Background 

Studies evaluating the use of meditative practices for supporting symptom management among patients undergoing cancer treatment have increased substantially in recent years. Although meditative practices as adjuncts to promoting health have become mainstream, concerns that such strategies conflict with traditional religious tenets have co-occurred. In the context of a 12-week sequential multiple assignment randomized trial of home-based meditative practices and reflexology delivered to patients with cancer by or with family caregivers to manage symptoms, early attrition was identified in the meditative practices arm.

Objective 

Finding religious concerns were factors contributing to attrition; the purpose is to describe adjustments to the training protocol for study recruiters and interveners when enrolling participants and teaching patient-caregiver dyads meditative practices.

Methods 

The training protocol for recruiters and interveners was adapted to address religious concerns related to meditative practices.

Results 

Since initiation, recruiters and interveners have appreciated the adapted protocol, which has improved their capacity to respond to religious concerns. Participants have responded well to consideration of the practices as mindful movements coordinated with breath.

Conclusions 

Given broader application of meditation in symptom management studies, researchers will need to be ready to address religious concerns. It is essential that protocols for introducing meditation are broadly presented to respond to concerns of patients and cancer caregivers regarding perceived conflicts with their specific religious beliefs.

Implications for Practice 

As the provision of integrative care options that include meditation training for patients grows, nurses require awareness of potential barriers and strategies to ameliorate religious concerns.

中文翻译：

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让患者参与涉及冥想的研究：宗教问题和护理启示

背景 

近年来，评估冥想练习在接受癌症治疗的患者中支持症状管理的研究大幅增加。虽然冥想练习作为促进健康的辅助手段已成为主流，但人们担心这种策略与传统宗教信条相冲突。在为期 12 周的连续多任务随机试验的背景下，由家庭护理人员或与家庭护理人员一起向癌症患者提供以家庭为基础的冥想练习和反射疗法以控制症状，在冥想练习组中发现了早期损耗。

客观的 

发现宗教问题是导致人员流失的因素；目的是描述在招募参与者和教授患者-护理人员 dyads 冥想练习时对研究招募人员和干预人员培训方案的调整。

方法 

招聘人员和干预人员的培训方案经过调整，以解决与冥想练习相关的宗教问题。

结果 

自启动以来，招聘人员和干预人员对经过调整的协议表示赞赏，这提高了他们回应宗教问题的能力。参与者对将练习视为与呼吸协调的正念运动反应良好。

结论 

鉴于冥想在症状管理研究中的更广泛应用，研究人员需要准备好解决宗教问题。必须广泛介绍引入冥想的方案，以回应患者和癌症护理人员对感知到的与他们特定宗教信仰的冲突的担忧。

实践意义 

随着包括对患者进行冥想训练在内的综合护理选择的提供，护士需要了解潜在的障碍和策略，以改善宗教问题。