Hilbers Julieanne, Lewis Craig
Diversity Health, Prince of Wales Hospital, High St, Randwick, NSW 2031, Australia.
Collegian. 2013;20(1):51-60. doi: 10.1016/j.colegn.2012.03.004.
There is increasing use of complementary and alternative medicines (CAMs), particularly amongst patients with cancer. This paper aims to better understand the types of CAM people are using and explore the reasons for using these approaches. This paper will also identify what patients want from health professionals in relation to CAM and the actions and attitudes of health professionals towards CAM. Finally, this paper will discuss the potential implications for health services.
Two surveys were conducted, a self-administered survey was completed by oncology patients; and a second online survey completed by staff.
Patients used CAM as an adjunct to services they receive from conventional health services, not as an alternative. The positive and empowering role that complementary health practices play in people's lives was a common theme as was the need for CAM to be used with care. Survey responses by health care staff revealed mixed views of CAM. Most staff had positive views about CAM as a treatment adjunct and said they responded to patients accordingly. Only a minority expressed scepticism and were less inclined to support CAM use by their patients. Nevertheless, few staff instigated discussions around CAM.
This paper presents key considerations for health services wanting to better respond to CAM and adopt an integrated approach to health care.
补充和替代医学（CAMs）的使用日益增加，尤其是在癌症患者中。本文旨在更好地了解人们使用的补充和替代医学类型，并探讨使用这些方法的原因。本文还将确定患者在补充和替代医学方面希望从医疗专业人员那里得到什么，以及医疗专业人员对补充和替代医学的行动和态度。最后，本文将讨论对卫生服务的潜在影响。
进行了两项调查，一项是由肿瘤患者自行完成的自我管理调查；另一项是由工作人员完成的在线调查。
患者将补充和替代医学作为他们从传统卫生服务中获得的服务的辅助手段，而不是替代手段。补充健康实践在人们生活中所起的积极和赋予力量的作用是一个共同主题，同时也需要谨慎使用补充和替代医学。医护人员的调查回复显示了对补充和替代医学的不同看法。大多数工作人员对补充和替代医学作为治疗辅助手段持积极看法，并表示他们会相应地回应患者。只有少数人表示怀疑，不太倾向于支持患者使用补充和替代医学。然而，很少有工作人员发起关于补充和替代医学的讨论。
本文提出了卫生服务机构在希望更好地应对补充和替代医学并采用综合医疗保健方法时的关键考虑因素。
