Use of Complementary and Alternative Medicine in Children with Cancer: A Study at a Swiss University Hospital
Use of Complementary and Alternative Medicine in Children with Cancer: A Study at a Swiss University Hospital
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DOI：
10.1371/journal.pone.0145787
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发表时间：
2015-12-22
期刊：
影响因子：
3.7
通讯作者：
Frei-Erb, Martin
中科院分区：
文献类型：
--
作者：
Magi, Tatjana;Kuehni, Claudia E.;Frei-Erb, Martin
虽然补充和替代医学（CAM）经常被患有癌症的儿童和青少年使用，但关于他们如何以及为什么使用它的信息很少。本研究调查了辅助辅助治疗的流行程度和方法，使用辅助辅助治疗的治疗师，支持和反对使用辅助辅助治疗的原因及其感知效果。父母感知的沟通也被评估。父母被问及医务人员是否向患者提供了CAM的信息，父母是否向医生报告了CAM的使用情况，以及他们认为医生对CAM的态度。研究设计回顾性调查2002-2011年间在伯尔尼大学儿童医院接受治疗的所有儿童癌症患者的CAM使用情况。结果收集133例患者的数据，有效率为52%。其中，53%的患者使用了CAM（主要是经典顺势疗法），25%的患者从医务人员那里获得了有关CAM的信息。那些最近被诊断出的人更有可能被告知CAM的选择。选择CAM最常见的原因是家长认为它会改善患者的整体状况。不使用CAM的最常见原因是缺乏信息。在那些使用CAM的人中，87%的人感觉到积极的效果。结论由于许多儿科肿瘤患者使用辅助治疗，患者的需求应通过家庭、肿瘤治疗专家和辅助治疗治疗师之间的公开沟通来解决，这将使家长能够在知情和安全的情况下选择是否使用辅助治疗。
BackgroundThough complementary and alternative medicine (CAM) are frequently used by children and adolescents with cancer, there is little information on how and why they use it. This study examined prevalence and methods of CAM, the therapists who applied it, reasons for and against using CAM and its perceived effectiveness. Parent-perceived communication was also evaluated. Parents were asked if medical staff provided information on CAM to patients, if parents reported use of CAM to physicians, and what attitude they thought physicians had toward CAM.Study DesignAll childhood cancer patients treated at the University Children's Hospital Bern between 2002-2011 were retrospectively surveyed about their use of CAM.ResultsData was collected from 133 patients (response rate: 52%). Of those, 53% had used CAM (mostly classical homeopathy) and 25% of patients received information about CAM from medical staff. Those diagnosed more recently were more likely to be informed about CAM options. The most frequent reason for choosing CAM was that parents thought it would improve the patient's general condition. The most frequent reason for not using CAM was lack of information. Of those who used CAM, 87% perceived positive effects.ConclusionsSince many pediatric oncology patients use CAM, patients' needs should be addressed by open communication between families, treating oncologists and CAM therapists, which will allow parents to make informed and safe choices about using CAM.