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首页> 外文期刊>Qualitative health research >Navigating between illness paradigms: treatment seeking by Samoan people in Samoa and New Zealand.
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Navigating between illness paradigms: treatment seeking by Samoan people in Samoa and New Zealand.

机译：在疾病范例之间导航：萨摩亚和新西兰的萨摩亚人寻求治疗。

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摘要

There are substantial Samoan communities in New Zealand. Most Samoan people use both palagi (Western) and traditional Samoan health care. Western practitioners sometimes comment on Samoan patients' seemingly erratic patterns of seeking and using health care. Within a larger study on knowledge and the use of antibiotics, we carried out semistructured interviews with 31 Samoan people in Samoa and New Zealand.Accounts of participants' responses to illness and patterns of treatment seeking reveal how Samoan people draw on traditional and Western models of treatment and healing resources. Samoan people are very active interpreters of illness symptoms, using (at least) the two illness paradigms they know of to make sense of symptoms.These paradigms and systems of treatment are sometimes used experimentally, to determine whether illnesses are Samoan or Western. Symptom interpretation and decision making about treatment are done at the family level as well as the individual level. The individual might hold a particular view of what symptoms mean and what to do about them, but might not act on this if overruled or persuaded by other family members.
机译：新西兰有大量的萨摩亚人社区。大多数萨摩亚人同时使用帕拉吉（西方）和传统的萨摩亚卫生保健。西方医生有时会对萨摩亚患者寻求和使用医疗服务的看似不稳定的模式发表评论。在一项有关知识和抗生素使用的大型研究中，我们对萨摩亚和新西兰的31名萨摩亚人进行了半结构化访谈，参与者对疾病的反应和寻求的治疗方法的账目揭示了萨摩亚人如何借鉴传统的和西方的模式治疗和康复资源。萨摩亚人非常活跃地解释疾病症状，至少使用他们知道的两种疾病范例来理解症状，有时会通过实验使用这些范例和治疗系统来确定疾病是萨摩亚还是西方。有关治疗的症状解释和决策是在家庭层面以及个人层面进行的。个人可能对症状的含义以及对症下药有特殊的看法，但如果被其他家庭成员否决或说服，则可能对此不采取任何行动。

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