Development and Validation of a Standardized Questionnaire and Standardized Diary for Use in Integrative Medicine Consultations in Gynecologic Oncology

Development and Validation of a Standardized Questionnaire and Standardized Diary for Use in Integrative Medicine Consultations in Gynecologic Oncology
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DOI:
10.1055/s-0035-1545850
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发表时间:
2015-04-01
影响因子:
2.7
通讯作者:
Beckmann, M. W.
Beckmann, M. W.
中科院分区:
医学4区
文献类型:
--
作者:
Hack, C. C.;Huettner, N. B. M.;Beckmann, M. W.

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前言:补充和替代医学(CAM)在诊断中的使用没有标准化,而且非常不同。目前关于中西医结合会诊的标准和专门针对CAM的验证性随访问卷还很少。本研究的目的是制定一套综合医学会诊的标准、一份可作为医疗决策依据的患者问卷和一份评估综合治疗过程的日记。患者和方法:自2013年6月至2014年9月,在额兰根大学医院妇产科制定并实施了标准化的妇科肿瘤综合医学会诊。制定了会诊的标准操作程序;制定了必要的工具并进行了验证。结果:患者对中西医结合问卷和中西医结合日记完成时间、可理解性、复杂性和功能性的总体评价是积极的。患者评价标准化的中西医结合会诊总体概念及其工具是适用的。结论:我们团队是首批制定、验证和发布中西医结合会诊标准程序的研究小组之一。今后,额兰根大学医院妇产科综合医学程序的标准操作程序可以在其他医院和认证的乳腺癌中心和妇科癌症中心推广。这将为患者提供最大的安全性和标准化的综合医学护理质量。
Introduction: Use of complementary and alternative medicine (CAM) in diagnoses is not standardized and is very heterogeneous. There are few published standards on integrative medicine consultations or CAM-specific validated follow-up questionnaires. The aim of this study was to develop a standard for integrative medicine consultations, a patient questionnaire which could be used as a basis for medical decisions, and a diary to evaluate the course of the integrative therapy.Patients and Methods: Between June 2013 and September 2014 a standardized integrative medicine consultation in gynecologic oncology was developed and implemented at the Department of Gynecology and Obstetrics of Erlangen University Hospital. A standard operating procedure for consultations was developed; the necessary instruments were developed and validated.Results: Overall patient assessment of the integrative medicine questionnaire and the integrative medicine diary with regard to the time required for completion, comprehensibility, complexity and functionality was positive. Patients evaluated the standardized overall concept of the integrative medicine consultation and its instruments as suitable.Conclusion: Our team is one of the first study groups to develop, validate and publish a standard procedure for integrative medicine consultations. In future, the standard operating procedure for integrative medicine procedures of the Department of Gynecology and Obstetrics of Erlangen University Hospital could be introduced in other hospitals and certified breast cancer centers and gynecologic cancer centers. This would offer patients maximum security and a standardized quality of care in integrative medicine.