血液透析患者对补充和替代疗法的体验:定性研究

Hatice Ceylan, Ş. T. Yangöz
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引用次数: 0

摘要

背景:补充和替代疗法是指传统医学范围之外的一系列医疗和保健程序。尽管在支持其使用的科学证据方面存在差距,而且在将其纳入传统医疗保健程序方面存在监管困难,但补充和替代疗法的使用仍在不断增加。目的:本研究旨在探讨血液透析患者使用补充和替代疗法的经验:本研究采用定性描述研究法。对 17 名血液透析患者进行了半结构化定性访谈,并对访谈内容进行了定性分析。在访谈过程中达到了数据饱和,并对录音进行了逐字转录。两位研究人员独立确定关键主题,随后同时对这些主题进行讨论和评估。结果在这一背景下,我们确定了 4 个总体主题:(1) 寻求对健康的控制(控制自己的健康状况);(2) 摆脱负面症状(摆脱自己经历的负面症状);(3) 希望(希望重新感觉健康);(4) 恐惧(害怕告诉医疗专业人员,害怕得不到支持):本研究表明,血液透析患者寻求补充和替代疗法的原因包括:对自身健康的控制、缓解不良症状、希望恢复健康,以及害怕告诉医护人员和得不到支持。建议医疗专业人员提供有关这些疗法的安全性和可能的副作用的信息,并在治疗过程中通过积极沟通,实行以患者为中心的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Haemodialysis Patients' Experiences on Complementary and Alternative Therapies: A Qualitative Study
Background: The term complementary and alternative therapies refers to a broad range of medical and healthcare procedures that are outside the purview of traditional medicine. Despite gaps in the scientific evidence to support its use and difficulties in regulating and integrating it into traditional healthcare procedures, the use of complementary and alternative therapies is constantly rising. Aim: This study aims to explore the experiences of complementary and alternative therapies among haemodialysis patients. Material and Methods: The study was carried out by adopting the qualitative descriptive research method. Semistructured qualitative interviews, with 17 haemodialysis patients, were analyzed with qualitative content analysis. Data saturation was reached during interviews, and audio recordings were verbatim transcribed. Both researchers independently identified key topics, which were subsequently discussed and evaluated simultaneously. Results: We identified 4 overarching main themes in this setting: (1) Seeking Control over Health (to have control over their health status); (2) Relief from negative symptoms (to get rid of the negative symptoms they experience; (3) Hope (in the hope of feeling healthy again); and (4) Fear (in which they are afraid to tell health professionals and are afraid of not receiving support). Conclusion: This study showed that haemodialysis patients seek complementary and alternative therapies because of having control over their health, relief from negative symptoms, hope to feel healthy again, and fear of telling health professionals and receiving support. It is recommended that health professionals should provide information about the safety and possible side effects of these therapies and practice patient-centered treatment through active communication during the treatment process.
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