Nursing Care of Cancer Patients Who Decide to Receive Alternative Medicine

这项研究的目的是调查癌症患者处理替代医学的方式以及护士对替代医学的态度。本研究旨在明确护士在替代医学方面的角色和功能，并确定针对已决定接受替代治疗的癌症患者的护理干预措施。访谈方法被用来考察癌症患者选择接受替代治疗的情况，然后对访谈数据进行定性分析。此外，关于护士对替代医学的态度，对223个机构中为癌症患者提供护理的1154名护士进行了问卷调查。采用SPSS100统计软件对数据进行统计分析。对癌症患者进行的有关替代医学的问卷调查结果表明，患者对…的明度和暗度的认知更多的是替代医学。此外，研究结果还显示了通过替代医学“连接人们”的重要性，以及那些影响接受替代治疗决定的因素。通过调查护士对替代医学的态度，明确了替代医学的现状，护士对替代医学的态度，以及护士在照顾决定接受替代治疗的癌症患者方面的作用。这两项调查表明，对于决定接受替代治疗的癌症患者，理想的护理干预措施如下：1.对那些积极努力接受治疗以求继续生存的患者表现出理解的态度；2.根据患者的希望和价值观提供适当的信息，并通过允许患者自主决策来支持患者；3.保护患者及其家属免受对他们不利的方式的伤害；4.努力确保支助网络，包括家庭和保健提供者之间的联系，充分发挥作用；和5.澄清护士对替代医学的信念。较少

The purpose of this study was to examine ways in which cancer patients deal with alternative medicine and nurses' attitudes toward alternative medicine. This study aimed to clarify the roles and functions of nurses regarding alternative medicine, and to determine nursing interventions for cancer patients who have decided to undergo alternative treatmentsSixty-eight cancer patients were included in the study. An interview method was used to examine the situations in which the cancer patients chose to undergo alternative treatments, and qualitative analysis of interview data was then performed. In addition, regarding nurses' attitudes toward alternative medicine, a questionnaire survey was administered to 1, 154 nurses providing care to cancer patients in 223 facilities. Data were analyzed using the statistical software, SPSS10.0.The results of the questionnaire survey among cancer patients regarding alternative medicine clarified the patients' perception of the 'lightness' and 'darkness … More of alternative medicine. In addition, the results demonstrated the importance of "connecting people" through alternative medicine and those factors affecting the decision to undergo alternative treatment. The survey examining nurses' attitudes toward alternative medicine clarified the current status of alternative medicine, attitudes of nurses toward alternative medicine, and the role of nurses in caring for cancer patients who have decided to undergo alternative treatments.These two surveys indicate that the ideal nursing interventions for cancer patients who decide to undergo alternative treatment are as follows : 1. Showing an attitude of understanding toward patients who make positive efforts to undergo treatment in order to continue living ; 2. Providing appropriate information according to patients' hopes and values, and supporting patients by allowing them to make their own decisions ; 3. Protecting patients and family members from modalities that would not benefit them ; 4. Making efforts to ensure that support networks, including links between family and health-care providers, function sufficiently ; and 5. Clarifying the beliefs of nurses regarding alternative medicine. Less