Hoffren-Larsson Riitta, Gustafsson Barbro, Falkenberg Torkel
Unit for Studies of Integrative Health Care, Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
J Altern Complement Med. 2009 Sep;15(9):995-1000. doi: 10.1089/acm.2008.0489.
This exploratory study examines the Rosen Method Bodywork (RMB), a complementary (CAM) therapy method that previously lacked scientific documentation. The objectives of this study were to describe (1) why clients consult RMB and (2) what kind of help or benefit (if any) the clients perceive.
The study comprised a survey of 53 Swedish RMB clients sampled from therapists, based on a criterion of personal experience of the therapy method, responding to a questionnaire collecting both qualitative and quantitative data. The quantitative data were analyzed descriptively and the qualitative data were analyzed by applying content analysis.
Reasons to use the therapy method included physical health problems, psychological problems, and a need for personal growth. A majority of the clients reported that the therapy had helped them with their problems to "a very high" or "high" degree. The main finding is five different categories describing the benefits: enhanced psychological health, enhanced physical health, increased awareness of the mind-body connection, support for personal growth, and self-initiated life changes.
Most RMB clients in this study indicated satisfaction with the treatment. The perceived benefits were found to be related to five separate categories. However, the results of this exploratory study cannot be generalized to a target population or to any conclusions about causality, as there is reason to assume that clients with positive experiences were overrepresented in the study population, due to the selection procedure. The results indicate that an analysis focusing on the interaction between client and therapist from a nursing theoretical perspective may increase the knowledge about mechanisms that create perceived benefits, since several aspects of the therapy seem to be related to high-quality nursing.
本探索性研究考察了罗森方法身体疗法(RMB),这是一种此前缺乏科学文献记载的补充替代医学(CAM)疗法。本研究的目的是描述:(1)客户咨询RMB的原因;(2)客户感知到何种帮助或益处(若有)。
该研究包括对53名瑞典RMB客户进行的调查,这些客户是从治疗师处抽取的,抽取标准是有该疗法的个人体验,他们需回答一份收集定性和定量数据的问卷。定量数据进行描述性分析,定性数据采用内容分析法进行分析。
使用该疗法的原因包括身体健康问题、心理问题以及个人成长需求。大多数客户报告称该疗法在“非常高”或“高”的程度上帮助他们解决了问题。主要发现是描述益处的五个不同类别:心理健康增强、身体健康增强、身心联系意识增强、个人成长支持以及自我发起的生活改变。
本研究中的大多数RMB客户表示对治疗满意。所感知到的益处被发现与五个不同类别相关。然而,由于选择程序的原因,有理由假设在研究人群中,有积极体验的客户占比过高,所以这项探索性研究的结果不能推广到目标人群,也不能得出任何关于因果关系的结论。结果表明,从护理理论角度聚焦客户与治疗师之间互动的分析,可能会增加对产生感知益处机制的认识,因为该疗法的几个方面似乎与高质量护理相关。