Integrating family medicine and complementary medicine in cancer care: A cross-cultural perspective

Integrating family medicine and complementary medicine in cancer care: A cross-cultural perspective
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DOI:
10.1016/j.pec.2014.06.006
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发表时间:
2014-10-01
影响因子:
3.5
通讯作者:
Dagash, Jamal
Dagash, Jamal
中科院分区:
医学2区
文献类型:
--
作者:
Ben-Arye, Eran;Israely, Pesi;Dagash, Jamal

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在本文中,我们描述了一个27岁的阿拉伯女性患者接受姑息治疗的晚期乳腺癌谁是指补充医学(CM)的咨询在传统的肿瘤科的病例研究。我们探讨了三位家庭医生和一位中医师组成的综合中医师团队对患者健康的影响,特别是对缓解她虚弱的潮热和失眠的影响。通过比较在初始和随访评估会议上管理的埃德蒙顿症状评估量表(ESAS)和测量自己的关注和幸福感(MYCAW)问卷,也证实了这种生活质量的改善。总之,我们认为,在循证补充医学培训的家庭医生是以病人为中心的整体支持性护理的最佳集成商。在一个多学科的综合团队中纳入训练有素的中医从业人员可以提高生物-心理-社会-精神的角度,并提供额外的实用疗法,提高癌症患者的生活质量。(C)2014爱思唯尔爱尔兰有限公司版权所有。
In this paper, we describe the case study of a 27 year-old Arab female patient receiving palliative care for advanced breast cancer who was referred to complementary medicine (CM) consultation provided within a conventional oncology department. We explore the impact of the integrative CM practitioners' team of three family physicians and one Chinese medicine practitioner on the patient's well-being and specifically on the alleviation of her debilitating hot flashes and insomnia. This quality of life improvement is also affirmed by comparing the Edmonton Symptom Assessment Scale (ESAS) and Measure Yourself Concerns and Well-being (MYCAW) questionnaires administered at the initial and follow-up assessment sessions. In conclusion, we suggest that family physicians trained in evidence-based complementary medicine are optimal integrators of holistic patient-centered supportive care. The inclusion of trained CM practitioners in a multi-disciplinary integrative team may enhance the bio-psycho-social-spiritual perspective, and provide additional practical therapies that improve the quality of life of patients confronting cancer. (C) 2014 Elsevier Ireland Ltd. All rights reserved.