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癌症患者对补充和综合医疗保健的跨专业咨询服务的看法的定性分析。

A Qualitative Analysis of Cancer Patients' Perceptions of an Interprofessional Counseling Service on Complementary and Integrative Healthcare.

机构信息

Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.

Department of Nursing Science, University Hospital Tuebingen, Tuebingen, Germany.

出版信息

Qual Health Res. 2024 Oct;34(12):1132-1146. doi: 10.1177/10497323241231530. Epub 2024 Mar 5.


DOI:10.1177/10497323241231530
PMID:38441438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528944/
Abstract

Medical guidelines recommend actively addressing patients' information needs regarding complementary and integrative healthcare (CIH). Within the CCC-Integrativ study, an interprofessional counseling program on CIH was developed and implemented at four comprehensive cancer centers (CCCs) in Germany. As part of the process evaluation, this study examines cancer patients' experiences with interprofessional CIH counseling sessions conducted by a physician and a nurse. Forty problem-centered interviews were conducted using a semi-structured interview guide. All interviews were audio-recorded, transcribed verbatim, and analyzed using deductive-inductive content analysis based on Kuckartz and Rädiker's approach. Findings revealed that most participants had prior experience with CIH approaches and were burdened by physiological and psychological symptoms. Counseling sessions focused on cancer- and treatment-related symptoms and appropriate CIH recommendations (e.g., herbal poultice against anxieties and acupressure against nausea). Participants appreciated the mutual exchange and integration of perspectives from different healthcare professions within the interprofessional approach. They noted that the counseling team comprehensively addressed their healthcare and CIH information needs. Suggestions for improvement included the specificity of the CIH recommendations. As the participants only received counseling and no CIH treatments, information about reputable CIH providers was particularly important to many seeking advice. Patients with cancer receiving tailored CIH counseling from two healthcare professionals experienced benefits in CIH counseling for symptom management. The interprofessional teams offered a comprehensive perspective on patients' needs, proposing personalized recommendations for symptom control. These insights may foster collaboration between healthcare professionals interested in CIH counseling, enabling them to expand and consolidate their counseling services.

摘要

医学指南建议积极满足患者对补充和综合医疗保健(CIH)的信息需求。在 CCC-Integrativ 研究中,在德国的四个综合癌症中心(CCCs)开发并实施了一项关于 CIH 的跨专业咨询计划。作为过程评估的一部分,本研究考察了癌症患者对由医生和护士进行的跨专业 CIH 咨询会议的体验。使用半结构化访谈指南进行了 40 次以问题为中心的访谈。所有访谈均进行了录音、逐字转录,并根据 Kuckartz 和 Rädiker 的方法使用演绎归纳内容分析进行了分析。研究结果表明,大多数参与者之前都有过 CIH 方法的经验,并且受到生理和心理症状的困扰。咨询会议重点关注癌症和治疗相关的症状以及适当的 CIH 建议(例如,针对焦虑的草药贴剂和针对恶心的穴位按压)。参与者欣赏不同医疗保健专业之间的相互交流和观点融合。他们指出,咨询团队全面满足了他们的医疗保健和 CIH 信息需求。改进的建议包括 CIH 建议的具体性。由于参与者仅接受咨询而不接受 CIH 治疗,因此许多寻求建议的人特别需要有关信誉良好的 CIH 提供者的信息。接受来自两名医疗保健专业人员量身定制的 CIH 咨询的癌症患者在 CIH 咨询中受益于症状管理。跨专业团队提供了对患者需求的全面视角,提出了个性化的症状控制建议。这些见解可以促进对 CIH 咨询感兴趣的医疗保健专业人员之间的合作,使他们能够扩展和巩固他们的咨询服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d417/11528944/2edc1155539c/10.1177_10497323241231530-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d417/11528944/2edc1155539c/10.1177_10497323241231530-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d417/11528944/2edc1155539c/10.1177_10497323241231530-fig1.jpg

相似文献

[1]
A Qualitative Analysis of Cancer Patients' Perceptions of an Interprofessional Counseling Service on Complementary and Integrative Healthcare.

Qual Health Res. 2024-10

[2]
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[3]
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[4]
Enhancing patient activation: a controlled implementation study of an interprofessional evidence-based counseling program for complementary and integrative healthcare in cancer patients ('CCC-Integrativ').

Front Med. 2024-12

[5]
Interprofessional evidence-based counselling programme for complementary and integrative healthcare in patients with cancer: study protocol for the controlled implementation study CCC-Integrativ.

BMJ Open. 2022-2-11

[6]
Protocol for the process evaluation of a counselling intervention designed to educate cancer patients on complementary and integrative health care and promote interprofessional collaboration in this area (the CCC-Integrativ study).

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[7]
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[9]
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[10]
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引用本文的文献

[1]
Response to "A critical perspective on patient activation through integrative healthcare counselling in oncology", based on the "CCC-Integrativ" study.

Front Med. 2025-7-5

[2]
A Qualitative Investigation of Factors Influencing the Integration of Complementary and Integrative Healthcare Recommendations in the Daily Lives of Patients with Cancer.

Integr Cancer Ther. 2024

本文引用的文献

[1]
Experiences of interaction between people with cancer and their healthcare professionals: A systematic review and meta-synthesis of qualitative studies.

Eur J Oncol Nurs. 2022-10

[2]
Interprofessional collaboration in the breast cancer unit: how do healthcare workers see it?

BMC Womens Health. 2022-6-13

[3]
Protocol for the process evaluation of a counselling intervention designed to educate cancer patients on complementary and integrative health care and promote interprofessional collaboration in this area (the CCC-Integrativ study).

PLoS One. 2022

[4]
A practical guide to reflexivity in qualitative research: AMEE Guide No. 149.

Med Teach. 2022-4-7

[5]
Cancer-related fatigue in patients treated with mistletoe extracts: a systematic review and meta-analysis.

Support Care Cancer. 2022-8

[6]
Interprofessional evidence-based counselling programme for complementary and integrative healthcare in patients with cancer: study protocol for the controlled implementation study CCC-Integrativ.

BMJ Open. 2022-2-11

[7]
A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance.

BMJ. 2021-9-30

[8]
Effectiveness of Complementary Therapies in Cancer Patients: A Systematic Review.

Int J Environ Res Public Health. 2021-1-24

[9]
Open dialogue about complementary and alternative medicine (CAM) integrated in conventional oncology care, characteristics and impact. A systematic review.

Patient Educ Couns. 2020-11

[10]
Training oncology physicians to advise their patients on complementary and integrative medicine: An implementation study for a manual-guided consultation.

Cancer. 2020-7-1

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