Freidin Betina, Timmermans Stefan
Brandeis University, Waltham, Massachusetts, USA.
Qual Health Res. 2008 Jan;18(1):43-55. doi: 10.1177/1049732307308995.
We explain why some caretakers opt for alternative medicine for the treatment of children's asthma whereas others do not. In the past 15 years, asthma care has been standardized, with clinical practice guidelines centered on advanced pharmacological regimes. Clinicians argue that with proper biomedical treatment and environmental control, asthma should be a manageable chronic disease. Yet many patients forego available pharmacological treatments for alternative medicine or complement prescribed drugs with unconventional treatments. On the basis of open-ended, in-depth qualitative interviews with 50 mothers of children with asthma, we argue that the experience with biomedical treatments, social influence in mother's network of care, concerns about adverse and long-term effects, health care providers' responsiveness to such concerns, and familiarity with alternative treatments explain why some families rely on alternative medicine and others do not.
我们解释了为什么有些看护人选择替代医学来治疗儿童哮喘，而另一些人则不这样做。在过去的15年里，哮喘护理已经标准化，临床实践指南以先进的药物治疗方案为核心。临床医生认为，通过适当的生物医学治疗和环境控制，哮喘应该是一种可控制的慢性疾病。然而，许多患者放弃了现有的药物治疗而选择替代医学，或者用非传统治疗方法来补充处方药。基于对50位哮喘患儿母亲进行的开放式、深入的定性访谈，我们认为生物医学治疗的经历、母亲护理网络中的社会影响、对不良和长期影响的担忧、医疗保健提供者对这些担忧的反应以及对替代治疗的熟悉程度，解释了为什么有些家庭依赖替代医学而有些家庭不依赖。
