Erlangen University Hospital, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Hospital Bayreuth GmbH, Bayreuth, Germany.
Integr Cancer Ther. 2021 Jan-Dec;20:1534735421990108. doi: 10.1177/1534735421990108.
Increasing numbers of breast cancer survivors have led to a growing demand for integrative medicine. When patients have completed treatments associated with severe side effects, attention turns to reducing psychological symptoms, coping behavior, and self-care. The aim of this study was to assess patient-reported benefits in relation to active participation, mind-body stabilization, and coping strategies in breast cancer patients receiving integrative medicine.
In a cross-sectional study, health counseling and treatment provided by a standardized integrative medicine consultancy service at the University Breast Center of Franconia were evaluated in 75 breast cancer patients over a 15-month period. At the baseline, the patients answered a questionnaire on their medical history, symptoms, and the treatment goals they were hoping to achieve with integrative medicine. Patient-reported outcomes relative to active participation, mind-body stabilization, and coping strategies were analyzed.
A large majority of the patients had previous experience with integrative medicine (91%). Most reported that they achieved their treatment goals with integrative medicine. Ninety-one percent achieved active participation in cancer treatment, 90% mind-body stabilization, and 79% improvement in coping strategies. Besides active participation, which was greatest in patients with stable disease, the success of integrative therapy was independent of age, concomitant diseases, previous integrative medicine experience, treatment state, and systemic cancer therapy.
Breast cancer patients benefit from the counseling and treatment provided with integrative medicine in mind-body stabilization and coping with cancer. Active participation in cancer treatment is important for the patients. Integrative treatment services should form part of routine patient care.
越来越多的乳腺癌幸存者导致对整体医学的需求不断增长。当患者完成与严重副作用相关的治疗后，注意力转向减轻心理症状、应对行为和自我护理。本研究旨在评估接受整体医学治疗的乳腺癌患者在积极参与、身心稳定和应对策略方面的患者报告获益。
在一项横断面研究中，对弗兰科尼亚大学乳腺中心的标准化整体医学咨询服务提供的健康咨询和治疗进行了评估，共纳入了 75 名乳腺癌患者，为期 15 个月。在基线时，患者回答了一份关于他们的病史、症状以及他们希望通过整体医学实现的治疗目标的问卷。分析了与积极参与、身心稳定和应对策略相关的患者报告结果。
绝大多数患者之前有过整体医学治疗的经验（91%）。大多数患者报告说他们通过整体医学实现了治疗目标。91%的患者实现了癌症治疗的积极参与，90%的患者实现了身心稳定，79%的患者改善了应对策略。除了在疾病稳定的患者中最为显著的积极参与外，整体治疗的效果独立于年龄、合并症、先前的整体医学治疗经验、治疗状态和全身癌症治疗。
乳腺癌患者从整体医学的咨询和治疗中受益于身心稳定和应对癌症，积极参与癌症治疗对患者很重要。整体治疗服务应成为常规患者护理的一部分。
