Listening to Their Words: A Qualitative Analysis of Integrative Medicine Group Visits in an Urban Underserved Medical Setting
Listening to Their Words: A Qualitative Analysis of Integrative Medicine Group Visits in an Urban Underserved Medical Setting
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DOI：
10.1093/pm/pnw030
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发表时间：
2016-06-01
期刊：
影响因子：
3.1
通讯作者：
Gardiner, Paula
中科院分区：
文献类型：
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作者：
Dresner, Danielle;Barnett, Katherine Gergen;Gardiner, Paula
Objective.中西医结合小组访视（IMGVs）是一个为期8周的门诊医疗小组访视计划，针对慢性疼痛患者，结合正念减压（MBSR）、中西医结合和患者教育。作者对IMGV参与者进行了一项定性研究，以更好地了解IMGV对患者健康的影响。这项定性研究从IMGV的母前瞻性观察性队列研究（n = 65）中招募了19名参与者的便利样本。父母研究的所有参与者都被邀请参加。波士顿医疗中心（BMC）是一个私人的，不以营利为目的，496张病床，学术医疗中心和最大的安全网医院在新英格兰。本研究中的个体被诊断为慢性疼痛和/或一种或多种慢性病症（例如，糖尿病，抑郁症，或代谢综合征），参加了千分之一日元1的小组访问，他们的8周的会议结束前完成的采访。作者进行了个人半结构化访谈。访谈录音，转录和分析。参与者列举了IMGV的收益，包括改善自我监控，自我调节和增加正念。小组设置导致患者在他们的健康状况中感到“不孤单”，获得对他们健康的看法，并在支持网络中分享应对策略。这些身心健康的改善改善了参与者的临床结果，包括疼痛的减轻。小组访视和中西医结合都为慢性疼痛的治疗提供了一些潜在的解决方案。IMGV等模型可以帮助患有慢性病的人，解决他们的情绪和身体健康需求。
Objective. Integrative Medicine Group Visits (IMGVs) are an 8-week outpatient medical group visit program for chronic pain patients combining mindfulness-based stress reduction (MBSR), integrative medicine, and patient education. The authors conducted a qualitative study with IMGV participants to better understand the effects of IMGVs on patients' health.Design. This qualitative study enrolled a convenience sample of 19 participants from the parent prospective observational cohort study of IMGVs (n = 65). All participants in the parent study were invited to participate.Setting. Boston Medical Center (BMC) is a private, not-for-profit, 496-bed, academic medical center and the largest safety net hospital in New England.Subjects. Individuals in this study had a diagnosis of chronic pain and/or one or more chronic conditions (e.g., diabetes, depression, or metabolic syndrome), had attended a parts per thousand yen1 group visit, and their 8-week session had ended before completing the interview.Methods. The authors conducted individual semi-structured interviews. Interviews were audio-taped, transcribed, and analyzed.Results. Participants cite gains from IMGVs including improved self-monitoring, self-regulation, and increased mindfulness. The group setting leads patients to feel "not alone" in their health conditions, gain a sense of perspective on their health, and share coping strategies in a supportive network. These improvements in physical and mental health improved clinical outcomes for participants including reductions in pain.Conclusions. Group visits and integrative medicine both offer some potential solutions in the treatment of chronic pain. Models such as IMGVs can help individuals living with chronic conditions, addressing their emotional and physical health needs.