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评价专家指导的综合治疗方案在接受系统治疗的乳腺癌或妇科癌症患者中的应用。

Evaluation of an Expert Guided Integrative Therapy Concept in Patients With Breast or Gynecological Cancer During Systemic Therapy.

机构信息

Department of Gynecology and Obstetrics, Klinikum rechts der Isar and Comprehensive Cancer Center (CCCTUM), TU Munich, Germany.

出版信息

J Evid Based Integr Med. 2020 Jan-Dec;25:2515690X20949444. doi: 10.1177/2515690X20949444.

DOI:10.1177/2515690X20949444
PMID:32808558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7436788/
Abstract

PURPOSE

Breast and gynecological cancer patients undergoing systemic therapy frequently request integrative therapy concepts. The potential of integrative therapy (IM) lies in minimizing side effects of conventional cancer treatments and therefore decreasing treatment delays. IM can help to improve patients' physical and emotional well-being, optimizing health and quality of life as IM involves patients in their own treatment. A counseling service for integrative medicine concepts as an outpatient program was implemented in our cancer center in 2013.

METHODS

In 2016 and 2017 144 breast and gynecological cancer patients were included into our specific IM program. The program comprises biological based complementary and alternative medicines (BB-CAM), a structured exercise therapy, manipulative and body-based practices, nutritional counseling, psycho-oncological and relaxing therapies. Therapists with additional specialization for IM, guide the treatment units. The program was evaluated via self-administered questionnaire.

RESULTS

78% of the participating patients noticed an improvement by using BB-CAMs. 86% stated to feel better through participation in the structured exercise program. 74% profited from nutritional counseling and 91% from manual therapy. 93% of the patients treated with body compresses considered the application as soothing. The Bio-Frequency Sound Color Bed led to a relaxation in 96%. Psychological therapy improved coping with the disease in 70% of the patients.

CONCLUSION

Integrative oncology combines the best practices of conventional and complementary therapy, uniting them in a holistic concept. Data show that our integrative therapy concept is well accepted by the patients and that therapy- and disease-related side effects can be reduced.

摘要

目的

接受全身治疗的乳腺癌和妇科癌症患者经常会寻求整体治疗理念。整体治疗(IM)的潜力在于最大限度地减少常规癌症治疗的副作用,从而减少治疗延误。IM 可以帮助改善患者的身体和情绪健康,优化健康和生活质量,因为 IM 让患者参与自己的治疗。我们的癌症中心于 2013 年实施了门诊项目的整体医学咨询服务。

方法

2016 年和 2017 年,共有 144 名乳腺癌和妇科癌症患者被纳入我们的特定 IM 项目。该项目包括基于生物学的补充和替代药物(BB-CAM)、结构化运动疗法、手法和基于身体的实践、营养咨询、心理肿瘤学和放松疗法。具有 IM 额外专业知识的治疗师指导治疗单位。该方案通过自我管理问卷进行评估。

结果

78%的参与患者注意到使用 BB-CAMs 有改善。86%的患者通过参加结构化运动计划感觉更好。74%的患者从营养咨询中受益,91%的患者从手法治疗中受益。93%接受身体压缩治疗的患者认为应用是舒缓的。96%的患者认为使用生物频率声色彩床可以放松。心理治疗改善了 70%患者对疾病的应对能力。

结论

肿瘤整合医学将常规治疗和补充治疗的最佳实践相结合,将它们整合在一个整体的概念中。数据表明,我们的整体治疗理念深受患者欢迎,可以减少治疗和疾病相关的副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/05e52057b975/10.1177_2515690X20949444-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/be77a0830621/10.1177_2515690X20949444-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/ac0c7d1c7bdb/10.1177_2515690X20949444-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/279f63b89f39/10.1177_2515690X20949444-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/05e52057b975/10.1177_2515690X20949444-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/be77a0830621/10.1177_2515690X20949444-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/ac0c7d1c7bdb/10.1177_2515690X20949444-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/279f63b89f39/10.1177_2515690X20949444-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e2b/7436788/05e52057b975/10.1177_2515690X20949444-fig4.jpg

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本文引用的文献

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The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management.澳大利亚运动与运动科学学会立场声明:癌症管理中的运动医学。
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BMC Complement Altern Med. 2018 Sep 24;18(1):259. doi: 10.1186/s12906-018-2325-3.
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