Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan

Lin, Yu‐Jia; Chang, Hsiao Ting; Lin, Ming Hwai; Chen, Ru-Yih; Chen, Ping-Jen; Lin, Wen Yuan; Hsieh, Jyh Gang; Wang, Ying Wei; Hu, Chung Chieh; Liou, Yi Sheng; Chiu, Tai‐Yuan; Tu, Chun Yi; Wang, Yi-Jen; Cheng, Bo Ren; Chen, Tzeng Ji; Chen, Fang Pey; Hwang, Shinn Jang

doi:10.1016/j.imr.2020.100642

Cited by 3 publications

(1 citation statement)

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“…Traditional Chinese medicine (TCM) focuses on correcting maladjustments and restoring the self-regulatory ability of the human body [ 6 , 7 ], which gains increasing attention in the field of palliative medicine [ 8 ]. According to the TCM theory, constipation can be broadly divided into excess and deficiency patterns by differentiating underlying symptoms and signs [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

A pilot randomized placebo-controlled study on modified MaZiRenWan: a formulated Chinese medicine to relieve constipation for palliative cancer patients

et al. 2022

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Background Constipation is a common problem among advanced cancer patients; however, many of them find limited effective from current therapies. Thus, we aimed to test the effect of a traditional Chinese herbal formula, modified MaZiRenWan (MZRW), by comparing with placebo among palliative cancer patients with constipation. Methods This is a randomized, double-blind, placebo-controlled trial. Participants aged over 18 were recruited and randomized to MZRW or placebo group in addition to current prescriptions (including ongoing laxatives treatment) for two weeks. Exclusion criteria included cognitive impairment, presence of a colostomy or gastrointestinal obstruction and estimated life expectancy of less than one month. Individualized modification of MZRW was allowed according to the traditional Chinese medicine (TCM) pattern of patient. The primary outcome was the global assessment of improvement, which reflected whether the constipation had improved, remained the same or worsened. Results Sixty patients, with mean age 75.2 years (range 47–95 years), were randomized to MZRW or placebo group. Among the MZRW group, 59.3% (16/27) had improvement in the global assessment score, as compared with 28.6% (8/28) of the placebo group (p-value = 0.022). Besides, the MZRW group had significant increase in stool frequency, and reduction in constipation severity and straining of defecation (p-value < 0.05). No serious adverse event was reported due to the research medication. Conclusion This pilot trial suggests modified MZRW is well-tolerated and effective for relief of constipation in patients with advance cancer. It could be considered as a potential treatment option for constipation in palliative care. Trial registration: The trial had been registered in ClinicalTrials.gov with identifier number NCT02795390 [https://clinicaltrials.gov/ct2/show/NCT02795390] on June 10, 2016.

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Section: Introductionmentioning

confidence: 99%

A pilot randomized placebo-controlled study on modified MaZiRenWan: a formulated Chinese medicine to relieve constipation for palliative cancer patients

et al. 2022

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Characteristics of Provider-Focused Research on Complementary and Integrative Medicine in Palliative Care: A Scoping Review

Goel

Elhassan

Patterson

et al. 2021

Am J Hosp Palliat Care

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Background: The use of complementary and integrative medicine (CIM) continues to grow in palliative care. While research supports the use of many CIM therapies for symptom relief, the scope of provider-focused research on CIM remains poorly characterized. Objectives: We conducted a scoping review to characterize provider-focused research on CIM in palliative care in order to map existing evidence and identify knowledge gaps. Methods: We developed a protocol outlining the study population, concept, and context; then used a validated approach per the JBI manual and searched MEDLINE, EMBASE, CINAHL, and AMED. Results: We identified 34 studies that were conducted primarily in the US (n = 9) and UK (n = 6), focused mostly on nurse (n = 29) and physician (n = 22) providers, and employed questionnaires (n = 16) or qualitative (n = 15) methods. Studies investigated 58 CIM modalities, including massage (n = 13), music therapy (n = 12), and aromatherapy (n = 10), to address common symptoms including pain (n = 17), fatigue (n = 6), and nausea/vomiting (n = 6). Study outcomes included perceived benefits of CIM (n = 17) and types of CIM modalities that providers offer (n = 15). Uncommonly studied phenomena included referral patterns (n = 4), facilitators of provider recommendation of CIM (n = 3), and rates of CIM use (n = 3). Conclusion: Provider-focused research on CIM in palliative care can expand its scope by addressing perspectives of interdisciplinary providers, examining CIM modalities that patients report using, addressing symptoms commonly encountered in palliative care, and researching provider-use-focused outcomes. We identify these possibilities for future studies in addition to opportunities for systematic investigations to enhance the safe and efficacious delivery of CIM in the palliative care setting.

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Perceptions and attitudes toward kidney supportive care among Elderly dialysis patients and medical staff in China：A Qualitative Study

Luo

2023

Preprint

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Purpose: kidney supportive care is an newly developing palliative care strategy in the field of kidney disease .To measure the cognition and attitude of dialysis doctors, nurses and elderly patients towards supportive care for patients with end-stage renal disease in China, and to provide support for the implementation of this strategy. Methods: With a phenomenological method, this qualitative study used semi-structured interviews to interview 18 elderly dialysis patients and 10 medical staff in two Class ⅲ Grade A hospitals, and Colaizzi's method was used to conduct coding analysis of the interview results. Results : We conducted separate interviews with patients and nurses to refine different themes for different groups.For elderly dialysis patients, three themes emerged：（1）Lack of awareness of access to kidney supportive care（2）Hard to accept the kidney supportive care（3）Willing to use the kidney supportive care.For dialysis medical staff , two themes were analyzed：（1）Kidney supportive care has potential clinical value、（2）Practical promotion and application are faced with multiple difficulties. Conclusions: Our findings provide a comprehensive perspective to measure the recognition of kidney supportive care among patients and medical workers in China.Under the influence of traditional Chinese culture, there are many difficulties in the promotion and application of kidney supportive care in our country.Although the dialysis physicians and nurses expressed the support for kidney supportive care, the patients' Perceptions of this treatment mode was insufficient at present, and it should be further developed based on the actual medical conditions .

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Professionals’ experiences and attitudes toward use of Traditional Chinese Medicine in hospice palliative inpatient care units: A multicenter survey in Taiwan

Cited by 3 publications

References 46 publications

A pilot randomized placebo-controlled study on modified MaZiRenWan: a formulated Chinese medicine to relieve constipation for palliative cancer patients

A pilot randomized placebo-controlled study on modified MaZiRenWan: a formulated Chinese medicine to relieve constipation for palliative cancer patients

Characteristics of Provider-Focused Research on Complementary and Integrative Medicine in Palliative Care: A Scoping Review

Perceptions and attitudes toward kidney supportive care among Elderly dialysis patients and medical staff in China：A Qualitative Study

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