Hughes J G, Goldbart J, Fairhurst E, Knowles K
Division of Primary Care, University of Liverpool, Whelan Building, Brownlow Hill, Liverpool L69 3GB, UK.
Complement Ther Med. 2007 Jun;15(2):101-8. doi: 10.1016/j.ctim.2006.09.008. Epub 2006 Nov 3.
To outline acupuncturists' perceptions of treating patients with rheumatoid arthritis (RA), exploring the impact of practitioner affiliation to a traditional or western theoretical base.
Qualitative study utilising Grounded Theory Method. Nineteen acupuncturists were chosen via theoretical sampling. In-depth semi-structured interviews were tape-recorded and transcribed. Field notes were also taken. Emerging categories and themes were identified.
Inter-affiliatory differences were identified in the treatments administered and the scope and emphasis of intended therapeutic effects. Limited divergence was found between acupuncturists' perceptions of treatment outcomes. Factors perceived as impacting on treatment outcomes were identified.
Clinical trials of acupuncture in RA may have failed to administer a treatment which reflects that administered in clinical practice. Outcome measures employed in clinical trials of acupuncture in RA, as well as established outcome indices for RA, may lack the necessary breadth to accurately assess acupuncture's efficacy. Acupuncturist affiliation has demonstrable implications for the practice and research of acupuncture.
概述针灸师对类风湿关节炎（RA）患者治疗的看法，探讨从业者对传统或西方理论基础的归属对治疗的影响。
采用扎根理论方法进行定性研究。通过理论抽样选取了19名针灸师。对深入的半结构化访谈进行录音和转录。同时也做了实地记录。确定了新出现的类别和主题。
在实施的治疗方法以及预期治疗效果的范围和重点方面发现了不同理论归属之间的差异。针灸师对治疗结果的看法之间存在有限的差异。确定了被认为会影响治疗结果的因素。
RA针灸临床试验可能未能采用反映临床实践中所实施的治疗方法。RA针灸临床试验中采用的疗效指标以及RA既定的疗效指数可能缺乏准确评估针灸疗效所需的广度。针灸师的理论归属对针灸实践和研究有明显影响。
