Geisler Carol C, Cheung Corjena K
St. Catherine University, 601 25th Ave. S, Minneapolis, MN 55454, USA.
University of Minnesota, Minneapolis, MN, USA.
Geriatr Nurs. 2015 Jan-Feb;36(1):15-20. doi: 10.1016/j.gerinurse.2014.08.013. Epub 2014 Oct 1.
The purpose of this study was to describe the information sources older women with arthritis use to make decisions about complementary/alternative therapies (C/AT), and factors that influence C/AT dialog with their HCP. The purposive sample included 50 community-dwelling older women (mean age = 77.8, SD = 7.6, range 66-101) who were using C/AT for arthritis management. Eight focus groups were conducted. Qualitative data were analyzed using both manual and computer-based (Atlas.ti) methods. Participants used a variety of C/AT for arthritis management. Most did not seek C/AT information from their health care provider (HCP) but primarily relied on family and friends as resources. Common themes that influenced C/AT dialog included collaborative patient relationship with HCP, HCP unsupportive attitudes toward C/AT and lack of C/AT knowledge, and time-limited clinic visits. Clinical implications include fostering shared decision making clinical relationships, increasing HCP knowledge about C/AT, initiating C/AT dialog and offering credible C/AT information sources.
本研究的目的是描述患有关节炎的老年女性用于做出关于补充/替代疗法（C/AT）决策的信息来源，以及影响她们与医疗保健提供者（HCP）进行C/AT对话的因素。目的抽样包括50名居家的老年女性（平均年龄 = 77.8，标准差 = 7.6，年龄范围66 - 101岁），她们正在使用C/AT来管理关节炎。开展了8个焦点小组。定性数据采用手动和基于计算机（Atlas.ti）的方法进行分析。参与者使用多种C/AT来管理关节炎。大多数人并非从其医疗保健提供者（HCP）处获取C/AT信息，而是主要依赖家人和朋友作为信息来源。影响C/AT对话的常见主题包括与HCP的协作性患者关系、HCP对C/AT不支持的态度和缺乏C/AT知识，以及门诊就诊时间有限。临床意义包括促进共同决策的临床关系、增加HCP关于C/AT的知识、开启C/AT对话并提供可靠的C/AT信息来源。
