Klafke Nadja, Eliott Jaklin A, Olver Ian N, Wittert Gary A
School of Psychology, The University of Adelaide, Adelaide, South Australia, Australia.
Discipline of General Practice, School of Population Health, The University of Adelaide, Adelaide, South Australia, Australia.
Eur J Oncol Nurs. 2014 Jun;18(3):329-36. doi: 10.1016/j.ejon.2014.03.001. Epub 2014 Mar 26.
To explore how men's Significant Others (SOs), including family members and close friends, contribute to the uptake and maintenance of specific CAM therapies.
This study was the second, qualitative phase of a mixed-methods project investigating the use of CAM in an Australian male cancer population. Male participants were purposefully selected from a pool of 403 patients who answered a survey in the first quantitative phase (94% response rate and 86% consent rate for follow-up interview). Then semi-structured interviews among 26 men with a variety of cancers and 24 SOs were conducted. All 43 interviews were recorded, transcribed, and analysed thematically.
Men used CAM/Natural products to cope with physical concerns, and this was actively supported by men's SOs who contributed to the uptake and maintenance of these CAMs. The shared CAM preparation and consumption functioned to strengthen the bond between men and their SOs, and also helped men's SOs to cope with uncertainty and regain control. In contrast, men practiced CAM/Mind-body medicine to receive emotional benefits, and only rarely shared this practice with their SOs, indicating a need for coping with emotions in a private way.
Men's CAM use is a multifaceted process that can be better understood by considering CAM categories separately. CAM/Natural products help men to cope with physical concerns, while CAM/Mind-body medicine assist men to cope with their emotions in a private way. Oncology professionals can use this information to better promote and implement integrative cancer care services.
探讨男性的重要他人（包括家庭成员和亲密朋友）如何促进特定补充替代医学（CAM）疗法的采用和持续使用。
本研究是一个混合方法项目的第二个定性阶段，该项目调查澳大利亚男性癌症患者群体中补充替代医学的使用情况。男性参与者是从403名在第一阶段定量研究中回答了调查问卷的患者中特意挑选出来的（第一阶段的回复率为94%，后续访谈的同意率为86%）。随后，对26名患有各种癌症的男性和24名重要他人进行了半结构化访谈。所有43次访谈均进行了录音、转录，并进行了主题分析。
男性使用补充替代医学/天然产品来应对身体问题，这得到了男性重要他人的积极支持，他们促进了这些补充替代医学疗法的采用和持续使用。共同准备和使用补充替代医学产品起到了加强男性与其重要他人之间联系的作用，也帮助男性的重要他人应对不确定性并重新获得掌控感。相比之下，男性采用补充替代医学/身心疗法是为了获得情感益处，并且很少与他们的重要他人分享这种做法，这表明他们需要以私密的方式应对情绪问题。
男性使用补充替代医学是一个多方面的过程，通过分别考虑补充替代医学的类别可以更好地理解这一过程。补充替代医学/天然产品帮助男性应对身体问题，而补充替代医学/身心疗法帮助男性以私密的方式应对情绪问题。肿瘤学专业人员可以利用这些信息更好地推广和实施综合癌症护理服务。
