首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >Long-Term Acupuncture Therapy for Low-Income Older Adults with Multimorbidity: A Qualitative Study of Patient Perceptions
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Long-Term Acupuncture Therapy for Low-Income Older Adults with Multimorbidity: A Qualitative Study of Patient Perceptions

机译:长期针灸治疗低收入老年人的多重成人:患者感知的定性研究

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Objectives: Multimorbidity is common, but often poorly managed, among the rapidly growing population of older adults. The existing guidelines followed by physicians frequently lead to polypharmacy and a complex treatment burden. The objective of this study was to explore what benefits are perceived by older adults with multimorbidity as a result of long-term, regular acupuncture treatment. Design: A qualitative design with inductive thematic analysis of semistructured interviews. Settings/Location: Participants were recruited from a no-cost, college-affiliated acupuncture clinic for low-income older adults in an urban, racially/ethnically diverse neighborhood in southern California. Participants: Fifteen patients aged 60 years and older suffering from at least two chronic conditions. Results: Five themes were identified: (1) mind-body effects, (2) the enhanced therapeutic alliance, (3) what they liked best, (4) the conventional healthcare system, and (5) importance of regular schedule. A notable mind-body effect, reported by a substantial number of participants, was medication reduction. Participants also cited changes in mood, energy, and well-being as important benefits. In addition, they voiced widespread dissatisfaction with conventional healthcare. Keeping up regular treatments as a way to deal with new complaints and encourage a healthier lifestyle was seen an important aspect of care at the clinic. Conclusions: This cohort of older adults with multimorbidity valued acupuncture as a way to reduce medication as well as a means to maintain physical and mental health. In addition, they developed a strong trust in the clinic's ability to support the totality of their health as individuals, which they contrasted to the specialized and impersonal approach of the conventional medical clinic.
机译:目的:多元化是常见的,但通常是较差的老年人人口迅速增长的。现有的指导方针,其次是医生经常导致多药物和复杂的治疗负担。本研究的目的是探讨老年人因长期常规针灸治疗而具有多元化的老年人所感受到的益处。设计:具有归纳专题分析的定性设计,对半系统采访。设置/位置:参与者是从南加州南部城市,种族/种族多样的社区的低收入老年人的无成本招募的招募人员。参与者:60岁以上的十五名患者,患有至少两个慢性病的患者。结果:鉴定了五个主题:(1)思维体效应,(2)增强的治疗联盟,(3)他们最喜欢的是什么,(4)传统的医疗保健系统,以及(5)定期日程的重要性。通过大量参与者报告的一个值得注意的思维效应是减少药物。参与者还引起了情绪,能源和幸福的变化,作为重要的好处。此外,他们表达了与常规医疗保健的广泛不满。保持定期治疗作为处理新投诉的一种方式,并鼓励更健康的生活方式在诊所的关注。结论:这种具有多重增强针灸的老年人队列作为减少药物的一种方法,以及维持身心健康的手段。此外,他们对诊所支持临床支持其作为个人健康总体的能力的强大信任,它们与传统医疗诊所的专业和非正式方法形成鲜明对比。

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