The traditional Chinese health beliefs adopt a holistic view, emphasizing the importance of environmental factors in increasing disease risk. According to Quah [1985], these factors influence the harmony of the body, the balance of yin and yang. These are two opposing but complementary forces that, together with qi [life energy], control the universe and explain the relationship between people and the environment. These imbalances in strength or gas cause disease.
In order to restore balance, traditional remedies may be required. For example, excessive "hot" energy can be offset by cooling herbal tea, and vice versa. These beliefs are deeply rooted in the Chinese and are found to be irrelevant after immigration to Singapore.
Li, wait. people. [2004], patients with specific chronic diseases, sometimes arthritis, musculoskeletal disorders and strokes were more likely to use Chinese medicine [TCM]. This is severely determined by the "chronic triple disease", which is perceived as a satisfaction with nursing and cultural health beliefs.
The TCM used here has nothing to do with the quality of the patient interaction. Astin [1998] also agreed that it is considered to be more compatible with patients. Values, spiritual and religious philosophy, or beliefs about the nature and meaning of health and disease.
In traditional Chinese culture, taking drugs is considered aversive, so drugs can only be taken after the symptoms have subsided; if the symptoms are not obvious, they may never take the drug.
In addition to the cultural beliefs of parents, minor side effects of certain antibiotics [such as stomach upset] may result in poor drug compliance. Using "remaining", "sharing" antibiotics and parental over-the-counter purchases of antibiotics is a common occurrence in the community.
They think their children have the same disease and are judged from similar symptoms, so they will give the child "residual" or "shared" antibiotics and bring them to the doctor only if there is no improvement [ Chang&Tang, 2006]]]. This may cause their condition to worsen and may require aggressive treatment later, which may have unwanted side effects.
However, there is also a small group of Chinese who blame their health or misfortunes on supernatural forces, or sacred retribution, or blame the witch's malice. Or is the wizard ' [Helman, 1994]. These groups usually seek treatment from their religion.
In Singapore, the Ministry of Health has drafted a Chinese medicine practitioner. Code of ethics and ethics to prevent any unethical practitioner from preying on their patients and using their beliefs, for example, to harass ignorant patients.
The degree of cultural adaptation is demonstrated in the following cases. An old man was admitted to our hospital with a week-long discomfort, nausea, vomiting and sudden jaundice. He was diagnosed with an obstructive mass in the liver.
Biopsy shows hepatocellular carcinoma. Serological tests show chronic active hepatitis B. When there was news that his son had his father suffering from cancer, he asked not to disclose this to his father.
When we talked about life-end issues such as hotel care and the "Don't Rescue" [DNR] order, the son tried to shift the discussion to other issues, such as when his father came home.
The cultural issues that may be involved in this case include:
Chinese tend to protect the elderly from bad news.
Believe in karma - Older people think that discussing illness or death/death is bad luck. They think that talking about bad things will make it come true.
Due to delayed treatment in the elderly, the incidence of liver cancer caused by hepatitis B is increased because they may take a long time to receive a preliminary diagnosis.
Reference:
Astin JA. [1998]. Why patients use alternative medicine. J Am Med Assoc 1998; 279: 1548-1553.
Chan, GC & Tang, SF [2006] Parental knowledge, attitudes and antibiotic use in children with acute upper respiratory infections at primary care clinics in Malaysia. Singapore Medical Journal, 47[4]: 266
Helman, CG [1990] Culture, Health and Disease. Wright, London.
Quah, SR [1985] Health Belief Model and Singapore's Preventive Health Behavior. Social Science and Medicine, 21, 351-363.
Lee GBW, Charn TC, Chew ZH and Ng TP. [year 2004]. Supplemental and alternative medical uses of chronically ill patients in primary care are associated with perceived quality of care and cultural beliefs. Family Practice, 21[6]: 654-660.
Orignal From: How do traditional Chinese health beliefs and Chinese culture affect health and disease?
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