解释重症患者的精神康复过程：一项扎根理论研究。
Explaining the Process of Spiritual healing of Critically-ill Patients: A Grounded Theory Study.
作者信息
Rafii Forough, Eisavi Mahmoud, Safarabadi Mehdi
机构信息
Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Departement of Islamic Economy, Allameh Tabatai University, Tehran, Iran.
出版信息
Ethiop J Health Sci. 2020 Jul 1;30(4):579-588. doi: 10.4314/ejhs.v30i4.13.
BACKGROUND
Spiritual healing is one of the most intriguing category of alternative and complementary medicine. The aim of this study was to explain the process of spiritual healing in patients with refractory diseases in Iran.
METHODS
This grounded theory study was conducted in Iran from 2018 to 2019. The participants were 14 patients with refractory diseases and 4 healers whom were first selected through purposeful and then theoretical sampling. Semi-structured interviews were used to collect data on patients and healers. All the interviews were transcribed verbatim. Data were coded and grouped under specific categories and analyzed using the Strauss and Corbin's approach (2008).
RESULTS
Four main categories emerged from data analysis including: I) frustration to initial acceptance II) disbelief to trust III) evaluation to action and IV) doubt to certainty.
CONCLUSION
The results of our study provide context-specific factors affecting the complex and multifactorial nature of spiritual healing process in patients with refractory diseases. Health care professional can use these findings in designing and implementing appropriate interventions to integrate spiritual healing into their holistic practices of care.
背景
精神疗法是替代医学和补充医学中最引人入胜的类别之一。本研究的目的是解释伊朗难治性疾病患者的精神治疗过程。
方法
这项扎根理论研究于2018年至2019年在伊朗进行。参与者为14名难治性疾病患者和4名治疗师，首先通过目的抽样然后进行理论抽样选出。采用半结构化访谈收集患者和治疗师的数据。所有访谈均逐字转录。数据被编码并归类到特定类别下，并使用施特劳斯和科尔宾的方法（2008年）进行分析。
结果
数据分析得出四个主要类别，包括：I）从沮丧到初步接受；II）从不相信到信任；III）从评估到行动；IV）从怀疑到确定。
结论
我们的研究结果提供了影响难治性疾病患者精神治疗过程复杂和多因素性质的特定背景因素。医疗保健专业人员可以利用这些发现来设计和实施适当的干预措施，将精神治疗纳入其整体护理实践中。
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