- 期刊
腹膜透析病患採用民俗醫療行為的分析研究
The Analysis of the Folk Medicine Utilization Behavior in Peritoneal Dialysis Patients
摘要
臨床上發現病患採用民俗療法和西醫醫療並存的現象屢見不鮮。本研究的目的為了解腹膜透析病患在接受完整西醫治療下同時採用民俗療法的情形、目的及家庭給予的支持。以半結構式問卷，開放性問題，用面談方式收集二十七位接受連續性可動性腹膜透析病患在診斷為末期腎病後，接受腹膜透析前復採用儀式、飲食及運動的經驗。本研究發現所有的個案都曾嘗試將民俗療法與透析合併使用，且不改變其透析次數或透析量。採用宗教儀式有24位(88.9%)，飲食有15位(55.6%)，運動有23位(85.2%)。他們採用民俗療法的主要用意並非使腎臟病得以痊癒，而是能保持現有的身體狀況不至於更壞。個案對採用後的主觀身心效用無任何負向的陳述，且視民俗療法為有益無害。家中的配偶及父母是他們執行的主要支持者，其方式是與病患共同或是協助進行民俗療法。 本研究之結論為民俗療法在不影響西醫醫療過程的情況下依然相當普遍地為腹膜透析病患所採用，姑且不論各式各樣的民俗療法是否都具有可証實之療效，然其對病患心靈所產生的撫慰力量卻是不容忽視的。
並列摘要
The purposes of this present study were to understand the purposes, perceived effectiveness, and social support from various folk caring activities practiced by peritoneal dialysis patients concomitantly with western medical care. Twenty-seven renal failure patients were interviewed through a semi-structured questionnaire about their experiences of practicing different religions, diet, and exercise activities after they were diagnosed with end-stage-renal disease, and before and after they received continuous ambulatory peritoneal dialysis (CAPD) treatment. Results showed that all these patients had practiced different folk caring activities before or after receiving CAPD; however, the amount of dialysate and number of daily CAPD were not affected. About 90% of these subjects had utilized folk religion, 56% utilized folk dietetics, and 85%utilized breathing and exercise techniques not for curing their renal disease but to prevent further deterioration of their illness. All folk healing activities were perceived either as being effective or of not being physically or mentally harmful to their body and mind conditions. Spouses and parents were major supports who either helped patients or were directly involved in conducting folk healing activities. It is very common for patients with chronic illness to use folk caring and curing activities in combination with western medical treatment. Although the medical effects of folk caring and curing activities on diseases is still unknown, its influence on the mind and spirit for people living with chronic illness can't be ignored.
延伸閱讀
- 黃惠紅、王曼蒂、邱政元（2008）。腹膜透析患者生活品質及其相關因素之探討。榮總護理，25(4)，306-314。https://doi.org/10.6142/VGHN.25.4.306
- 翁淑滿（2009）。以顧客導向探討腹膜透析衛教服務品質。臺灣腎臟護理學會雜誌，8(1)，28-42。https://www.airitilibrary.com/Article/Detail?DocID=17267404-200906-200907060051-200907060051-28-42
- 林淑華、林姵妘、毛瑛茹（2015）。改善衛教模式提昇腹膜透析治療新病人比率。臺灣腎臟護理學會雜誌，14(1)，33-50。https://doi.org/10.3966/172674042015031401003
- 葛慕慈、黎思源（2019）。腹膜透析病患關於降低心血管疾病風險之治療研究。臨床醫學月刊，83(5)，300-308。https://doi.org/10.6666/ClinMed.201905_83(5).0050
- 吳麗惠、林淑卿、吳麗敏、王佳慧（2022）。Using Multiple Strategies to Reduce the Incidence of Peritonitis on Peritoneal Dialysis。臺灣腎臟護理學會雜誌，21(1)，13-29。https://doi.org/10.53106/123412342022112101002