نتائج البحث - "Integrative medicine."

1

Traditional, complementary and integrative medicine use among Indigenous peoples with diabetes in Australia, Canada, New Zealand and the United States

المؤلفون: Sheleigh Lawler, Gail Garvey, Alana Gall, Tamara L. Butler

المصدر: Australian and New Zealand Journal of Public Health, Vol 45, Iss 6, Pp 664-671 (2021)

الوصف: Objective: This systematic review aimed to describe traditional, complementary and integrative medicine (TCIM) use among Indigenous peoples with diabetes from Australia, Canada, New Zealand and the United States (US). Methods: A systematic search following the PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) statement guidelines was conducted. Data were analysed using meta‐aggregation. Results: Thirteen journal articles from 12 studies across Australia, Canada and the US were included in the review (no articles from New Zealand were identified). Indigenous peoples used various types of TCIM alongside conventional treatment for diabetes, particularly when conventional treatment did not meet Indigenous peoples’ holistic understandings of wellness. TCIM provided opportunities to practice important cultural and spiritual activities. While TCIM was often viewed as an effective treatment through bringing balance to the body, definitions of treatments that comprise safe and effective TCIM use were lacking in the articles. Conclusions: The concurrent use of TCIM and conventional treatments is common among Indigenous peoples with diabetes, but clear definitions of safe and effective TCIM use are lacking. Implications for public health: Healthcare providers should support Indigenous peoples to safely and effectively treat diabetes with TCIM alongside conventional treatment.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::506625c526ee6adfe4c3b2b5982455a6
https://doi.org/10.1111/1753-6405.13120

View record at Wiley

Find this article in full text from ProQuest

Full Text via ClinicalKey

2

A case-based approach to integrative medicine for cardiovascular disease prevention

المؤلفون: Anjali Bhagra, Tejinder K. Khalsa, Brody D. Slostad, Kathleen A Young, Hildalicia Guerra

المصدر: Journal of Integrative Medicine. 18:159-162

الوصف: Cardiovascular disease is commonly encountered in the adult population and has large impacts on morbidity and mortality. The ever-expanding evidence base for the use of integrative medicine in cardiology necessitates providers caring for patients with cardiovascular disease to be familiar with these therapies. However, providers may find it difficult to adequately discuss these therapies in an average office visit. Through a case-based, question-and-answer approach, the authors review some clinically relevant and helpful research that addresses the incorporation of integrative medicine in cardiovascular disease prevention.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3758306a9a549d1579fa45db06ea08fa
https://doi.org/10.1016/j.joim.2019.12.001

View record from ScienceDirect

3

Parents’ experiences of an inpatient pediatric integrative medicine service for symptom management

المؤلفون: Sarah Wildgen, Maria Mayan, Salima Punja, Sunita Vohra, Tatjana Alvadj, Hsing Jou

المصدر: EXPLORE. 15:415-418

مصطلحات موضوعية: Adult, Complementary Therapies, Male, Parents, Conventional medicine, medicine.medical_specialty, Nausea, Cardiology, Pain, Context (language use), Anxiety, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Pain Management, 030212 general & internal medicine, Qualitative Research, General Nursing, Service (business), Integrative Medicine, 030504 nursing, business.industry, Symptom management, Infant, Complementary and alternative medicine, Child, Preschool, Family medicine, Postoperative Nausea and Vomiting, Female, Chiropractics, Integrative medicine, medicine.symptom, 0305 other medical science, business, Child, Hospitalized, Analysis, Pediatric cardiology

الوصف: Background Pediatric integrative medicine (PIM) refers to the combination of treatments from conventional medicine and complementary therapies for which there is evidence of safety and effectiveness. As pediatric use of complementary therapies increases, it is important to determine parental views on the use of these therapies by their children. Objective To describe parental experiences with a PIM service for management of pain, nausea/vomiting and anxiety in the context of an inpatient pediatric cardiology unit. Design Telephone interviews were carried out with the parents of pediatric cardiology inpatients. The interviews focused on their and their child's experiences with the PIM service while in the hospital. Interviews were transcribed, and analyzed using qualitative content analysis. Results Data saturation was reached after nine interviews conducted during the period between June 2015 and January 2016. Parents self-reported that the PIM service was particularly helpful at alleviating symptoms of anxiety in their children. Moreover, because their children were more at ease, parents also felt less anxiety. Conclusion Pediatric integrative medicine as an adjunct to conventional care is seen as beneficial by parents of children admitted to a pediatric cardiology unit.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e2261736b4764596a6124a0d7b7b56f6
https://doi.org/10.1016/j.explore.2019.07.013

View record from ScienceDirect

Full Text via ClinicalKey

4

Integrative Medicine Therapies for Pain Management in Cancer Patients

المؤلفون: Gary Deng

المصدر: Cancer J

الوصف: Pain management for cancer patients should include pharmacologic and nonpharmacologic interventions. Integrative medicine therapies, such as mind-body practice, acupuncture, massage therapy, and music therapy, have been studied for their roles in pain management. Data from randomized controlled trials support the effect of hypnosis, acupuncture, and music therapy in reduction of pain. Mindfulness meditation, yoga, qigong, and massage therapy, although may not reduce pain per se, can relieve anxiety and mood changes, which are commonly associated with pain. In clinical practice, one should also consider burdens and risks to patients, patient preference, and the presence or absence of better alternatives when making decisions on whether an integrative medicine therapy is of clinical value.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2e9bd3c5b1bc52709b7d71073a9e424a
https://doi.org/10.1097/ppo.0000000000000399

5

Complementary and Integrative Medicine Use in Individuals Seeking Conventional Medical Oncology Care in Chile: Prevalence and Patient Characteristics

المؤلفون: Claudio Salas, Patricia Raimilla, Sandra Acevedo, Marta Quiroga, Carolina Barriga, Pilar Gonzalez, Gabriel Lopez, Pia Pincheira, Fernando Cadiz, Aung Naing

المصدر: Journal of Global Oncology
Journal of Global Oncology, Vol 5, Pp 1-6 (2019)

الوصف: PURPOSE Complementary and integrative medicine (CIM) use during cancer care has increased in Western medical settings. Little is known about interest in and use of CIM approaches by oncology patients in Chile and South America. PATIENTS AND METHODS Patients presenting for conventional outpatient or inpatient medical oncology care at the Clinica Alemana in Santiago, Chile, from March to June 2017 were asked to complete a survey about their interest in and use of CIM approaches. Goals included determining the prevalence of CIM use and exploring associations between CIM use and patient characteristics. Statistical analyses included a two-tailed t test for continuous variables, Fischer’s exact test for categorical variables, and logistic regression for association between CIM use and other variables. RESULTS Of 432 patients surveyed, 66.9% were diagnosed with breast cancer, 84.8% were women, the majority of patients (58.1%) were between age 40 and 60 years, and 51.5% (n = 221) reported CIM use. No association was found between CIM use and the sociodemographic variables of sex, age, education, or income. In all, 44.6% of patients with breast cancer reported CIM use compared with 64.8% of patients with other cancer types ( P > .001). Most commonly reported types of CIM used included herbals (49.1%), vitamins and minerals (40.8%), and prayer or meditation (40.4%). Most frequent reasons for CIM use were to “do everything possible” (72%) and to “improve my immune function” (67.8%). Most patients (43.4%) reported starting CIM use at the time of cancer diagnosis, with only 55.4% sharing information regarding CIM use with their medical team. CONCLUSION The majority of patients surveyed reported engaging in CIM use, with just over half the users communicating with their oncology team about their CIM use. Increased awareness of regional differences in CIM use may help increase communication regarding this subject and contribute to improved outcomes.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9c19739df8d534387ca0fa6349c5aae6
https://doi.org/10.1200/jgo.18.00190

6

Assessment of the complementary and integrative medicine utilization among patients with multiple sclerosis using a translated and adapted version of the international questionnaire (I-CAM-QP): A cross-sectional study in Southern Iran

المؤلفون: Alireza Salehi, Hossein Molavi Vardanjani, Farinaz Farhoudi, Mina Vojoud

المصدر: Complementary Therapies in Medicine. 46:47-53

مصطلحات موضوعية: Adult, Complementary Therapies, Male, Complementary and Manual Therapy, medicine.medical_specialty, Multiple Sclerosis, Adolescent, Southern Iran, Cross-sectional study, Iran, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, medicine, Humans, 030212 general & internal medicine, Advanced and Specialized Nursing, Integrative Medicine, Physician-Patient Relations, business.industry, Multiple sclerosis, Mean age, Odds ratio, Middle Aged, medicine.disease, Confidence interval, Long term illness, Cross-Sectional Studies, Complementary and alternative medicine, Family medicine, Female, Integrative medicine, business, 030217 neurology & neurosurgery

الوصف: Aims To assess the prevalence of and factors related to complementary and integrative medicine (CIM) use among multiple sclerosis (MS) patients, using a translated and adapted version of a standard international questionnaire. Methods International complementary and alternative medicine questionnaire (I-CAM-Q) was used. A cross-sectional study was done to assess the prevalence of and factors associated with CIM use among MS patients in Southern Iran. Patients who were randomly selected from MS registry center, were interviewed via phone calls. Results Three hundred patients were enrolled in the study; 69% of them were female. Their mean age was 36.6±8.53 years and the mean duration of the disease was 5.6 ± 4.22 years. In all, 99.3% (95% CI) of the patients had used at least one type of CIM. Herbal medicines and dietary supplements were the most commonly used CIM type (97.3%; 95% CI). Praying was the most common modality among all CIM subgroups (81.3%; 95% CI). Long term illness (MS) was selected as the main reason for the last use of all CIM types. Having non-tertiary education and having sequel due to MS were related to visiting a CIM provider (adjusted odds ratio (AOR) = 2.32, 95% confidence interval (CI) = 1.22–4.43), (AOR = 2.67, 95% CI = 1.47–4.83) respectively. Being female was related to the use of self-help practices (AOR = 3.41, 95% CI = 1.5–7.72). Conclusion There is a high prevalence of CIM use among MS patients. Therefore, patient- physician communication about CIM use should be emphasized.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc3086e9da80acd3a83467f8dfaa8559
https://doi.org/10.1016/j.ctim.2019.07.016

View record from ScienceDirect

Find this article in full text from ProQuest

Full Text via ClinicalKey

7

Information and Training Needs of Pediatric Oncologists in Complementary and Integrative Medicine: A Cross-Sectional Study

المؤلفون: Daniela Reis, Tycho Jan Zuzak, Clara C Hilje, Alfred Längler, Corina Güthlin, Jan Schildmann

المصدر: Journal of Pediatric Hematology/Oncology. 41:551-556

الوصف: More than one third of all German pediatric patients with cancer use complementary and integrative medicine (CIM). Parents want to discuss the topic of CIM with their pediatric oncologists (POs); however, POs mostly do not feel confident discussing these topics. POs report openness to receiving further information and training, but CIM training opportunities in medical education seem rare. We investigated POs' information and training needs and preference patterns regarding CIM training content with a paper-based or online survey. A total of 101 POs from Germany completed the survey. Only 11.4% agreed to being sufficiently informed of CIM. The participants stated needing further CIM information very often (8.6%), often (38.7%), or occasionally (44.1%). They considered an overview of CIM therapies and information about relaxation methods, herbal remedies, and acupuncture for cancer-related symptoms such as lack of appetite, nausea, or vomiting as most important in CIM training material, and also the topics of adverse effects and summary of evidence. Finally, POs reported on clinical situations in which a need for further information on CIM emerged. The results of our study indicate that there is a need for a structured training that offers knowledge and skills on the subject of patient counseling on CIM in pediatric oncology.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cfc0e5fb0f67bd37dea54a2913917e71
https://doi.org/10.1097/mph.0000000000001578

8

Traditional, complementary, and integrative medicine evidence map: a methodology to an overflowing field of data and noise

المؤلفون: Caio Fabio Schlechta Portella, Mariana Cabral Schveitzer, Ricardo Ghelman, Carmen Verônica Mendes Abdala

المصدر: Revista Panamericana de Salud Pública
Revista Panamericana de Salud Pública, Vol 45, Iss 48, Pp 1-5 (2021)

مصطلحات موضوعية: integrative medicine, complementary therapies, Coronavirus disease 2019 (COVID-19), Computer science, Short Communication, RC955-962, infecciones por coronavirus, 030204 cardiovascular system & hematology, medicina integral, Field (computer science), 03 medical and health sciences, 0302 clinical medicine, coronavirus infections, Arctic medicine. Tropical medicine, Narrative, 030212 general & internal medicine, Dual function, medicina integrativa, Revisión sistemática, Public Health, Environmental and Occupational Health, Data science, terapias complementares, Revisão sistemática, Systematic review, terapias complementarias, Criticism, Medicine, Integrative medicine, Noise (video), Public aspects of medicine, RA1-1270, infecções por coronavirus

الوصف: Every day there is criticism about lack of evidence on traditional, complementary, and integrative medicine (TCIM). But is this narrative evidence-based? Are we really missing research about TCIM? Or are we just not looking correctly at the evidence? Evidence maps are a useful method with the dual function of synthesizing available evidence on a specific topic and identifying knowledge gaps. This article presents a six-step evidence map methodology along with recently published TCIM evidence maps, including one related to COVID-19. TCIM evidence maps are useful instruments to inform decision-making for policymakers, health practitioners, and patients.Es habitual que se critique la falta de evidencia con respecto a las medicinas tradicionales, complementarias e integrativas. Sin embargo, ¿se basa en la evidencia este discurso? ¿Falta realmente investigación sobre las medicinas tradicionales, complementarias e integrativas o es que simplemente no estamos analizando la evidencia de forma adecuada? Los mapas de evidencia son un método útil que tiene una función doble: sintetizar la evidencia disponible por temas específicos y determinar si hay alguna laguna en el conocimiento. En este artículo se presenta una metodología de elaboración de mapas de la evidencia en seis pasos, junto con los mapas de la evidencia de las medicinas tradicionales, complementarias e integrativas publicados recientemente, incluido un mapa sobre la COVID-19. Los mapas de la evidencia de las medicinas tradicionales, complementarias e integrativas son instrumentos útiles para fundamentar la toma de decisiones por parte de los encargados de las políticas, el personal de salud y los pacientes.A crítica é diária de que faltam evidências em medicinas tradicionais, complementares e integrativas (MTCI). Mas será que esta narrativa se baseia em evidências? Realmente faltam pesquisas em MTCI? Ou será que simplesmente não estamos atentando corretamente às evidências? Os mapas de evidências consistem em uma metodologia útil de dupla função: sintetizar as evidências existentes em um determinado tópico e identificar as lacunas de conhecimento. Neste artigo é apresentada uma metodologia de mapa de evidências de seis passos junto com mapas de evidências de MTCI recém-publicados, incluindo um relacionado à COVID-19. Os mapas de evidências de MTCI são instrumentos úteis para subsidiar a tomada de decisão dos responsáveis por políticas, profissionais da saúde e pacientes.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::74427caef4c97ac1c4329cb34bc3aef1
http://europepmc.org/articles/PMC8064289

9

A patient perspective of complementary and integrative medicine (CIM) for migraine treatment: a social media survey

المؤلفون: Nidhi Ravishankar, Deena E. Kuruvilla, Robert Cowan, Amit Mehta

المصدر: BMC Complementary Medicine and Therapies, Vol 21, Iss 1, Pp 1-7 (2021)
BMC Complementary Medicine and Therapies

مصطلحات موضوعية: Adult, Complementary Therapies, Male, medicine.medical_specialty, Adolescent, Migraine Disorders, MEDLINE, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Agency (sociology), medicine, Humans, Social media, Migraine treatment, Aged, Integrative Medicine, Modalities, biology, business.industry, lcsh:Other systems of medicine, Middle Aged, lcsh:RZ201-999, medicine.disease, biology.organism_classification, Cross-Sectional Studies, Complementary and alternative medicine, Migraine, 030220 oncology & carcinogenesis, Family medicine, Female, Integrative medicine, Cannabis, business, Social Media, 030217 neurology & neurosurgery, Research Article

الوصف: Abstract To survey persons with migraine who use social media about Complementary and Integrative Medicine (CIM) for the treatment of migraine. Background CIM encompasses medical treatments that are not part of but are used in concert with mainstream medicine. Between 28 and 82% of people with migraine use non-drug approaches, and approximately 50% of people with migraine do not discuss non-drug treatments with their healthcare providers (HCPs). It is important for providers to be conversant with CIM treatments and the available evidence-based data. To further this effort, people with migraine were surveyed directly through social media to identify CIM practices in which they engage. Methods In collaboration with the American Migraine foundation (AMF) and Yakkety Yak, a digital marketing agency, we conducted a cross-sectional survey study. Participants were recruited from the Move Against Migraine (MAM) Facebook group which has 20,000+ members. The goals of the survey were to assess the attitudes toward CIM among this group, to identify which CIM modalities are being used and to determine what patients considered to be the most effective CIM modalities. While Yakkety Yak posted the survey link on the group page, the survey itself was hosted on Qualtrics, a confidential survey service. Results 372 MAM members (approximately 2%) responded to the questionnaire, of which 335 reported using CIM; between 114 and 139 (34–42%) found CIM modalities to be at least mildly effective. Of note, 164 (49%) reported using cannabis derivatives or cannabinoids, specifically with, 64/164 (39%) reporting that cannabis was not effective for them. Conclusions This study provides an initial investigation into the demographic and practice patterns of migraine patients who use CIM. While this sampling may not reflect CIM use across all individuals with migraine, it does strongly suggest the need for better education on the role of, and evidence for, CIM among headache care providers, and the need to ask patients specifically about their use of and interest in CIM.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::71103818188203ab1dc700a1a65fc9b5
https://doi.org/10.1186/s12906-021-03226-0

10

Integrative Medicine in Childhood Cancer

المؤلفون: Elena J. Ladas

المصدر: The Journal of Alternative and Complementary Medicine. 24:910-915

الوصف: The diagnosis of cancer in a child leaves parents and families devastated and vulnerable. In an effort to do everything possible, families often choose an integrative medicine approach to their child's care. Surveys have found that 31%-84% of children with cancer use complementary and alternative medicine and most often as supportive care agents. Several systematic reviews have demonstrated a clinical benefit for some select therapies; however, the safety and efficacy of the combination of biological therapies with conventional treatment remain largely unknown and garner concern due to the potential for interactions with conventional therapy. Given the sustained use and potential benefit of integrative medicine, additional research is warranted in pediatric oncology. Utilizing the available literature, clinical providers should aim to conduct open and nonjudgmental discussions with families about the use of integrative medicine so as to guide the safe integration of the two modalities.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c63f0a6363aae77ea6d0de34951766f4
https://doi.org/10.1089/acm.2018.0224

تنقيح النتائج