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协调传统医学与中医药之间的沟通:以香港癌症患者为例的研究。

Navigating communication between conventional medicine and traditional Chinese medicine: a case study of cancer patients in Hong Kong.

作者信息

Pun Jack, Wong Wendy

机构信息

Department of English, City University of Hong Kong, Hong Kong, SAR, China.

School of Chinese Medicine, Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.

出版信息

Support Care Cancer. 2022 Jul;30(7):5729-5735. doi: 10.1007/s00520-022-06986-8. Epub 2022 Mar 24.

Abstract

BACKGROUND

Traditional Chinese medicine (TCM) is a growing phenomenon worldwide. Despite its historical role in Chinese society, however, few studies have explored the nature of communication among patients with cancer who receive TCM care in addition to conventional medicine. If TCM practitioners acquire adequate knowledge to understand the needs and communication issues for their patients with cancer, particularly those who are simultaneously receiving conventional medicine, this will lead to better quality of care and clinical outcomes, such as high patient satisfaction and treatment compliance.

OBJECTIVES

To fill this knowledge gap, this study explored the nature of communication among patients with cancer in Hong Kong who receive TCM treatment in addition to conventional medicine.

PARTICIPANTS

We conducted in-depth interviews with 20 patients, 5 oncologists and 5 TCM practitioners to elicit their views on TCM treatments.

METHOD

We adopted a qualitative approach using an interpretative phenomenological analysis.

RESULTS

Based on the themes that emerged from our interview transcripts, we outlined communication priorities when advising patients with cancer who are receiving both TCM and conventional medical care. We developed a framework to train TCM practitioners to better integrate their patients' conventional medical history when delivering patient care.

CONCLUSIONS

Our study findings inform communication priorities when caring for patients who opt for TCM care in addition to conventional treatments. In addition, they provide useful information for developing future clinical research studies to explore integrated approaches between TCM and conventional medicine in treating patients with cancer.

摘要

背景

中医在全球范围内正日益受到关注。尽管中医在中国社会有着悠久的历史,但很少有研究探讨除接受传统医学治疗外还接受中医治疗的癌症患者之间的沟通本质。如果中医从业者获得足够的知识来了解癌症患者的需求和沟通问题,尤其是那些同时接受传统医学治疗的患者,这将带来更高的护理质量和临床效果,如患者满意度高和治疗依从性好。

目的

为填补这一知识空白,本研究探讨了香港除接受传统医学治疗外还接受中医治疗的癌症患者之间的沟通本质。

参与者

我们对20名患者、5名肿瘤学家和5名中医从业者进行了深入访谈,以了解他们对中医治疗的看法。

方法

我们采用定性研究方法,运用解释现象学分析。

结果

基于访谈记录中出现的主题,我们概述了在为同时接受中医和传统医学治疗的癌症患者提供建议时的沟通重点。我们制定了一个框架,以培训中医从业者在提供患者护理时更好地整合患者的传统病史。

结论

我们的研究结果为护理除接受传统治疗外还选择中医治疗的患者时的沟通重点提供了参考。此外,它们为开展未来临床研究以探索中医与传统医学在治疗癌症患者方面的综合方法提供了有用信息。

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