A Qualitative Investigation of Factors Influencing the Integration of Complementary and Integrative Healthcare Recommendations in the Daily Lives of Patients with Cancer.
IF 2.9 3区 医学Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
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引用次数: 0
Abstract
Background: Many patients diagnosed with cancer use complementary and integrative healthcare (CIH) approaches to manage their cancer- and treatment-related symptoms and improve their well-being. Evidence suggests that counseling on CIH can improve health outcomes and decrease healthcare costs by increasing patient activation. This qualitative study explores the experiences of cancer patients who underwent interprofessional counseling on CIH to gain insights into how these patients were able to integrate recommended CIH measures into their daily lives while undergoing conventional cancer treatment.
Methods: Forty semi-structured interviews were conducted with cancer patients participating in the CCC-Integrativ study and its process evaluation. The interviews were audio-recorded, transcribed verbatim, and analyzed using content analysis following Kuckartz and Rädiker. A purposeful sampling strategy was used to achieve a balanced sample regarding gender, age, cancer diagnosis, and treatment approach.
Results: Most patients with cancer reported largely implementing the CIH recommendations. Participants acknowledged the efficacy of CIH recommendations in managing their symptoms. They felt strengthened and empowered to actively take part in their healthcare decisions. However, the patients encountered obstacles in incorporating the recommended CIH applications into their daily routines. These challenges encompassed the effort required for treatment application (e.g., baths, compresses), limitations imposed by the cancer disease (e.g., fatigue, pain), difficulties acquiring necessary materials, associated costs, and lack of infrastructure for CIH. Facilitators of CIH implementation included the availability of easily manageable CIH measures (e.g., herbal teas), informative materials on their application, distribution of samples, family support, and a high level of self-efficacy. The patient-centered approach and strong patient-provider partnership within the counseling context were perceived as empowering. Participants expressed a desire for a consistent point of contact to address their CIH concerns.
Conclusions: The findings underscore the benefits of CIH counseling for cancer patients' symptom management and overall well-being. Healthcare professionals providing CIH counseling to patients with cancer may recognize the barriers identified to better support their patients in the regular use of CIH.
背景:许多确诊癌症的患者使用补充和综合医疗保健(CIH)方法来控制与癌症和治疗相关的症状,并改善他们的健康状况。有证据表明,CIH 咨询可提高患者的积极性,从而改善健康状况并降低医疗成本。本定性研究探讨了接受跨专业 CIH 咨询的癌症患者的经历,以深入了解这些患者在接受常规癌症治疗的同时如何将建议的 CIH 措施融入日常生活:对参与 CCC-Integrativ 研究及其过程评估的癌症患者进行了 40 次半结构式访谈。对访谈进行了录音、逐字记录,并按照 Kuckartz 和 Rädiker 的方法进行了内容分析。采用了有目的的抽样策略,以实现样本在性别、年龄、癌症诊断和治疗方法方面的平衡:结果:大多数癌症患者表示基本执行了 CIH 建议。参与者认可 CIH 建议在控制症状方面的功效。他们感到自己的力量得到了加强,有能力积极参与医疗决策。然而,患者在将建议的 CIH 应用融入日常生活时遇到了障碍。这些障碍包括:应用治疗方法(如沐浴、热敷)所需的努力、癌症疾病带来的限制(如疲劳、疼痛)、难以获得必要的材料、相关费用以及缺乏 CIH 基础设施。促进 CIH 实施的因素包括易于管理的 CIH 措施(如草药茶)的可用性、有关其应用的信息资料、样本的分发、家庭支持以及高度的自我效能感。在咨询过程中,以患者为中心的方法和患者与医护人员之间牢固的伙伴关系被认为是一种能力。参与者表示希望有一个统一的联络点来解决他们在 CIH 方面的问题:研究结果强调了CIH咨询对癌症患者症状控制和整体健康的益处。为癌症患者提供 CIH 咨询的医护人员可以认识到所发现的障碍,以便更好地支持患者定期使用 CIH。
期刊介绍:
ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.