Verhoef M J, White M A, Doll R
Department of Community Health Sciences, University of Calgary, Alta.
Cancer Prev Control. 1999 Jun;3(3):181-7.
To explore cancer patients' experiences with and expectations of the role of family physicians in communication about complementary therapies.
Focus group interviews.
British Columbia Cancer Agency and the University of Calgary.
Sample of 14 cancer patients using complementary therapies comprising 3 focus groups (2 in BC and 1 in Alberta).
The role of family physicians in discussing complementary therapies varied from being extraneous to patients' decision making to being a partner in making decisions about cancer treatments. Patients expected their physicians to be supportive, caring, kind and to show an interest in them. They also expected their physicians to be accepting and nonjudgmental regarding complementary therapy use and to reinforce a sense of hope. Most patients did not expect their doctors to have extensive knowledge about these therapies. All patients strongly felt the need to seek information themselves. In addition, they felt that believing in the type of therapies they were using was very important.
Family physicians can play an important role in exploring and discussing complementary therapies with their patients. It is important that they are made aware of their patients' needs in this area.
探讨癌症患者在与家庭医生交流补充疗法时的经历及对家庭医生角色的期望。
焦点小组访谈。
不列颠哥伦比亚癌症机构和卡尔加里大学。
14名使用补充疗法的癌症患者样本,组成3个焦点小组(2个在不列颠哥伦比亚省,1个在艾伯塔省)。
家庭医生在讨论补充疗法时的角色差异很大,从与患者决策无关到成为癌症治疗决策的合作伙伴。患者期望他们的医生给予支持、关心、友善并表现出对他们的兴趣。他们还期望医生接受并对使用补充疗法不做评判,并强化希望感。大多数患者并不期望他们的医生对这些疗法有广泛的了解。所有患者都强烈感到有必要自己去寻求信息。此外,他们觉得相信自己所使用的疗法类型非常重要。
家庭医生在与患者探索和讨论补充疗法方面可以发挥重要作用。让他们了解患者在这方面的需求很重要。