Klinik für Innere Medizin II, Hämatologie und Onkologie, Universitätsklinikum Jena, Jena, Germany.
Klinik für Hämatologie und Medizinische Onkologie, Universitätsmedizin Göttingen, Göttingen, Germany;
In Vivo. 2022 Sep-Oct;36(5):2422-2433. doi: 10.21873/invivo.12976.
BACKGROUND/AIM: Abdominal discomfort during tumour therapy often leads to the use of phytotherapeutics from the field of folk medicine. What knowledge base do patients and young physicians have when they come across this phenomenon together?
We conducted an online survey of 157 medical students and, in consultation, 125 patients according to a standardised algorithm about their knowledge and use of a list of given medicinal plants for the above-mentioned symptomatology. We previously created the list of traditional German medicinal plants taking into account the symptoms of bloating, fullness, diarrhoea, constipation, and nausea. Both data pools are presented descriptively, compared using principal component analysis, and student knowledge was subjected to network analysis.
As a median, patients know 9 medicinal plants and use 4 species. Students know 10 medicinal plants and use 5 species. The rate of non-users is 13.6% among patients and 11.4% among students. The plants used by both groups are ginger and mint, whereas patients also use camomile and fennel. The nearly coincident knowledge profile speaks of a common knowledge base - folk medicine. Network analysis illustrated that students stored their knowledge in symptom clusters.
Patients with cancer and students are familiar with a similar canon of medicinal plants for the treatment of abdominal discomfort. Their common source is folk medicine. Targeted instructions on evidence-based phytotherapy are needed to improve students' existing symptom-cluster-related knowledge.
背景/目的：肿瘤治疗过程中的腹部不适常导致使用来自民间医学领域的植物疗法。当患者和年轻医生一起遇到这种情况时，他们会有什么知识基础？
我们根据标准化算法，对 157 名医学生和 125 名患者进行了一项在线调查，了解他们对上述症状的一系列给定药用植物的知识和使用情况。我们之前根据腹胀、饱胀、腹泻、便秘和恶心等症状，创建了传统德国药用植物的清单。这两个数据集均以描述性方式呈现，使用主成分分析进行比较，并对学生的知识进行网络分析。
中位数患者知道 9 种药用植物，使用 4 种。学生知道 10 种药用植物，使用 5 种。患者和学生的非使用者比例分别为 13.6%和 11.4%。两组都使用的植物是姜和薄荷，而患者还使用了洋甘菊和茴香。几乎一致的知识结构表明存在共同的知识基础，即民间医学。网络分析表明，学生将他们的知识储存在症状群中。
癌症患者和学生都熟悉用于治疗腹部不适的类似药用植物目录。他们的共同来源是民间医学。需要针对基于证据的植物疗法进行有针对性的指导，以提高学生现有的与症状群相关的知识。
