Hack C C, Voiß P, Lange S, Paul A E, Conrad S, Dobos G J, Beckmann M W, Kümmel S
Universitäts-Brustzentrum Franken, Frauenklinik, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Comprehensive Cancer Center Erlangen-EMN, Erlangen.
Klinik für Naturheilkunde und Integrative Medizin, Kliniken Essen Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Essen ; Brustzentrum, Kliniken Essen Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Essen.
Geburtshilfe Frauenheilkd. 2015 Jul;75(7):675-682. doi: 10.1055/s-0035-1557748.
With improved prognosis due to advances in the diagnosis and therapy of breast cancer, physicians and therapists now focus on aspects such as quality of life and the management of side effects from breast cancer treatment. Therapy- and disease-related side effects often reduce the patient's quality of life and can place a further burden on patients, with non-compliance or discontinuation of therapy a potential consequence. Study data have shown that therapy- and disease-related side effects can be reduced using the methods of integrative medicine. Reported benefits include improving patients' wellbeing and quality of life, reducing stress, and improving patients' mood, sleeping patterns and capacity to cope with disease. Examining the impact of integrative medicine on the side effects of cancer treatment would be beyond the scope of this review. This article therefore looks at short-term side effects of cancer treatment which are usually temporary and occur during or after local and systemic therapy. The focus is on mind-body medicine, acupuncture and classic naturopathic treatments developed by Sebastian Kneipp as complementary therapies. The latter includes hydrotherapy, phytotherapy, nutritional therapy, exercise therapy and a balanced lifestyle.
随着乳腺癌诊断和治疗的进展，预后得到改善，医生和治疗师现在关注生活质量和乳腺癌治疗副作用的管理等方面。与治疗和疾病相关的副作用常常会降低患者的生活质量，并可能给患者带来进一步的负担，导致治疗不依从或中断。研究数据表明，使用整合医学方法可以减少与治疗和疾病相关的副作用。报告的益处包括改善患者的幸福感和生活质量、减轻压力、改善患者的情绪、睡眠模式以及应对疾病的能力。审查整合医学对癌症治疗副作用的影响超出了本综述的范围。因此，本文着眼于癌症治疗的短期副作用，这些副作用通常是暂时的，发生在局部和全身治疗期间或之后。重点是身心医学、针灸以及由塞巴斯蒂安·克奈圃开发的经典自然疗法作为辅助疗法。后者包括水疗法、植物疗法、营养疗法、运动疗法和平衡的生活方式。
