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儿童肿瘤学家在补充与整合医学方面的信息与培训需求:一项横断面研究

Information and Training Needs of Pediatric Oncologists in Complementary and Integrative Medicine: A Cross-Sectional Study.

作者信息

Reis Daniela, Güthlin Corina, Schildmann Jan, Zuzak Tycho J, Hilje Clara C, Längler Alfred

机构信息

Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Herdecke.

Institute for Integrative Medicine, Witten/Herdecke University, Witten.

出版信息

J Pediatr Hematol Oncol. 2019 Oct;41(7):551-556. doi: 10.1097/MPH.0000000000001578.

Abstract

More than one third of all German pediatric patients with cancer use complementary and integrative medicine (CIM). Parents want to discuss the topic of CIM with their pediatric oncologists (POs); however, POs mostly do not feel confident discussing these topics. POs report openness to receiving further information and training, but CIM training opportunities in medical education seem rare. We investigated POs' information and training needs and preference patterns regarding CIM training content with a paper-based or online survey. A total of 101 POs from Germany completed the survey. Only 11.4% agreed to being sufficiently informed of CIM. The participants stated needing further CIM information very often (8.6%), often (38.7%), or occasionally (44.1%). They considered an overview of CIM therapies and information about relaxation methods, herbal remedies, and acupuncture for cancer-related symptoms such as lack of appetite, nausea, or vomiting as most important in CIM training material, and also the topics of adverse effects and summary of evidence. Finally, POs reported on clinical situations in which a need for further information on CIM emerged. The results of our study indicate that there is a need for a structured training that offers knowledge and skills on the subject of patient counseling on CIM in pediatric oncology.

摘要

超过三分之一的德国癌症患儿使用补充和整合医学(CIM)。家长们希望与儿科肿瘤学家(POs)讨论CIM的话题;然而,POs大多对讨论这些话题缺乏信心。POs表示愿意接受更多信息和培训,但医学教育中的CIM培训机会似乎很少。我们通过纸质或在线调查,研究了POs关于CIM培训内容的信息、培训需求和偏好模式。共有来自德国的101名POs完成了调查。只有11.4%的人认为自己对CIM有足够的了解。参与者表示经常(8.6%)、时常(38.7%)或偶尔(44.1%)需要更多CIM信息。他们认为CIM培训材料中最重要的是CIM疗法概述以及关于缓解方法、草药疗法和针对食欲不振、恶心或呕吐等癌症相关症状的针灸疗法的信息,还有不良反应和证据总结等主题。最后,POs报告了出现需要进一步了解CIM信息的临床情况。我们的研究结果表明,需要进行结构化培训,提供儿科肿瘤学中关于CIM患者咨询主题的知识和技能。

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