How does traditional Chinese health hit and Chinese culture affect health and illness?
Traditional Chinese health beliefs adopt a holistic approach and emphasize the importance of environmental factors in increasing the risk of disease. According to Quah (1985), these factors influence the balance of body harmony, yin and yang. These are two opposing but complementary forces, and Qi (vital energy), together with the universe, and expound the relationship between people and their environment. Inequality of the two forces or balance of qi results in illness
In order to restore balance, conventional remedial exercises may be required. For example, the "hot" energy surplus can be offset by the cooling of herbal teas and vice versa. These beliefs are deeply rooted among the Chinese and remain unchanged after the Singapore migration.
Lee, et. al. (2004), chronic disease patients, namely, arthritis, bone marrow diseases and stroke, were more likely to use traditional Chinese medicine (TCM). This was definitely determined by the "chronic illness trio", the satisfaction satisfaction with the care and cultural beliefs.
Therefore, TCM use is not related to the quality of doctor-patient interaction. Astin (1998) also agrees that it is more compatible with the values of patients, their spiritual and religious philosophy, and the beliefs about the nature and significance of health and illness.
In traditional Chinese culture, medication treatment should be aversive, so medications will only be taken until the symptoms disappear and then stop; if the symptoms are unclear, drugs will probably never be done.
Apart from parental cultural beliefs, side effects of certain antibiotics such as stomach complaints may contribute to the adherence of medication to the poor. The overpayment of "residual", "split" antibiotics and antibiotics from overweight parents is commonplace in the community.
They think their children suffer the same diseases as similar symptoms. "residual" or "divided" antibiotics can be given to their children and can only be taken to a doctor if there is no improvement (Chang & Tang, 2006). This can lead to deterioration in conditions and may require further aggressive treatments that may have unnecessary side effects.
There are, however, small Chinese groups who are related to the "witch" or "wizard" maliciousness associated with bad health or misfortune with supernatural powers or divine retribution (Helman, 1994). These groups usually eliminate their religions.
In Singapore, the Ministry of Health has developed the Code of Ethics and Ethical Guidelines for TCM Professionals to prevent unscrupulous professionals from dying of their patients and exploiting their faith. For example, molesting ignorant patients
The degree of acculturation has been proven in the following case. We brought an old man to our hospital for a week, malaise, nausea and vomiting, and suddenly jaundice. It was found that there is obstructive weight in the liver. In the biopsy, hepatocellular carcinoma was detected. The serological test proposed chronic active hepatitis B. When the news broke away from her father's cancer, she asked her not to give it to her father.
When we were discussing issues such as hospice care and "do resuscitate" (DNR) commands, the boy tried to reconsider the discussion of other issues, for example, when his father could go home.
Cultural issues that may be affected by this situation:
Chinese tend to protect the elderly from bad news.
Consciousness in karma – Older people believe that illness or death / death is a bad luck. They think they're talking about something bad, it's gonna be real. The occurrence of liver cancer due to Hepatitis B is due to delayed treatment of the elderly, as it may take a long time to accept the initial diagnosis.
Astin JA. (1998). Why are Alternative Cures For Patients? J Am Med Assoc 1998; 279: 1548-1553. Chan, G.C. & Tang, S.F. (2006) Parenting attitudes and antibiotic use in acute upper respiratory tract infection in children participating in primary health care professionals. Singapore Medical Journal, 47 (4): 266
Helman, C.G. (1990) Culture, health and illness. Wright, London
Quah, S.R. (1985) Health Model and Preventive Health Behavior in Singapore. Social Science and Medicine, 21, 351-363.
Lee GBW, Charn TC, Chew ZH and Ng TP. (2004). An additional and alternative cure for patients with chronic illness with primary care is related to the perceived quality of nursing and cultural convictions. Family Practice, 21 (6): 654-660.
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