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“通过携手合作、相互关爱,我们能够赢得这场战斗”:对开普敦一个南非城市镇区传统治疗师对癫痫患者护理观点的质性探索

"By working together and caring for one another we can win this fight": A qualitative exploration of a traditional healer's perspectives of care of people with epilepsy in a South African urban township in Cape Town.

作者信息

Keikelame Mpoe Johannah, Swartz Leslie

机构信息

Department of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602 Cape Town, South Africa.

出版信息

Epilepsy Behav. 2018 Feb;79:230-233. doi: 10.1016/j.yebeh.2017.10.026. Epub 2017 Dec 15.

Abstract

There is a gap in knowledge about the construction of care in the Global South where biomedical care remains largely inaccessible to many people, resulting in people seeking health care from the indigenous sector of health care. As part of a larger study, in this, article we present findings from a single individual interview with an indigenous healer using a semi-structured interview guide that was based on Kleinman's Explanatory Model Framework. Key themes that emerged from the thematic analysis of our indigenous healer's audio-recorded transcribed transcript were about "care". The four overarching subthemes were the following: (i) care in the family, (ii) care in the community, (iii) care in the health system, and (iv) respondents' construction of care. A key feature of care, for this healer, is its explicit location in lineages of community - care is seen not as an individual or organizational issue, but part of the shared social fabric. We argue that it is crucial to attend to the lay understandings and practices of care which reflect diverse ways of understanding care and relationality in context. Future research is needed to close this gap.

摘要

在全球南方地区,对于医疗保健体系构建的认知存在差距,在那里,许多人基本无法获得生物医学护理,这导致人们转而向本土医疗保健领域寻求医疗服务。作为一项更大规模研究的一部分,在本文中,我们展示了对一位本土治疗师进行单人访谈的结果,访谈采用了基于克莱曼解释模型框架的半结构化访谈指南。对这位本土治疗师的录音转录文本进行主题分析后出现的关键主题是“护理”。四个总体子主题如下:(i)家庭中的护理,(ii)社区中的护理,(iii)医疗系统中的护理,以及(iv)受访者对护理的构建。对于这位治疗师来说,护理的一个关键特征是它明确地存在于社区传承之中——护理不被视为个人或组织问题,而是共享社会结构的一部分。我们认为,关注体现了在特定情境下对护理和关系性的不同理解方式的外行对护理的理解和实践至关重要。需要开展进一步研究来填补这一差距。

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