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在荷兰肿瘤学环境中关于补充医学的交流和信息:对患者和提供者的经验和需求进行访谈。

Communication and information about complementary medicine in a Dutch oncology setting: Interviewing patients and providers on their experiences and needs.

机构信息

Nivel, Netherlands Institute for Health Services Research, Department of Communication in Healthcare, Otterstraat 118, 3512 CR, Utrecht, the Netherlands; Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Geert Grooteplein Zuid 21, 6525 EZ, Nijmegen, the Netherlands.

Leiden University, Institute of Psychology, Health, Medical and Neuropsychology Unit, Wassenaarseweg 52, 2333 AK, Leiden, the Netherlands; Leiden University, Leiden Institute for Brain and Cognition, Wassenaarseweg 52, 2333 AK, Leiden, the Netherlands.

出版信息

Complement Ther Clin Pract. 2024 Nov;57:101916. doi: 10.1016/j.ctcp.2024.101916. Epub 2024 Oct 9.

Abstract

BACKGROUND

Complementary medicine such as yoga, massage and art therapy has become increasingly popular among patients with cancer. However, the topic remains under-discussed during oncology consultations: patients seem hesitant to disclose complementary medicine use, and healthcare providers lack resources to discuss complementary medicine. This study aims to gain an understanding of how to improve communication and information provision in oncological settings about complementary medicine by assessing the experiences and needs of patients and healthcare providers.

MATERIALS AND METHODS

Semi-structured interviews were conducted with 17 patients with cancer and 13 oncology healthcare providers recruited from two general hospitals and one breast cancer center in the Netherlands. Nine (former) patients with breast cancer collaborated with the research team as 'co-researchers'. Reflexive thematic analysis was used.

RESULTS

The main themes identified were barriers to patient-provider communication about complementary medicine (e.g. lack of time and knowledge among healthcare providers, negative attitudes toward complementary medicine), facilitators of communication (e.g. openness of healthcare providers, complementary medicine as a routine topic) and information provision needs (e.g. easy access to information, the hospital being involved in providing information).

CONCLUSION

Patients with cancer and healthcare providers report issues with the current approach to discussing complementary medicine and are of the opinion that complementary medicine should be a routine topic in oncology consultations. Future studies should focus on effective methods for standardizing complementary medicine discussions into oncology care and making reliable information available for patients and healthcare providers.

摘要

背景

瑜伽、按摩和艺术疗法等补充医学在癌症患者中越来越受欢迎。然而,在肿瘤学咨询中,这一话题仍未得到充分讨论:患者似乎不愿透露补充医学的使用情况,而医疗保健提供者缺乏讨论补充医学的资源。本研究旨在通过评估患者和医疗保健提供者的经验和需求,了解如何改善肿瘤学环境中关于补充医学的沟通和信息提供。

材料与方法

从荷兰的两家综合医院和一家乳腺癌中心招募了 17 名癌症患者和 13 名肿瘤学医疗保健提供者进行半结构化访谈。9 名(前)乳腺癌患者与研究团队合作担任“共同研究者”。使用反思性主题分析。

结果

确定的主要主题包括患者与提供者之间关于补充医学的沟通障碍(例如,提供者缺乏时间和知识,对补充医学的负面态度)、沟通的促进因素(例如,提供者的开放性,补充医学作为常规话题)和信息提供需求(例如,轻松获取信息,医院参与提供信息)。

结论

癌症患者和医疗保健提供者报告了目前讨论补充医学的方法存在问题,并认为补充医学应该成为肿瘤学咨询的常规话题。未来的研究应侧重于将补充医学讨论标准化为肿瘤学护理的有效方法,并为患者和医疗保健提供者提供可靠的信息。

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