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使用宣传册促进辅助替代医学与化疗相结合的患者教育。

The Use of a Brochure to Enable CAM-with-Chemotherapy Patient Education.

作者信息

Smith Peter J, Clavarino Alexandra M, Long Jeremy E, Steadman Kathryn J

机构信息

School of Pharmacy, The University of Queensland, Brisbane, Qld, 4072, Australia.

Sunshine Coast Cancer Care Services, Nambour General Hospital, Nambour, Qld, 4560, Australia.

出版信息

J Cancer Educ. 2017 Dec;32(4):814-819. doi: 10.1007/s13187-016-1011-8.

DOI:10.1007/s13187-016-1011-8
PMID:26932309
Abstract

The majority of cancer patients receiving chemotherapy will consider taking complementary and alternative medicine (CAM) during their treatment. As biologically-active CAM may detrimentally interfere with chemotherapy treatment, cancer patients require evidence-based information on chemotherapy-CAM integration consequences. This study aimed to assess if the availability of a purpose-designed brochure within a cancer service aided doctors' discussions with their patients on CAM use and helped patients understand the effects of CAM during their chemotherapy treatment. Cancer care doctors consulting in an adult day unit completed a structured post-intervention feedback survey form (n = 17), and cancer patients receiving chemotherapy treatment were provided the brochure and completed the local health service consumer testing feedback form (n = 30). All cancer care doctors perceived a need for the brochure and recommended the brochure to their patients. All doctors thought the brochure made it easier for them to discuss CAM with their patients, and 59 % believed that it saved them time during patient consultations. Ninety percent of cancer patients reported the brochure had enough information to answer their CAM questions, and all patients thought the information was easy to read and understand. An evidence-based CAM-with-chemotherapy patient brochure was perceived to have enabled cancer care doctors to discuss CAM with their patients and to have answered patients' CAM questions.

摘要

大多数接受化疗的癌症患者在治疗期间会考虑使用补充和替代医学(CAM)。由于具有生物活性的补充和替代医学可能会对化疗产生不利干扰,癌症患者需要基于证据的关于化疗与补充和替代医学结合后果的信息。本研究旨在评估癌症服务机构中一份专门设计的宣传册是否有助于医生与患者讨论补充和替代医学的使用情况,并帮助患者了解补充和替代医学在其化疗治疗期间的效果。在成人日间病房会诊的癌症护理医生填写了一份结构化的干预后反馈调查问卷(n = 17),接受化疗治疗的癌症患者收到了该宣传册并填写了当地卫生服务消费者测试反馈表(n = 30)。所有癌症护理医生都认为需要这份宣传册,并向患者推荐了该宣传册。所有医生都认为该宣传册使他们更容易与患者讨论补充和替代医学,59%的医生认为这节省了他们在患者咨询时的时间。90%的癌症患者报告说该宣传册有足够的信息来回答他们关于补充和替代医学的问题,所有患者都认为这些信息易于阅读和理解。一份基于证据的关于补充和替代医学与化疗的患者宣传册被认为使癌症护理医生能够与患者讨论补充和替代医学,并回答了患者关于补充和替代医学的问题。

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JAMA Oncol. 2015 Jun;1(3):350-8. doi: 10.1001/jamaoncol.2015.0388.
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Surveys of Cancer Patients and Cancer Health Care Providers Regarding Complementary Therapy Use, Communication, and Information Needs.关于补充疗法的使用、沟通及信息需求对癌症患者和癌症医疗服务提供者的调查。
Integr Cancer Ther. 2015 Nov;14(6):515-24. doi: 10.1177/1534735415589984. Epub 2015 Jun 11.
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Evaluation of a Patient CAM-with-Chemotherapy Educational Brochure.
患者 CAM 与化疗教育手册评估。
Evid Based Complement Alternat Med. 2015;2015:408430. doi: 10.1155/2015/408430. Epub 2015 Feb 23.
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National survey of US oncologists' knowledge, attitudes, and practice patterns regarding herb and supplement use by patients with cancer.关于癌症患者使用草药和补充剂的美国肿瘤学家知识、态度及实践模式的全国性调查。
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Why do some cancer patients receiving chemotherapy choose to take complementary and alternative medicines and what are the risks?为什么一些接受化疗的癌症患者会选择服用补充和替代药物,这些药物又有哪些风险?
Asia Pac J Clin Oncol. 2014 Mar;10(1):1-10. doi: 10.1111/ajco.12115. Epub 2013 Aug 5.
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Bone Marrow Transplant. 2013 Mar;48(3):461-2. doi: 10.1038/bmt.2012.153. Epub 2012 Aug 13.
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