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瑞士儿科肿瘤学家对儿童癌症患者使用补充医学的看法:一项基于全国调查的横断面研究。

Pediatric oncologists' perspectives on the use of complementary medicine in pediatric cancer patients in Switzerland: A national survey-based cross-sectional study.

机构信息

Department of Pediatrics, Gynecology, and Obstetrics, Division of Pediatric Hematology and Oncology, University Hospital of Geneva, Geneva, Switzerland.

Cansearch Research platform for pediatric oncology and hematology, Faculty of Medicine, Department of Pediatrics, Gynecology and Obstetrics, University of Geneva, Geneva, Switzerland.

出版信息

Cancer Rep (Hoboken). 2023 Jan;6(1):e1649. doi: 10.1002/cnr2.1649. Epub 2022 Jun 14.

Abstract

BACKGROUND

There is a widespread use of complementary therapies among pediatric cancer patients. Previous studies provided evidence that communication between pediatric oncologists (POs) and patients/families about the use of these therapies is often incomplete. Furthermore, nationwide studies on this topic are rare.

AIMS

We assessed POs' perspectives on the use of complementary medicine (CM) in Switzerland, on the basis of an edited survey previously used in a nationwide study.

METHODS AND RESULTS

A link to an online survey was sent by e-mail to each of the fifty-two eligible pediatric oncologists in all nine Swiss Pediatric Oncology Group (SPOG) centers. Eligible respondents were board-certified (Switzerland or abroad) POs currently working at a SPOG center. The survey was available for a total period of 2 months. We received 29 filled questionnaires (overall response rate: 56%). Most POs (59%) indicated that they ask more than 50% of their patients about CM use. Frequent reasons for not asking about the use of CM were i) forgetting to ask (55%), ii) lack of knowledge on the subject (31%), and iii) lack of time (24%). More than every second PO (55%) reported having a lack of knowledge on the subject. A majority of POs (66% to 76%) indicated interest in learning more about specific CM topics (cannabinoids, hypnosis and relaxation, music therapy, herbal medicine, acupuncture, meditation, and yoga). More information and specific training opportunities on the use of CM was deemed important by 76% to 97% of POs.

CONCLUSION

POs working in Switzerland identify complementary therapies as an important subject. Swiss POs are willing to acquire more knowledge on CM. More training seems to be necessary in order to increase awareness about the topic, to enhance communication about complementary therapies and thus to improve patient care.

摘要

背景

在儿科癌症患者中,补充疗法的应用非常广泛。先前的研究表明,儿科肿瘤医生(POs)与患者/家属之间关于这些疗法使用的沟通往往不完整。此外,关于这个主题的全国性研究很少。

目的

我们评估了瑞士 POs 对补充医学(CM)使用的看法,这是基于之前在全国性研究中使用的编辑调查。

方法和结果

向所有九个瑞士儿科肿瘤学组(SPOG)中心的 52 名符合条件的儿科肿瘤学家发送了一封电子邮件链接,以邀请他们参加在线调查。符合条件的受访者是在 SPOG 中心工作的具有 board 认证(瑞士或国外)的 POs。调查总共有 2 个月的时间。我们收到了 29 份填写完整的问卷(总体回复率:56%)。大多数 POs(59%)表示他们会询问超过 50%的患者关于 CM 使用的情况。不询问 CM 使用情况的常见原因是 i)忘记询问(55%),ii)缺乏相关知识(31%),iii)缺乏时间(24%)。超过一半的 POs(55%)表示他们缺乏这方面的知识。大多数 POs(66%至 76%)表示有兴趣了解更多关于特定 CM 主题的信息(大麻素、催眠和放松、音乐疗法、草药、针灸、冥想和瑜伽)。76%至 97%的 POs 认为提供更多关于 CM 使用的信息和具体培训机会非常重要。

结论

在瑞士工作的 POs 将补充疗法视为一个重要的课题。瑞士的 POs 愿意获得更多关于 CM 的知识。为了提高对该主题的认识,加强关于补充疗法的沟通,从而改善患者的护理,似乎需要更多的培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/892f/9875643/a801af47ad5f/CNR2-6-e1649-g002.jpg

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