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首页> 外文期刊>The Open Complementary Medicine Journal >Perceived Benefits of Complementary and Alternative Medicine: A WholeSystems Research Perspective
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Perceived Benefits of Complementary and Alternative Medicine: A WholeSystems Research Perspective

机译：补充医学和替代医学的感知益处：整个系统研究的视角

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The purpose of this study was to examine the benefits associated with complementary and alternative medicine(CAM) treatments from the patients’ perspective using a whole systems research approach as a guiding framework.We conducted five focus groups of six to eight participants each, with users of CAM recruited through experienced CAMproviders and clinics. Eligible participants were aged 21 or older, had used CAM in the last 12 months, and believed thetreatment to be beneficial. The focus group discussions were digitally recorded, transcribed, and analyzed through a qualitativecontent analysis. Responses were inductively coded for common themes, and then placed into broader conceptualcategories reflecting the CAM outcome domains suggested by Verhoef and colleagues. Participants described physicalhealth benefits including symptom relief and improved function, and positive psychological benefits such as improvedcoping and resilience. Social health benefits that arose from the positive aspects of the patient-practitioner relationshipwere also reported, including support and advocacy. In addition, participants identified empowerment, increased hope andspiritual growth as results of receiving CAM treatments. A new behavioral health outcome domain emerged as participantsreported that CAM use had fostered behavioral changes such as increased exercise, smoking cessation and improvingtheir diets.These patient-reported benefits of CAM treatment are consistent with the outcome model proposed by Verhoef and colleagues,and extend this model by identifying a new outcome domain—behavioral health outcome. The findings provideinsight and direction for the development of outcome and process measures to evaluate CAM treatment effects.
机译：这项研究的目的是使用整个系统研究方法作为指导框架，从患者的角度检查与补充和替代医学（CAM）治疗相关的益处。我们进行了五个焦点小组，每组六个到八个参与者，每个使用者通过经验丰富的CAM提供者和诊所招募的CAM数量。符合条件的参与者年龄在21岁或以上，在过去的12个月中使用过CAM，并且认为该治疗是有益的。通过定性内容分析，对焦点小组的讨论进行数字记录，转录和分析。响应以通用主题的方式归纳编码，然后放入反映Verhoef及其同事建议的CAM结果域的更宽泛的概念类别中。参与者描述了身体健康的益处，包括缓解症状和改善功能，以及积极的心理益处，例如改善交配和适应能力。还报告了从医患关系的积极方面产生的社会健康益处，包括支持和倡导。此外，参与者发现接受CAM治疗的结果是增强能力，增加希望和精神成长。随着参与者报告使用CAM促进了行为改变，例如增加运动，戒烟和改善饮食，出现了一个新的行为健康结局领域。这些患者报告的CAM治疗的益处与Verhoef及其同事提出的结局模型相一致，并对此进行了扩展通过确定新的结果域（行为健康结果）建立模型。研究结果为评估CAM治疗效果的结果和过程措施的开发提供了见识和方向。

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