Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Germany; Professorship for Integrative Pediatrics, Institute for Integrative Medicine, Witten/Herdecke University, Germany.
Department of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Germany.
Complement Ther Med. 2019 Aug;45:289-294. doi: 10.1016/j.ctim.2019.04.001. Epub 2019 Apr 22.
Acute gastroenteritis is one of the major causes of hospital admission in childhood. The primary objective of the treatment is rehydration, but conventional drug therapies are limited. Therefore, several pediatricians supplement conventional treatment with complementary and alternative therapies. In the two German departments for pediatric integrative medicine, children suffering from an acute gastroenteritis are treated with supportive therapy based on anthroposophic medicine. However, up to now scientifically validated guidelines for these therapies are lacking.
We consulted an expert pool of 50 physicians with expertise in anthroposophic medicine as well as pediatrics and invited them to participate in an online-based Delphi process. Results were analyzed by means of qualitative content analysis with two independent raters using MAXQDA. Using four rounds of questioning, a consensus-based guideline was developed.
A strong consensus (>90%) or consensus (>75-90%) was achieved for 14 of 16 subsections. The guideline describes disease characteristics, the most useful diagnostics, drug as well as non-drug treatment recommendations and advises for a good physician-patient interaction.
The guideline will help clinicians, as well as family doctors, in their daily routine and make anthroposophic medicine more tangible for parents and health insurance companies.
急性肠胃炎是导致儿童住院的主要原因之一。治疗的主要目标是补液，但传统的药物治疗有限。因此，一些儿科医生在常规治疗的基础上补充补充和替代疗法。在德国两家儿科综合医学系，接受急性肠胃炎治疗的儿童接受基于人智学的支持性治疗。然而，到目前为止，这些疗法缺乏经过科学验证的指南。
我们咨询了 50 名具有人智学医学专业知识以及儿科专业知识的专家小组，并邀请他们参加基于在线的 Delphi 流程。使用 MAXQDA 通过两位独立评估员对结果进行定性内容分析。通过四轮提问，制定了基于共识的指南。
在 16 个小节中有 14 个小节达成了强烈共识（>90%）或共识（>75-90%）。该指南描述了疾病特征、最有用的诊断方法、药物和非药物治疗建议以及良好医患互动的建议。
该指南将帮助临床医生和家庭医生在日常工作中，使顺势疗法对家长和医疗保险公司更具吸引力。
