Nurs Sci Q. 1999 Apr; 12(2): 164-9.

Caring needs of patients with rheumatoid arthritis.

Nyman CS, Lützen K.

Karolinska Institute, Stockholm, Sweden.

The goal of this study was to identify, through the application of Watson's 10 carative factors, the caring needs specific to the human experience of having rheumatoid arthritis and undergoing acupuncture treatment. The study was conducted at a large university hospital in Stockholm, Sweden. Interviews were conducted during manual acupuncture treatment employing a conversation guide derived from Watson's theory of caring. Six women had 20 sessions each over an 11-week period. A thematic analysis of the resulting 120 audiotaped sessions revealed four predominant themes: seeking help, searching for meaning, uncertainty, and fear of being disappointed. These four phenomena captured the complexities of the physical, emotional, social, and existential experiences of the patients.