德国医生对儿科肿瘤学补充医学的认知和看法:一项定性研究。

IF 1.2 4区 医学 Q4 HEMATOLOGY
Pia Klatt, Christin Kohrs, Barbara Stein, Markus Horneber, Daniela Reis, Jan Schildmann, Alfred Längler
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引用次数: 1

摘要

补充和替代医学(CAM)在儿童癌症患者中的使用具有很高的患病率。如果患者家长提出CAM的话题,儿科肿瘤学家(POs)在知识和专业行为方面面临相当大的挑战。在本研究中,我们通过半结构化访谈,根据定性主题分析的原则,对癌症儿童的父母进行分析,探讨德国POs对CAM的理解和相关态度,以及与CAM讨论相关的挑战和策略。我们可以在理论饱和之前进行14次访谈。访谈时间为15 ~ 82分钟(M = 30.8, SD = 18.2)。儿童肿瘤专业经验在0.5 ~ 26年之间(M = 13.8, SD = 7.6)。确定的主要主题是对CAM的异质理解和评价,部分受到个人经验和个人对合理性的看法的影响;认识到CAM讨论是支持父母及其子女的可能工具,并承认CAM讨论的实施存在局限性;面对CAM作为PO时对专业职责和任务的不确定性和不同看法。我们与来自(儿科)肿瘤学、心理学和伦理学的专家对研究结果进行了跨学科的解释,这表明有必要就解决儿科肿瘤学CAM的最低专业标准达成共识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
German physicians' perceptions and views on complementary medicine in pediatric oncology: a qualitative study.

Complementary and alternative medicine (CAM) use in children with cancer has a high prevalence. If (parents of) patients bring up the topic of CAM, pediatric oncologists (POs) face considerable challenges regarding knowledge and professional behavior. In this study, we explore German POs' understanding of CAM and related attitudes as well as challenges and strategies related to CAM discussions by means of semi-structured interviews analyzed according to principles of qualitative thematic analysis with parents of children with cancer. We could conduct 14 interviews prior to theoretical saturation. The interviews had a duration of 15-82 min (M = 30.8, SD = 18.2). Professional experience in pediatric oncology was between 0.5 and 26 years (M = 13.8, SD = 7.6). Main themes identified were a heterogeneous understanding and evaluation of CAM, partly influenced by personal experiences and individual views on plausibility; the perception that CAM discussions are a possible tool for supporting parents and their children and acknowledgement of limitations regarding implementation of CAM discussions; and uncertainty and different views regarding professional duties and tasks when being confronted with CAM as a PO. Our interdisciplinary interpretation of findings with experts from (pediatric) oncology, psychology, and ethics suggests that there is need for development of a consensus on the minimal professional standards regarding addressing CAM in pediatric oncology.

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来源期刊
CiteScore
2.60
自引率
5.90%
发文量
71
审稿时长
6-12 weeks
期刊介绍: PHO: Pediatric Hematology and Oncology covers all aspects of research and patient management within the area of blood disorders and malignant diseases of childhood. Our goal is to make PHO: Pediatric Hematology and Oncology the premier journal for the international community of clinicians and scientists who together aim to define optimal therapeutic strategies for children and young adults with cancer and blood disorders. The journal supports articles that address research in diverse clinical settings, exceptional case studies/series that add novel insights into pathogenesis and/or clinical care, and reviews highlighting discoveries and challenges emerging from consortia and conferences. Clinical studies as well as basic and translational research reports regarding cancer pathogenesis, genetics, molecular diagnostics, pharmacology, stem cells, molecular targeting, cellular and immune therapies and transplantation are of interest. Papers with a focus on supportive care, late effects and on related ethical, legal, psychological, social, cultural, or historical aspects of these fields are also appreciated. Reviews on important developments in the field are welcome. Articles from scientists and clinicians across the international community of Pediatric Hematology and Oncology are considered for publication. The journal is not dependent on or connected with any organization or society. All submissions undergo rigorous peer review prior to publication. Our Editorial Board includes experts in Pediatric Hematology and Oncology representing a wide range of academic and geographic diversity.
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