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医疗服务提供者与家庭照顾者在儿童肿瘤学中使用传统医学方面的观念冲突:一项人种志研究

The Conflict between the Beliefs of the Health Care Providers and Family Caregivers in the Use of Traditional Medicine in Pediatric Oncology: An Ethnographic Study.

作者信息

Ghayebie Motlagh Elahe, Davoudi Nayyereh, Bakhshi Mahmoud, Ghasemi Ali, Karimi Moonaghi Hossein

机构信息

Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Caring Sci. 2022 Dec 4;12(1):64-72. doi: 10.34172/jcs.2023.31790. eCollection 2023 Feb.

DOI:10.34172/jcs.2023.31790
PMID:37124407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10131164/
Abstract

Traditional medicine are popular treatments among families of children with cancer. This study was designed to identify the behaviors, beliefs, and values of families and health care providers for the use of traditional medicine in pediatric oncology. This study was conducted with a focus on ethnography approach in the oncology department of a pediatric subspecialty hospital in northeastern of Iran from September 2021 to June 2022. A total of 20 key informants were observed and interviewed formally and informally. The Miles and Huberman (1994) approach was used for data analysis. Finally, two main cultural themes were emerged, including the blame of traditional herbal medicine and the synergy of rituals with modern therapies. Families use traditional medicine based on values passed down from generation to generation, while health care providers make evidence-based decisions. The results of the present study represent the conflict between health care providers and families in the use of medicinal herbs. The findings allow care providers to be aware of the beliefs and values of children caregivers to make the right decision about traditional medicine use.

摘要

传统医学在癌症患儿家庭中是受欢迎的治疗方法。本研究旨在确定家庭和医疗保健提供者在儿科肿瘤学中使用传统医学的行为、信念和价值观。本研究于2021年9月至2022年6月在伊朗东北部一家儿科专科医院的肿瘤内科采用人种志方法进行。共对20名关键信息提供者进行了正式和非正式的观察及访谈。数据分析采用迈尔斯和休伯曼(1994)的方法。最后,出现了两个主要的文化主题,包括对传统草药的指责以及仪式与现代疗法的协同作用。家庭基于代代相传的价值观使用传统医学,而医疗保健提供者则做出基于证据的决策。本研究结果体现了医疗保健提供者与家庭在使用草药方面的冲突。这些发现使护理提供者能够了解儿童照料者的信念和价值观,以便就传统医学的使用做出正确决策。