Health beliefs, treatment preferences and complementary and alternative medicine for asthma, smoking and lung cancer self-management in diverse Black communities.
Health beliefs, treatment preferences and complementary and alternative medicine for asthma, smoking and lung cancer self-management in diverse Black communities.
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不同黑人社区中哮喘、吸烟和肺癌自我管理的健康信念、治疗偏好以及补充和替代医学。
DOI：
10.1016/j.pec.2012.05.003
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发表时间：
2012
影响因子：
3.5
通讯作者：
George,Maureen
中科院分区：
文献类型：
--
作者：
George,Maureen
本文献综述的目的是描述非常规的健康信念和补充和替代医学（CAM）的哮喘，吸烟和肺癌，那些可能是安全的，那些可能会增加风险，在不同的黑人社区。这些研究结果应该提供动力，为增强患者提供沟通，elaborate患者的信念和自我管理的喜好，使他们可以容纳，或在必要时，通过讨论和partnerships.METHODS调和原始研究文章相关的这一主题进行了文献检索PubMed Plus，PsychINFO和SCOPUS数据库使用以下检索词的组合：哮喘、肺癌、肺气肿、慢性阻塞性肺病（COPD）、吸烟、信仰、补充医学、替代医学、补充和替代医学（CAM）、解释模型、非裔美国人和黑人。总的来说，他们提供的证据表明，患者对哮喘和肺癌的起源以及吸烟的健康风险持有非传统的信念，对标准的医疗和手术治疗持否定态度，并对使用CAM持赞成态度。除了少数CAM和健康行为被认为是安全的。CONCLUSION当患者的非常规信念和偏好没有被识别和讨论，有一个增加的风险，标准的方法来自我管理肺部疾病将是次优的，可能会使用潜在危险的CAM实践，及时的医疗干预可能会延迟。实践含义提供者需要有效的沟通技巧，因为医疗对话是患者了解疾病和自我管理选择的基础。这种讨论的首选终点应该是围绕一个有效、安全和双方都能接受的综合治疗计划达成一致。
OBJECTIVEThe purpose of this literature review is to characterize unconventional health beliefs and complementary and alternative medicine (CAM) for asthma, smoking and lung cancer as those that are likely safe and those that likely increase risk in diverse Black communities. These findings should provide the impetus for enhanced patient–provider communication that elicits patients’ beliefs and self-management preferences so that they may be accommodated, or when necessary, reconciled through discussion and partnership.METHODSOriginal research articles relevant to this topic were obtained by conducting a literature search of the PubMed Plus, PsychINFO and SCOPUS databases using combinations of the following search terms: asthma, lung cancer, emphysema, chronic obstructive pulmonary disease (COPD), smoking, beliefs, complementary medicine, alternative medicine, complementary and alternative medicine (CAM), explanatory models, African American, and Black.RESULTSUsing predetermined inclusion and exclusion criteria, 51 original research papers were retained. Taken together, they provide evidence that patients hold unconventional beliefs about the origins of asthma and lung cancer and the health risks of smoking, have negative opinions of standard medical and surgical treatments, and have favorable attitudes about using CAM. All but a small number of CAM and health behaviors were considered safe.CONCLUSIONWhen patients’ unconventional beliefs and preferences are not identified and discussed, there is an increased risk that standard approaches to self-management of lung disease will be sub-optimal, that potentially dangerous CAM practices might be used and that timely medical interventions may be delayed.PRACTICE IMPLICATIONSProviders need effective communication skills as the medical dialog forms the basis of patients’ understanding of disease and self-management options. The preferred endpoint of such discussions should be agreement around an integrated treatment plan that is effective, safe and acceptable to both.
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