Schwermer Melanie, Fetz Katharina, Ostermann Thomas, Truxius Louisa, Längler Alfred, Jan Zuzak Tycho
Department of Pediatrics, Gemeinschaftskrankenhaus Herdecke, Germany; Professorship for Integrative Pediatrics, Witten/Herdecke University, Faculty of Health, Germany.
Department of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Germany.
Complement Ther Med. 2024 Jun;82:103042. doi: 10.1016/j.ctim.2024.103042. Epub 2024 Apr 16.
Even though several German children's hospitals offer integrative, anthroposophic medical therapies in addition to the standard medical care, guidelines for these anthroposophic therapies are still rare. Therefore, we investigated the feasibility of implementing a published, consensus-based guideline for the treatment of children with acute gastroenteritis (aGE) with anthroposophic therapies in the community hospital Herdecke.
A prospective case series of paediatric patients (≤18 years) with an aGE admitted to the department of integrative paediatrics of the community hospital Herdecke was conducted. Demographic, clinical and therapeutic data was recorded at initial presentation and at follow-up visits. Physicians were surveyed with a questionnaire to evaluate feasibility of implementing the guideline.
Sixty-two patients (0-15 years; 22 male, 40 female) were included in the case series. All patients received some form of anthroposophic therapy. The most frequently used remedies were Geum urbanum, Nux vomica and Bolus alba comp. Treating physicians showed a high adherence to the expert-based consensus guideline in their prescribed therapies. All physicians stated that they were familiar with the guideline and used the recommendation to inform their therapy decision. Suitability for daily use and effectiveness in treating the main symptoms of aGE were highly scored by the physicians.
The consensus-based guideline of anthroposophic therapies for aGE in children was successfully implemented and found to be useful for physicians in clinical practice.
尽管德国几家儿童医院在提供标准医疗服务之外还提供综合的人智学医学疗法，但关于这些人智学疗法的指南仍然很少。因此，我们在黑德克社区医院调查了实施一项已发表的、基于共识的儿童急性胃肠炎（aGE）人智学疗法治疗指南的可行性。
对黑德克社区医院综合儿科收治的患有aGE的儿科患者（≤18岁）进行前瞻性病例系列研究。在初次就诊和随访时记录人口统计学、临床和治疗数据。通过问卷调查医生，以评估实施该指南的可行性。
62例患者（0 - 15岁；男22例，女40例）纳入病例系列。所有患者均接受了某种形式的人智学疗法。最常用的药物是直立委陵菜、马钱子和复方白陶土丸。治疗医生在其规定的治疗中对基于专家共识的指南表现出高度依从性。所有医生均表示他们熟悉该指南，并利用该推荐来指导其治疗决策。医生对该指南在日常使用中的适用性以及治疗aGE主要症状的有效性给予了高分。
基于共识的儿童aGE人智学疗法指南成功实施，且发现对临床实践中的医生有用。
