探索中医药对中国癌症患者自我护理的影响。

Exploring the influence of Traditional Chinese Medicine on self-care among Chinese cancer patients.

作者信息

Chan Helen Y L, Chui Y Y, Chan Carmen W H, Cheng Karis K F, Shiu Ann T Y, So Winnie K W, Ho Simone S M, Chan Maggie M F

机构信息

The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

出版信息

Eur J Oncol Nurs. 2014 Oct;18(5):445-51. doi: 10.1016/j.ejon.2014.05.005. Epub 2014 Jun 20.

Abstract

PURPOSE

The aim of this study was to explore the influence of traditional Chinese medicine (TCM) on self-care among Chinese cancer patients.

METHODS

This was an exploratory qualitative study. A purposive sample of thirty cancer patients who were currently undergoing either chemotherapy or radiotherapy was interviewed. Qualitative content analysis was conducted for data analysis.

RESULTS

Two core categories were emerged from their accounts of experiences with practising TCM-supported self-care activities: perceived beneficial effects and concerns about undesirable effects. The perceived beneficial effects of these self-care activities were mainly stemmed from the traditional beliefs in TCM, which included: strengthening the "origin", removing toxins, and mind-soothing. Concerns about undesirable effects of these self-care activities were raised due to lack of knowledge and unpleasant experience with these self-care activities.

CONCLUSION

The findings revealed that the philosophy of TCM had been deeply integrated by Chinese cancer patients into their self-care. While Western medicine is the mainstream cancer treatment, Chinese cancer patients also practised various TCM-supported self-care activities. However, they were perplexed about the effects of these self-care activities. They could not ascertain whether the perceived benefits were just due to their own belief in the TCM philosophy, and their lack of knowledge in this aspect and unpleasant experience further confused them. Nurses have to be proactive in identifying the unique health-deviation self-care requisites of their clients in a culturally sensitive manner, explore how their self-care experience affects their wellbeing and treatment compliance, and be prepared to clarify misconceptions about their conditions and progress.

摘要

目的

本研究旨在探讨中医对中国癌症患者自我护理的影响。

方法

这是一项探索性定性研究。对30名正在接受化疗或放疗的癌症患者进行了有目的抽样访谈。采用定性内容分析法进行数据分析。

结果

从他们对中医辅助自我护理活动的经历描述中出现了两个核心类别:感知到的有益效果和对不良影响的担忧。这些自我护理活动的感知有益效果主要源于中医的传统理念,包括:固本、排毒和安神。由于对这些自我护理活动缺乏了解和不愉快的经历,引发了对其不良影响的担忧。

结论

研究结果表明,中医理念已被中国癌症患者深深融入到他们的自我护理中。虽然西医是癌症治疗的主流,但中国癌症患者也会进行各种中医辅助的自我护理活动。然而,他们对这些自我护理活动的效果感到困惑。他们无法确定所感知到的益处是否仅仅是由于他们对中医理念的信仰,而他们在这方面的知识缺乏和不愉快的经历进一步使他们感到困惑。护士必须积极主动地以文化敏感的方式识别患者独特的健康偏差自我护理需求,探索他们的自我护理经历如何影响其幸福感和治疗依从性,并准备好澄清他们对自身病情和进展的误解。

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