Mulkins Andrea L, Verhoef Marja J
Tzu Chi Research Group, Vancouver, British Columbia, Canada.
Integr Cancer Ther. 2004 Sep;3(3):230-7. doi: 10.1177/1534735404268054.
The purpose of this study is to describe the essential features of the transformative experience among people living with cancer who are seeking integrative care and to identify factors supporting this process. It is hoped that after establishing the nature and meaning of this change or shift, one will better understand what is most meaningful in terms of providing appropriate care and support to patients seeking integrative care.
An interpretational, qualitative approach guided sampling, data collection, and analysis with 11 individuals. A purposeful sample was drawn from selected integrative care facilities according to sociodemographics and type of cancer. Due to the complexity of this subject, second interviews were conducted with 5 participants to enhance the richness and validity of the data.
The experience of transformation is a dynamic 4-stage process in which participants learned about themselves and became more aware of who they are and how they relate to the world. Participants found that 4 dimensions of integrative medicine played a fundamental role in supporting this process. These dimensions include (1) having access to a range of appropriate therapies to support individual journeys, (2) care that focuses on one's overall well-being, (3) control over cancer management, and (4) developing healing relationships with care providers.
Although practitioners may not be able to create transformative experiences for patients, they may be able to establish and maintain conditions that support this process.
本研究的目的是描述寻求综合治疗的癌症患者转变经历的基本特征，并确定支持这一过程的因素。希望在确定这种变化或转变的性质和意义之后，人们能更好地理解在为寻求综合治疗的患者提供适当护理和支持方面什么是最有意义的。
采用解释性定性方法指导抽样、数据收集和对11名个体的分析。根据社会人口统计学和癌症类型，从选定的综合治疗机构中抽取有目的的样本。由于该主题的复杂性，对5名参与者进行了二次访谈，以提高数据的丰富性和有效性。
转变经历是一个动态的四阶段过程，参与者在此过程中了解自己，更加清楚自己是谁以及如何与世界建立联系。参与者发现，整合医学的四个维度在支持这一过程中发挥了重要作用。这些维度包括：（1）能够获得一系列适当的治疗方法来支持个人历程；（2）关注整体健康的护理；（3）对癌症管理的掌控；（4）与护理提供者建立治愈关系。
虽然从业者可能无法为患者创造转变经历，但他们或许能够建立并维持支持这一过程的条件。
