Furzer Bonnie J, Petterson Anna S, Wright Kemi E, Wallman Karen E, Ackland Timothy R, Joske David J L
The University of Western Australia, M408, 35 Stirling Hwy, Crawley, WA 6009, Australia.
BMC Complement Altern Med. 2014 May 14;14:158. doi: 10.1186/1472-6882-14-158.
The purpose of this study was to explore the experiences of cancer patients' utilising complementary and integrative therapies (CIT) within integrative oncology centres across Western Australia.
Across four locations 135 patients accessed CIT services whilst undergoing outpatient medical treatment for cancer. Of the 135 patients, 66 (61±12 y; female n=45; male n=21) agreed to complete a personal accounts questionnaire consisting of open-ended questions designed to explore patients' perceptions of CIT. All results were transcribed into nVivo (v9) and using thematic analysis, key themes were identified.
Of the 66 participants, 100% indicated they would "recommend complementary therapies to other patients" and 92% stated "CIT would play a significant role in their future lifestyle". A mean score of 8±1 indicated an improvement in participants' perception of wellbeing following a CIT session. Three central themes were identified: empowerment, support and relaxation. Fourteen sub-themes were identified, with all themes clustered into a framework of multifaceted views held by cancer patients in relation to wellbeing, role of significant others and control.
Exploration of patients' experiences reveals uniformly positive results. One of the key merits of the environment created within the centres is patients are able to work through their cancer journey with an increased sense of empowerment, without placing them in opposition to conventional medical treatment. In order to effectively target integrative support services it is crucial to explore the experiences of patients in their own words and use those forms of expression to drive service delivery.
本研究旨在探索西澳大利亚综合肿瘤中心癌症患者使用补充和整合疗法(CIT)的经历。
在四个地点,135名患者在接受癌症门诊治疗时接受了CIT服务。在这135名患者中,66名(61±12岁;女性45名,男性21名)同意完成一份个人经历问卷,该问卷由开放式问题组成,旨在探索患者对CIT的看法。所有结果都转录到NVivo(v9)中,并使用主题分析法确定关键主题。
在66名参与者中,100%表示他们会“向其他患者推荐补充疗法”,92%表示“CIT将在他们未来的生活方式中发挥重要作用”。平均得分为8±1,表明参与者在接受CIT治疗后对幸福感的认知有所改善。确定了三个核心主题:赋权、支持和放松。确定了14个子主题,所有主题都归入了癌症患者对幸福感、重要他人的角色和控制的多方面观点框架。
对患者经历的探索显示出一致的积极结果。中心营造的环境的关键优点之一是,患者能够在增强赋权感的情况下度过癌症治疗过程,而不会使他们与传统医疗对立。为了有效地提供综合支持服务,至关重要的是用患者自己的话来探索他们的经历,并利用这些表达方式来推动服务提供。