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Communication and information needs about complementary and alternative medicine: a qualitative study of parents of children with cancer

机译:关于互补和替代医学的沟通和信息需求:癌症儿童父母的定性研究

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Many parents choose support such as Complementary and Alternative Medicine (CAM) for themselves and their children who have cancer. The aim of this paper is to describe, how parents who have children with cancer communicated with conventional health care providers about CAM, and what types and sources of information they would like to receive about CAM when the child was ill. This focused ethnography draws from in-depth, semi-structured interviews conducted with 22 families in Norway with 24 adult participants (two couples), including two individuals who had had cancer themselves. Four domains were explored in the data analysis: the use of CAM, advice from laypeople about CAM, communication with conventional health care providers about CAM, and parents’ information needs about CAM. Many of the participants had personal experiences with CAM before the child received the cancer diagnosis. The health care providers did not raise the question about CAM in the consultations. However, when the parents raised the question, they were mostly met in a positive way. The participants did not receive any information about CAM at the hospital, which they would have appreciated. Instead, they received recommendations about CAM from laypersons, which were mostly rejected, as the advice was not in line with their health values/philosophy. The reason participants did not disclose CAM use is that physicians did not ask them about it. However, positive communication about conventional treatment facilitated fruitful conversations about CAM. The participants wanted information about CAM from authoritative sources, primary from health care providers at the hospital and the Children’s Cancer Society. They demand information about risks and benefits when using CAM as well as whether CAM can improve the immune system, fight the cancer, and improve the quality of life of the family. An evidence-based decision aid is warranted to enable health care providers and parents of children with cancer to make well-informed decisions about CAM.
机译:许多父母选择支持,例如互补和替代医学(Cam),以及他们的癌症的孩子。本文的目的是描述,让患有癌症的父母与传统医疗保健提供者有关CAM的父母,以及当孩子生病时,他们想收到关于CAM的类型和信息来源。这种聚焦的民族志从挪威的22个家庭进行了深入的,半结构化访谈,有24名成年参与者(两对夫妇),其中包括两个患有癌症的人自己。在数据分析中探讨了四个域名:使用CAM,来自Laypeople关于CAM的建议,与传统医疗保健提供者沟通凸轮,父母的信息需要关于CAM的需求。在儿童接受癌症诊断之前,许多参与者对CAM有个人经历。医疗保健提供者在磋商中没有提出有关CAM的问题。然而,当父母提出了这个问题时,他们主要以积极的方式达到。与会者没有收到关于医院的任何关于CAM的信息,他们将得到欣赏。相反,他们收到了关于从拉德斯的凸轮的建议,这主要被拒绝,因为建议不符合他们的健康价值/哲学。参与者没有透露凸轮使用的原因是医生没有问过他们。然而,关于传统治疗的积极沟通促进了关于CAM的丰富的对话。参与者希望从权威来源,从医院和儿童癌症协会的医疗保健提供者中获奖的凸轮信息。他们在使用CAM时要求有关风险和益处的信息,以及CAM是否可以改善免疫系统,抗击癌症,提高家庭的生活质量。有权证据基于循证决策援助,以使患有癌症的医疗保健提供者和父母进行关于CAM的知情决策。

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