Consensus-based guideline for the supportive anthroposophic therapies to treat children with pseudocroup (stenosing laryngotracheitis)

IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
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Abstract

Purpose

Supportive anthroposophic therapies are used to treat children with pseudocroup by pediatricians in outpatient and inpatient settings. Anthroposophic treatment comprises forms of creative therapies, external applications as well as remedies, which production is based on the knowledge of the human being, nature and substances. A scientifically based guideline for these therapies is lacking. Due to insufficient study situation, we developed a consensus-based guideline to make therapy decisions more transparent and facilitate clinical routine.

Methods

An online Delphi process with 67 anthroposophic pediatricians was conducted. Recommendations were accepted when reaching more than 75 % of expert agreement; otherwise, recommendations were revised and assessed by the experts once again.

Results

Recommendations for general interventions and for anthroposophic remedies (Bryonia/Spongia comp.; Larynx/Apis comp.) as well as for external applications (embrocation with lavender oil) were developed. Recommendations have a consensus of 96.4 % or more.

Conclusion

The consensus-based guideline provides practical recommendations for the supportive anthroposophic therapies for pseudocroup. The implementation and practicability of this guideline has to be investigated.

治疗儿童假性喉炎(狭窄性喉气管炎)的人类学辅助疗法共识指南。
目的:儿科医生在门诊和住院环境中使用人类学辅助疗法来治疗患有假性惊厥的儿童。人智疗法包括各种形式的创造性疗法、外用药和药方,其产生基于对人类、自然和物质的认识。这些疗法缺乏以科学为基础的指导方针。由于研究情况不充分,我们制定了一个基于共识的指南,以使治疗决策更加透明,并促进临床常规工作:方法:我们与 67 位人类学儿科医生进行了在线德尔菲程序。如果专家意见达成一致的比例超过 75%,则建议被接受;否则,建议将被修订并再次接受专家评估:结果:针对一般干预、人类疗法(白藓皮/蛇床子合剂;喉/芒硝合剂)以及外用疗法(薰衣草油熏蒸)提出了建议。结论:基于共识的指南为假性克罗恩病的人类学支持疗法提供了实用建议。该指南的实施和实用性还有待研究。
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来源期刊
Complementary therapies in medicine
Complementary therapies in medicine 医学-全科医学与补充医学
CiteScore
8.60
自引率
2.80%
发文量
101
审稿时长
112 days
期刊介绍: Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.
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