癌症患者对桑寄生疗法的内省性体验:定性研究。
The Introspective Patient Experience of Mistletoe Therapy in Cancer: A Qualitative Study.
发表日期:2023
作者:
Annika Mascher, Florian Pelzer, Lorna Jane Duncan, David Dominique Martin, Stephan Baumgartner, Bettina Berger
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
尽管冬凌草疗法对癌症患者的内省体验至关重要,但在科学上却鲜有研究。本研究通过记录接受冬凌草疗法的个体的主观体验,为以患者为中心的研究和治疗做出了贡献。在这项定性、探索性研究中,从瑞士阿尔斯海姆医院(瑞士阿尔斯海姆)招募了20名曾经患有不同癌症类型的门诊患者。所有患者连续接受皮下冬凌草疗法至少2年(中位数为7.5年)。通过每位患者进行2次半结构化、深度访谈来收集数据,并进行定性内容分析。将冬凌草疗法的个体体验与人类体验的6个预定义层面进行分析:身体、活力、情感、心理、精神和社会,并从资料中出现了另外3个被视为跨维度视角的方面:温暖、免疫强化和整体幸福感。数据分析发现,患者对冬凌草疗法的体验存在显著的异质性。一些特定方面的重要性显现出来,例如增强活力以应对日常生活、更大的情感和心理稳定性、温暖作为多维现象、通过冬凌草疗法产生的安全感和保护感、增强的自我意识和改善的自我护理,以及精神上的连结感。在这项研究之前,还没有显示癌症患者使用冬凌草疗法在不同层次上有不同的观察。这些结果可能导致更深入地理解接受冬凌草疗法的患者,使他们在接受冬凌草疗法和生活路径上能够得到更全面的支持。进一步研究冬凌草疗法对情感、心理和精神层面的影响是有必要的。
The introspective experience of cancer patients using mistletoe therapy has received little scientific interest, although it is crucial for a holistic understanding of this therapy. This study contributes to patient-centered research and treatment by documenting the subjective experiences of individuals undergoing mistletoe therapy.In this qualitative, explorative study, 20 outpatients with a history of various cancer types were recruited from Arlesheim Hospital (Arlesheim, Switzerland). All patients received subcutaneous mistletoe therapy for at least 2 years (median 7.5 years). Data was collected through 2 semi-structured, in-depth interviews per patient. Qualitative content analysis was applied to examine the data. The individual experience of mistletoe therapy was analyzed in relation to 6 predefined levels of human experience: physical, vital, emotional, mental, spiritual and social. In addition, 3 further aspects, considered as cross-dimensional perspectives, emerged out of the material: warmth, immune strengthening, and general wellbeing.Data analysis revealed considerable heterogeneity among patients' experiences with mistletoe therapy. The importance of specific aspects became apparent, such as increased vitality to manage daily life, greater emotional and mental stability, warmth as a multidimensional phenomenon, feelings of safety and protection through mistletoe therapy, heightened self-awareness and improved self-care, as well as sensations of spiritual connectedness.Prior to this study it had not been shown that cancer patients using mistletoe therapy do have observations on different levels of experience. These results may lead to a deeper understanding of patients receiving mistletoe therapy, enabling them to be supported in a more holistic way both during mistletoe treatment and on their life path. Further investigations into the effects of mistletoe therapy on the emotional, mental, and spiritual level are warranted.