Acupuncture for chronic pelvic inflammatory disease: a qualitative study of patients' insistence on treatment.
Acupuncture for chronic pelvic inflammatory disease: a qualitative study of patients' insistence on treatment.
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DOI：
10.1186/1472-6882-14-345
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发表时间：
2014-09-21
影响因子：
--
通讯作者：
Gong D
中科院分区：
文献类型：
--
作者：
Liang Y;Gong D
针灸治疗慢性盆腔炎是药物治疗的有效补充。它有轻微或没有副作用;但是，至少需要3个月的治疗才能保证有益的结果。本研究探讨为何患者坚持针灸治疗，以帮助疗养。该研究包括15名被诊断患有慢性PID的参与者，他们每周至少接受两次针灸治疗，持续至少3个月。半结构化访谈进行，记录，转录，编码和分析使用系统的文本压缩。从参与者坚持漫长但在他们看来重要的针灸课程的原因中确定了四个首要主题。四个主要的主题是：（1）患者的特征，包括怀孕愿望和对严重妇科疾病的恐惧;（2）患者与医生的关系，包括针灸师对患者的态度和从传统中医的角度解释疾病;（3）针灸治疗的特点，包括治疗方式的多样性、疗效的综合性、无副作用等;及（4）临床环境，包括病人与设备完善的环境之间的经验交流。诊断为慢性PID的患者维持针灸治疗的原因多种多样。对针刺与疾病关系的认识和理解有助于患者对针刺的偏好。针灸作为西方医学的补充，应在保持这些积极特征的同时进一步发展。参与者报告说，他们在治疗过程中感到希望、信心和责任感，尽管治疗并不总是有预期的结果。
Acupuncture is an effective complement to pharmacological therapy in the alleviation of chronic pelvic inflammatory disease (PID). It has mild or no side effects; however, a minimum of 3 months of therapy is required to guarantee a beneficial outcome. This study investigates why patients insist on acupuncture therapy to aid recuperation. The study included a purposive sample of 15 participants diagnosed with chronic PID who had received a course of acupuncture therapy at least twice a week for a minimum of 3 months. Semi-structured interviews were conducted, recorded, transcribed, coded and analyzed using systematic text condensation. Four overarching themes were identified from the participants’ reasons for insisting on lengthy, but in their view important, acupuncture courses. The four overarching themes were: (1) the patients’ characteristics, including pregnancy aspiration and the fear of serious gynecological disease; (2) the patient–practitioner relationship, including the acupuncturist’s attitude towards the patients and the explanation of the disease from a traditional Chinese medicine (TCM) perspective; (3) the characteristics of acupuncture, including the diversification of treatment modes, the synthetical effect, and no side-effects; and (4) the clinical environment, including the exchange of experience between patients and the well-equipped setting. There were mixed reasons for patients diagnosed with chronic PID maintaining acupuncture treatments. Knowledge and understanding about the acupuncture-disease relationship were conducive to the patients’ preference for acupuncture. Acupuncture as a complement to Western medicine should be further developed while maintaining these positive features. Participants reported feeling hope, confidence, and a sense of responsibility for their treatment during the process, although the treatments did not always have the expected outcome.
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DOI：
10.1155/2013/427265
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Karner M;Brazkiewicz F;Remppis A;Fischer J;Gerlach O;Stremmel W;Subramanian SV;Greten HJ
通讯作者：
Greten HJ
影响因子：
105.7
作者：
Paterson, C;Dieppe, P
通讯作者：
Dieppe, P
影响因子：
3.6
作者：
Yam, Winnie;Wilkinson, Jenny M.
通讯作者：
Wilkinson, Jenny M.
影响因子：
3
作者：
Kjendahl, A;Sallstrom, S;Borchgrevink, CF
通讯作者：
Borchgrevink, CF
影响因子：
3.7
作者：
Hopton, Ann;Thomas, Kate;MacPherson, Hugh
通讯作者：
MacPherson, Hugh