biet bfnh tmh eua minh frong long kho chap nhdn Bdn thdn hp phdi biflt chip nhan tiiye tfl la moi duge sflng Id mfli vui ve, hanh phue, khflng bufln phifln, khong tiiat vgng Tdi khong lap gia dinh vi phdi nudi me gid Me toi mdt rdi, bdy gi& & day mgt minh lau lau em gdi vdo thdm Ngdy ndo tdi cSng dgc kinh cdu nguyin Cdu nguyin cho tdi site mgnh ve tinh thdn di tdi chiin ddu v&i binh tdt cua minh (Nu, 70 tufli, nguoi benh) Yeu tfl tdm hnh giup nguoi lufln tun thdy y nghia, niflm hy vgng, sy an ui va binh yfln nfli tdm frong cupc sflng Nhiflu nguoi bfnh tin vao cdc thfl lue sieu nhifln se giup hp cfl thflm sue manh, cuu song hp, bao vf hp va giup hp vugt qua nhihig khfl khan frong eupe sflng cdng nhu bflnh tat Cd niflm tm manh me vdo dang tfli cao se tang cuong thflm ruem tin vd dpng luc giup nguoi benh vugt qua duge nhung anh huflng tiflu eye benh t^t Bdi v&i tdi thi gi&i tdm linh ludn Id "mgt liiu thuoc tinh thdn " hay "mdtphep mdu nhiim " Tdi ludn tin co Chua se ludn "che ch&, phii ho " tdi tuyet vgng Chinh ngdi Id chd dua tinh thdn cho tdi (Nu, 70 moi, ngudi benh) Sy nSng d o cam xuc Sy ndng cdm xuc vd ho frg tu gia dinh xem nguoi bfnh la trang tdm ciia qud trinh diflu tri - phyc hfli Su khao khdt dupc sflng cung nguoi thdn frong gia dinh, sy khao khdt dugc sflng hanh phuc cung hp ciing giiip hfl frp qua trinh phye hfli ciia ngudi bflnh Chinh gia dinh va nguoi thdn cho hg long thuang yflu, tin tuong vdo cupc sflng Nguoi bfnh vi yeu gia dinh, yflu thuong cdi nfln cfl gang an uong dieu do, uong thuflc dung gid hon va vui vfl ban vi luon tin tudng cfl ngudi thdn hfl frg bfln eanh Qua trinh phyc hfli ciia ngufli bflnh can rit nhieu su ho frg vd dpng vifln tinh thin td ngufli nhd nguoi bflnh Song song voi vifc ho frg tai ehinh, cham soc vdi chfl dp dinh dudng vd ky tiiudt tap luyfn phii hgp, ehinh gia dinh ngudi bflnh se giiip hp frd nen Nguyin Thi ^'"b Hun Tgp chi Journal of Health and Development Studies (Vol.iM i.i/>" • hie quan, cd dgng Iuc phuc hoi, phd bfl nhung rao can tdm Iy noi ngudi bfnh Ngodi su lgc quan, y chi, nghi It^c sdng mgnh me se hd trg qud trinh phgc hdi cua ngu&i binh toi cho rdng chinh sir quan tdm, chdm sdc tdn tinh cua ngu&i thdn gia dinh cUng Id liiu thudc ndng da tinh thdn ngu&i binh Neu ngu&i thdn thuang yiu cham sdc tdn tinh cho ngu&i binh khdng xem ngu&i binh Id gdnh ngng thi ngu&i binh se cdm thgy mgi ngu&i quan tdm den minh nen minh phdi CO gdng nhanh hdi phuc (Nam, 64 tuoi, cyu chien binh) Vifc tang cuong yen to tinh than cho ngudi bfnh ciing can sy ho frg xa hgi nham giiip ngudi bflnh "ty giup" va cdm giae dupe thupc vfl Cling nhu cam thay minh la ngudi CO gid tri Ngu&i nhd cd tdm ly ldm thay ngu&i binh, the hiin viic chdm sdc cua cdi ddi vdi cha mp, tgo tdm lyphu thuge Khi mdt ngu&i Hit nua ngu&i ndm mgt chd, nira ben vdn binh thu&ng Con cdi vd ngu&i nhd bdt ngu&i binh phdi ndm im di ngu&i nhd phuc vu, dieu ndy gdy tinh i lgi nen ngu&i binh v&i quan niim bd me dm, chdu phdi chdm sdc Mudn diiu tri hiiu qud, ngu&i binh phdi tu luyin tap Cdc phdn xg co dieu kiin, nam Hit mgt chd, phdi van dgng Gia dinh ngu&i binh khdng nin ldm hit mgi viic giup ngu&i binh Id cdn di hg tu ldm nhimg viic khd ndng, tgo dieu kiin, dgng viin hg de hg cdm thdy minh cd gid tri (Thdo ludn nhflm, NVYT) BAN L U ^ Su dyng phuong phap nghifln edu djnh tinh dupc xem la phu hgp tim hieu vc y nghia cuflc sflng va kham pha cac yflu tfl tinh thdn hd frg qua trinh phye hoi eiia ngudi bfnh Khi kham phd cae yflu to tinh thdn ho trg ngudi bflnh phue hdi, mgt sfl nghifln edu chi ring sy hy vgng ehinh la trung tdm eua qua trinh phye boi Tuy nhifln, dfli voi nguoi bfnh tai Bfnh vifln phuc bfli chde nang tinh Ldm Dflng thi yeu tfl kifln tri vd tinh thdn frach nhifm eung nhu ngucri bfnh nh|in duge diy du sy bfl frg cua gia dinh mang y nghTa tinh thin quan frpng thuc ddy qua trinh phuc hfli cua hg vi ngodi frach nhifm vdi ban thdn thi chinh su nang dd cam xuc va yeu thuang ciia gia dinh se tao them cho hg dflng Iyc dfl hg kifln tii va quyflt tdm luyfn tap de chien dau vfli bflnh t^t Thflm vao dfl, frong qua trinh ddnh gid vdn dfl cua ngudi bflnh, nhim giup xdy dyng chifln luge can thiep toan difn va hiflu qud ciing nhu ca the boa frong viee cung edp djch vy dap ung nhu cau vd gidi quyflt cac vdn dfl eua ngudi bfnh, danh gia cac vdn de cua ngudi bfnh can danh gid todn difn dya frfln cdc khia canh sinh - tam - xa hgi Khi su dyng khung sinh - tdm - xa hgi dfl danh gid, nhdn vifln CTXH can quan tdm ddnh gia cac yflu tfl tinh thdn cua ngudi benh Viec ddnh gid cdc yflu to tinh thin phai dugc thyc hifn frfln ede nguyfln tae sau: • Doi vdi mflt sfl ngudi bfnh, tinh tfiin vd niem tm ton giao la mot khia cgnh riflng tir, thiflng liflng vi thfl cdn phai dugc sy dflng t h u ^ tu hp • Nhdn vien CTXH phdi c6 nang Iuc hiflu ve vdn hda ciia nguoi bfnh dfl cd cung eip cdc djch vy phii hgp dya fren nhu cdu ciia tiriig canhan • Chu y nhihig dac diflm tinh tiidn nfli b§t nhim t ^ sy cam ket cao, tham gia vd hgp tac I Tgp 'chiKhoa hpc Nghien cuu Sue khoe vd Phdt triin (Tgp 04 Sd 01-2020 Joumal ofHealth and Development Studies (Vol.04, No.01-2020) gudi bfnh ciing nhu ngufln Iyc lifln quan frong qua trinh cham sdc - diflu tri - phue hoi Ngoai ra, nhan vifln CTXH cung cdn chu y dfln each thuc ca nhdn tim kiflm y nghia cupc sflng tiiflng qua vifc giup hg nhan gia tii cda niflm tin, hy vgng, sy yflu thuong cdng nhu y nghia cua cuge sflng Diflu ndy sfl gflp phdn gia tang hiflu qua diflu tri, hfl frg phue hoi vd cdi thifn chdt lugng song eua nguoi bfnh KET LU;j.N VA KHUYEN NGHI Tmh thdn la mpt phdn cua ed nhdn va co y nghia nhat dac bift sau nhihig kinh nghifm bfnh tdt va sy phue hfli Sy hy vpng, niflm tin tfln giao, sy kien tri va sy ndng cdm xiic cho nguoi benh chinh la frung tam cua qua trinh Cflng tde xa hgi Id mpt nghfl chuyfln nghiflp nhim frp giup nhung doi tugng ed nhu cdu tiiflng qua nhung ky nang vd phuang phap dac thu ttong CTXH Trong linh vyc cham soc sue khoe, dya ttfln quan diem thfl manh, nhdn vien CTXH gidp nguoi benh nhan nhung gid trj rieng, giup phat huy tiflm nang ciia hg, gia dinh va cpng dflng tiong viflc gidi quyflt vdn dfl Vdi vai frd bifn hfl, ket noi, nhdn vifln CTXH cung cfl thfl dai difn cho ngufli bfnh nham dam bdo hp tiep edn dugc r quyfln frong viflc tiep can cdc djch vu y te va dich vu xa hfli mpt each binh dang, tang quyfln cho ngudi bflnh thflng qua cde chuong trinh tai hoa nhdp cgng dong Chu frpng dfln cac yflu to tinh than va sy phuc hfli toan dien phai thflng qua mgt qua trinh can thifp voi sy tiiam gia ddy tinh thuang va frach nhiem ciia nhung ngudi lifln quan frong vifc cham sfle nguoi bfnh Mgi ngudi dflu cfl quyfln eua minh, co gia tri va cin phai dugc ' tdn frpng vd dfli xd mpt each cdng bang nhu tde gia Robert Baland vd cflng sy (4) chia sfl "nai ndo co moi quan hf chuyfln nghifp dugc ddnh ddu bang sy tfln frpng va long vj tha thi noi dfl se cfl sy bifln doi" TAI LIEU THAM KHAO World Health Organization (2006), Constitution of the World Health Organization - Basic Document, www.who.int Miley, K (1992) Religion and Spirituality as Social Work Concerns Paper presented at the Midwest Biennial Social Work Conference Sarah Gehlert, Teri Browne (2012), Handbook of Health Social Work, John Wiley &Sons, Inc., Hoboken, New Jersey Robert Bland, Noel Renouf, Arm Tullgren (2009), Social Work Practice in Mental Health, Australia Rolheiser, R (1998), Seeking Spirituality, Hodder & Stoughton, New York Gregory L Weiss, Lynne E Lormquist (2009), The Sociology of Health, Healing, and Ilhiess, Pearson Prentice Hall P 100 Nguyin Thi Minh Hien Tgpchi f—" w v r,^„^ c-'^: -^ac^ii^^ -^, ^ - , - , ' ' ' Joumal ofHealth and Development Studies (Vol.04 No S!-2S2i-) Exploring the spiritual factors contributing to the patient's recovery process at Lam Dong Rehabilitation Hospital Nguyen Thi Minh Hien' ' Dalat University Objective: The patient's recovery process required holistic care fi-om different resources Vietaam faced the burden of diseases, such as cancer, diabetes, sfroke, heart attack etc Traffic accidents and injuries were also one of the leading causes of death among adults Together these hardships caused negative effects to economic and social quality of life in Vietaam When experiencing illness or physical mjury, patients often felt disconnected from their network of social support This paper aims to explore the spiritual factor that helps patients cormeet with themselves, their families, their communities to support thefreatment- rehabilitation process Metaods: This paper examines the social and spiritual factors that supported recovery in 10 lived-experience stories of recoveryfromtaepatients at Lam Dong Rehabilitation Hospital from March to October 2019 Mainfindings:Resilience and responsibility, hope, religious belief, and emotional support will be considered as tae key spiritaal factors Conclusions: Spirimality played a vital role and be considered as the way we make meaning of our experience of life In social work practice, when conducting an assessment, it is a critical need for culmral sensitivity of social workers in working with patients in recovery, in order to implement social work ethical principles and professional standards, and to individualize services for every patient Keywords: spriritual factors, recoveiy social worker Lam Dong Rehabilitation Hospital ... (3) Tinh than khflng nhat thiflt la ve tfln giao Tinh tbSn duoc biflt dfln la khat vong sau xa nhat ciia eon nguoi cho su frgn ven, kflt noi va bifln dfli (4), ba khia canh cua tinh thSn li: • Tinh. .. • Tinh than duoc xem nhu y nghTa sflng tinh tbSn la each ehung ta lam nfln y nghTa kinh nghiem eupe song Trpng tam eua yflu tfl tinh than la su hi vpng • Tinh than dugc xem nhu syr sieu viit Vfli... yflu tfl tinh than hfl frg qua trinh phyc hoi cua nguoi bfnh dang dieu tri tai Bflnh vien Phuc hfli chde nang tinh Lam Dong Chiing tfli nhan nhihig yflu tfl tmh thin nhu su kifln tri va tinh than