Thorne Sally, Paterson Barbara, Russell Cynthia, Schultz Annette
UBC School of Nursing, University of British Columbia, T201-2211 Westbrook Mall, Vancouver, BC, Canada V6T 2B5.
Int J Nurs Stud. 2002 Sep;39(7):671-83. doi: 10.1016/s0020-7489(02)00005-6.
The reasons that persons with chronic illness explore complementary and alternative medicine (CAM) have not been well understood. Using data from a study of self-care decision making in chronic illness, we conducted a qualitative secondary analysis to interpret the rationale underlying decisions to experiment with and use various CAM practices and products. The findings confirm that CAM use can be understood as a critical component of self-care management in general, and not as a rejection of conventional medicine or an unrealistic search for cure. In contrast, it represents personal responsibility for health, reframing the measures by which therapeutics are evaluated, and adopting a pragmatic approach to living as well as possible in the context of a chronic condition.
慢性病患者探索补充和替代医学（CAM）的原因尚未得到充分理解。利用一项关于慢性病自我护理决策的研究数据，我们进行了定性二次分析，以解读尝试和使用各种补充和替代医学实践及产品背后的基本原理。研究结果证实，一般而言，补充和替代医学的使用可被理解为自我护理管理的一个关键组成部分，而非对传统医学的排斥或对治愈方法的不切实际追求。相反，它代表了对健康的个人责任，重新构建了评估治疗方法的标准，并在慢性病的背景下尽可能采取务实的生活方式。
