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从患者和治疗师的角度评估社区环境中癌症的康复情况:一项试点研究。

Evaluating healing for cancer in a community setting from the perspective of clients and healers: a pilot study.

作者信息

Vaghela C, Robinson N, Gore J, Peace B, Lorenc A

机构信息

NFSH Charitable Trust Ltd., UK.

出版信息

Complement Ther Clin Pract. 2007 Nov;13(4):240-9. doi: 10.1016/j.ctcp.2007.03.004. Epub 2007 May 4.

Abstract

The real-life practice of 'healing' for cancer in the community as perceived by clients and healers was investigated in a multi-method pilot study. Fifteen clients received six weekly healing sessions. Pre- and post-changes in perception towards well-being and client experience were assessed by EuroQol (EQ-5D), measure yourself concerns and well-being (MYCaW) and a client satisfaction tool. Qualitative methods, including focus groups, explored the perceived effects of healing in more depth and the participants' experience of taking part in research. The study was not designed to test the effect of healing on disease. Quantitative data showed perceived significant improvements in 'concerns/problems' for which clients wanted help (p<0.01), well-being (p<0.01) and anxiety/depression (p<0.05) over the course of healing. Significant effects were not seen in all areas of quality of life. Qualitative analysis showed clients mainly sought help for psychological and emotional concerns and reported only beneficial effects of healing. Clients attributed many of the quantitative improvements to healing itself. Despite some concerns, healers and clients engaged fully with the research process, and were enthusiastic about the importance of research into healing. Our study suggests that, while there are some confounding issues and study limitations to address, clients and healers perceive healing to have a range of benefits, particularly in terms of coping with cancer, and regard it as a useful approach that can be applied in a community setting alongside conventional medicine.

摘要

在一项多方法试点研究中,调查了社区中患者和治疗师所认为的针对癌症的“治愈”在现实生活中的实践情况。15名患者接受了为期六周的每周一次的治愈疗程。通过欧洲五维健康量表(EQ - 5D)、自我评估健康问题与幸福感量表(MYCaW)以及一个患者满意度工具,评估了患者在幸福感和患者体验方面的前后变化。定性方法,包括焦点小组讨论,更深入地探讨了治愈的感知效果以及参与者参与研究的体验。该研究并非旨在测试治愈对疾病的影响。定量数据显示,在治愈过程中,患者希望得到帮助的“问题/困扰”(p<0.01)、幸福感(p<0.01)以及焦虑/抑郁(p<0.05)方面有显著改善。并非在生活质量的所有领域都观察到显著效果。定性分析表明,患者主要寻求心理和情感方面的帮助,并报告称治愈只有有益效果。患者将许多定量改善归因于治愈本身。尽管存在一些担忧,但治疗师和患者充分参与了研究过程,并对治愈研究的重要性充满热情。我们的研究表明,虽然存在一些需要解决的混杂问题和研究局限性,但患者和治疗师认为治愈有一系列益处,特别是在应对癌症方面,并将其视为一种可与传统医学一起在社区环境中应用的有用方法。

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