Klafke Nadja, Bossert Jasmin, Boltenhagen Ursula, Froehlich Daniela, Mahler Cornelia, Joos Stefanie, Wensing Michel
Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Patient Educ Couns. 2024 Oct;127:108352. doi: 10.1016/j.pec.2024.108352. Epub 2024 Jun 16.
Counseling plays a key role in promoting health behaviors, providing evidence-based information, and supporting patients with cancer during and after treatment. This study aimed to evaluate an interprofessional counseling service on Complementary and Integrative Health (CIH) for patients being treated at Comprehensive Cancer Centers (CCCs) in Southern Germany.
Patients participating in the CCC-Integrativ study received three CIH counseling sessions within three months in addition to their conventional cancer treatment. Medical and nursing staff participated in a study-specific blended learning training program before conducting the counseling. As part of the process evaluation, 30 audio-recorded counseling sessions were transcribed verbatim and analyzed by conducting a content analysis using MAXQDA 2020.
Throughout the counseling, patients were conceded to address various health issues, which mainly revolved around symptom management interlaced with the areas of nutrition, exercise, and relaxation. The interprofessional teams conducted the counseling in a structured and patient-oriented manner. They worked together to motivate the patients to apply procedures from the CIH field independently, even if patients sometimes experienced difficulties in implementation.
Interprofessional collaboration improved healthcare quality, as patients received comprehensive and evidence-based advice on their supportive needs and lifestyle issues. Both professions could equally contribute their areas of knowledge and expertise and apply them to the benefit of the patients.
Providing an integrative counseling service and adequate training on interpersonal communication and CIH for healthcare professionals will improve patient-centered care.
咨询在促进健康行为、提供循证信息以及在癌症治疗期间和治疗后为癌症患者提供支持方面发挥着关键作用。本研究旨在评估为德国南部综合癌症中心（CCC）正在接受治疗的患者提供的补充与整合健康（CIH）跨专业咨询服务。
参与CCC-整合研究的患者在接受常规癌症治疗的同时，在三个月内接受了三次CIH咨询服务。医护人员在进行咨询之前参加了一项针对该研究的混合式学习培训项目。作为过程评估的一部分，对30次咨询会话的录音进行逐字转录，并使用MAXQDA 2020进行内容分析。
在整个咨询过程中，患者被允许讨论各种健康问题，这些问题主要围绕与营养、运动和放松领域交织在一起的症状管理。跨专业团队以结构化且以患者为导向的方式进行咨询。他们共同努力激励患者独立应用CIH领域的方法，即使患者有时在实施过程中遇到困难。
跨专业协作提高了医疗质量，因为患者在其支持性需求和生活方式问题上获得了全面且循证的建议。两个专业都能平等地贡献其知识和专业领域，并将其应用于患者的利益。
为医疗专业人员提供综合咨询服务以及关于人际沟通和CIH的充分培训将改善以患者为中心的护理。
