荷兰肿瘤环境中有关补充医学的交流和信息：就患者和医疗服务提供者的经验和需求进行访谈

IF 2.2 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary Therapies in Clinical Practice Pub Date : 2024-10-09 DOI:10.1016/j.ctcp.2024.101916

Marit Mentink , Liesbeth van Vliet , Martine Busch , Anja Timmer-Bonte , Janneke Noordman , Sandra van Dulmen

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引用次数: 0

摘要

背景和目的：瑜伽、按摩和艺术疗法等辅助医疗在癌症患者中越来越受欢迎。然而，在肿瘤科会诊过程中，这一话题仍未得到充分讨论：患者似乎不愿透露使用辅助药物的情况，而医疗服务提供者也缺乏讨论辅助药物的资源。本研究旨在通过评估患者和医疗服务提供者的经验和需求，了解如何在肿瘤科环境中改善有关补充医学的沟通和信息提供。材料与方法对来自荷兰两家综合医院和一家乳腺癌中心的 17 名癌症患者和 13 名肿瘤科医疗服务提供者进行了半结构式访谈。九名（前）乳腺癌患者作为 "共同研究者 "与研究小组合作。研究采用了反思性主题分析法。结果确定的主要主题有：患者与医疗服务提供者就补充医学进行交流的障碍（如医疗服务提供者缺乏时间和知识、对补充医学的消极态度）、交流的促进因素（如医疗服务提供者的开放性、补充医学是一个常规话题）和信息提供需求（如信息获取的便利性、补充医学的实用性）。结论癌症患者和医疗服务提供者对目前讨论补充医学的方法提出了质疑，并认为补充医学应成为肿瘤咨询的常规话题。未来的研究应重点关注将补充医学讨论标准化纳入肿瘤治疗的有效方法，并为患者和医疗服务提供者提供可靠的信息。

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Communication and information about complementary medicine in a Dutch oncology setting: interviewing patients and providers on their experiences and needs

Background

and Purpose: Complementary medicine such as yoga, massage and art therapy has become increasingly popular among patients with cancer. However, the topic remains under-discussed during oncology consultations: patients seem hesitant to disclose complementary medicine use, and healthcare providers lack resources to discuss complementary medicine. This study aims to gain an understanding of how to improve communication and information provision in oncological settings about complementary medicine by assessing the experiences and needs of patients and healthcare providers.

Materials and Methods

Semi-structured interviews were conducted with 17 patients with cancer and 13 oncology healthcare providers recruited from two general hospitals and one breast cancer center in the Netherlands. Nine (former) patients with breast cancer collaborated with the research team as ‘co-researchers’. Reflexive thematic analysis was used.

Results

The main themes identified were barriers to patient-provider communication about complementary medicine (e.g. lack of time and knowledge among healthcare providers, negative attitudes toward complementary medicine), facilitators of communication (e.g. openness of healthcare providers, complementary medicine as a routine topic) and information provision needs (e.g. easy access to information, the hospital being involved in providing information).

Conclusion

Patients with cancer and healthcare providers report issues with the current approach to discussing complementary medicine and are of the opinion that complementary medicine should be a routine topic in oncology consultations. Future studies should focus on effective methods for standardizing complementary medicine discussions into oncology care and making reliable information available for patients and healthcare providers.

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来源期刊

Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

6.30

自引率

6.70%

发文量

157

审稿时长

40 days

期刊介绍： Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.