Bolderston Amanda, Mitchell Fiona, Cowan Bonnie, Mawson Christie
Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario.
Radiation Therapy Department, Vancouver Cancer Centre, Vancouver, British Columbia.
J Med Imaging Radiat Sci. 2008 Sep;39(3):128-134. doi: 10.1016/j.jmir.2008.07.004. Epub 2008 Sep 7.
Complementary and alternative medicine (CAM) is increasingly popular among patients receiving radiation therapy. However, there is little empirical evidence relating to the interactions of radiation therapists and their patients regarding the use of CAM during treatment. The study objectives were to quantify how often the issue of CAM use arises in the therapists' daily practice, to explore radiation therapists' knowledge and attitudes about CAM use by their patients, and to identify areas for future education and development for therapists. This article describes a two-centre survey conducted at the Vancouver Cancer Centre in British Columbia and Princess Margaret Hospital in Ontario. The survey used an email survey instrument, "SurveyMonkey," which was emailed to all therapists working at both centres (n = 230). The survey had a 5-point Likert scale ranging from "strongly disagree" to "strongly agree." There were also associated open-ended questions to allow for individual comments. The total response rate from the two centres was 49%. Results indicated that the topic of CAM does arise, although the frequency of interaction between patient and therapist varies between centres. Therapists reported feeling comfortable with their knowledge of 3 from a list of 27 common CAM therapies. They would recommend/support their patients' use of 11 CAM therapies in total. Therapists and patients use a variety of information sources about CAM, but would welcome more information/education in this area. Overall, therapists felt that the radiation oncologist was the most appropriate person to discuss the use of CAM with patients. Radiation therapists need more information about CAM in the form of continuing education to meet the needs of their patients. Further research is warranted, as this is a very preliminary look at a large and somewhat controversial topic.
补充与替代医学（CAM）在接受放射治疗的患者中越来越受欢迎。然而，关于放射治疗师与患者在治疗期间使用补充与替代医学方面的相互作用，几乎没有实证证据。本研究的目的是量化在治疗师的日常实践中补充与替代医学使用问题出现的频率，探讨放射治疗师对患者使用补充与替代医学的知识和态度，并确定治疗师未来教育和发展的领域。本文描述了在不列颠哥伦比亚省的温哥华癌症中心和安大略省的玛格丽特公主医院进行的一项双中心调查。该调查使用了电子邮件调查工具“SurveyMonkey”，并将其发送给在两个中心工作的所有治疗师（n = 230）。该调查采用从“强烈不同意”到“强烈同意”的5点李克特量表。还有相关的开放式问题以允许个人发表评论。两个中心的总回复率为49%。结果表明，补充与替代医学的话题确实会出现，尽管患者与治疗师之间互动的频率在不同中心有所不同。治疗师报告说，他们对27种常见补充与替代医学疗法清单中的3种疗法的知识感到满意。他们总共会推荐/支持患者使用11种补充与替代医学疗法。治疗师和患者使用各种关于补充与替代医学的信息来源，但欢迎在该领域获得更多信息/教育。总体而言，治疗师认为放射肿瘤学家是与患者讨论补充与替代医学使用的最合适人选。放射治疗师需要以继续教育的形式获取更多关于补充与替代医学的信息，以满足患者的需求。由于这只是对一个庞大且颇具争议的话题的非常初步的研究，因此有必要进行进一步的研究。
