Exploring acupuncturists' perceptions of treating patients with rheumatoid arthritis
Exploring acupuncturists' perceptions of treating patients with rheumatoid arthritis
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DOI：
10.1016/j.ctim.2006.09.008
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发表时间：
2007-06-01
影响因子：
3.6
通讯作者：
Knowles, K.
中科院分区：
文献类型：
--
作者：
Hughes, J. G.;Goldbart, J.;Knowles, K.
目的：概述针灸师对治疗类风湿性关节炎 (RA) 患者的看法，探讨针灸师对传统或西方理论基础的影响。方法：利用扎根理论方法进行定性研究。通过理论抽样选出了十九名针灸师。深入的半结构化访谈被录音并转录。还做了现场笔记。确定了新的类别和主题。结果：在实施的治疗以及预期治疗效果的范围和重点方面确定了附属机构之间的差异。针灸师对治疗结果的看法差异有限。确定了影响治疗结果的因素。结论：针灸治疗 RA 的临床试验可能未能提供反映临床实践中所实施的治疗方法。针灸治疗 RA 的临床试验中采用的结果测量以及已建立的 RA 结局指标可能缺乏必要的广度来准确评估针灸的疗效。针灸师的从属关系对针灸的实践和研究具有明显的影响。 (c) 2006 Elsevier Ltd. 保留所有权利。
Aims: To outline acupuncturists' perceptions of treating patients with rheumatoid arthritis (RA), exploring the impact of practitioner affiliation to a traditional or western theoretical base.Methods: Qualitative study utilising Grounded Theory Method. Nineteen acupuncturists were chosen via theoretical sampling. In-depth semi-structured interviews were tape-recorded and transcribed. Field notes were also taken. Emerging categories and themes were identified.Results: Inter-affiliatory differences were identified in the treatments administered and the scope and emphasis of intended therapeutic effects. Limited divergence was found between acupuncturists' perceptions of treatment outcomes. Factors perceived as impacting on treatment outcomes were identified.Conclusions: Clinical trials of acupuncture in RA may have failed to administer a treatment which reflects that administered in clinical practice. Outcome measures employed in clinical trials of acupuncture in RA, as well as established outcome indices for RA, may Lack the necessary breadth to accurately assess acupuncture's efficacy. Acupuncturist affiliation has demonstrable implications for the practice and research of acupuncture. (c) 2006 Elsevier Ltd. All rights reserved.