Stie Mette, Jensen Lars Henrik, Delmar Charlotte, Nørgaard Birgitte
Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark; Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark; Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Patient Educ Couns. 2020 Nov;103(11):2224-2234. doi: 10.1016/j.pec.2020.06.003. Epub 2020 Jun 9.
To systematically review evidence on the characteristics, experiences and impact of an open dialogue about complementary and alternative medicine (CAM) integrated in oncology care.
We searched MEDLINE, EMBASE, AMED, Scopus, ProQuest Dissertations and Thesis, Cochrane Central Register, clinicaltrials.gov, forskningsdatabase.dk and PROSPERO. Two reviewers screened title, abstract and full-text articles. Each study was appraised using the Critical Appraisal Skills Programme (CASP) and synthesized narratively. PROSPERO registration CRD42019112242.
We retrieved 4736 articles and included 5; 3 received 9 ½, 1 received 9, and 1 received 5 points on the CASP score. Predominately, the open dialogue was one or two individual, patient-centered, face-to-face consultations led by oncology physicians. In one study, it was a tele-phone consultation and in another it was structured counseling led by pharmacists. Integrated information and recommendations about CAM contributed to high level of satisfaction and improvement in concerns, quality of life and well-being.
Integration of open dialogue about CAM in oncology care including acknowledging patients' preferences, values, wishes and knowledge, and providing information about CAM expands the opportunities for improving patients' health, quality of life and well-being.
Open dialogue about CAM has potentials, but research on how it specifically helps patients, is needed.
系统评价关于肿瘤护理中整合的补充和替代医学（CAM）开放式对话的特征、经验及影响的证据。
我们检索了MEDLINE、EMBASE、AMED、Scopus、ProQuest学位论文数据库、Cochrane中央对照试验注册库、clinicaltrials.gov、forskningsdatabase.dk和PROSPERO。两名评审员筛选标题、摘要和全文文章。每项研究均使用批判性评价技能计划（CASP）进行评估，并进行叙述性综合分析。PROSPERO注册号为CRD42019112242。
我们检索到4736篇文章，纳入5篇；3篇在CASP评分中得9.5分，1篇得9分，1篇得5分。主要地，开放式对话是由肿瘤内科医生主导的一两次以患者为中心的面对面咨询。在一项研究中，是电话咨询，在另一项研究中，是由药剂师主导的结构化咨询。关于补充和替代医学的综合信息和建议有助于提高满意度，并改善担忧、生活质量和幸福感。
在肿瘤护理中整合关于补充和替代医学的开放式对话，包括承认患者的偏好、价值观、愿望和知识，并提供关于补充和替代医学的信息，扩大了改善患者健康、生活质量和幸福感的机会。
关于补充和替代医学的开放式对话具有潜力，但需要研究其如何具体帮助患者。
