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癌症患者对非常规治疗的选择。

Choice of unconventional treatment by patients with cancer.

作者信息

Kimby Charlotte Kira, Launsø Laila, Henningsen Inge, Langgaard Henrik

机构信息

Centre for Media and Democracy in the Network Society, Department of Political Science, University of Copenhagen, Copenhagen, Denmark.

出版信息

J Altern Complement Med. 2003 Aug;9(4):549-61. doi: 10.1089/107555303322284848.

Abstract

OBJECTIVES

Previous studies conducted on the use of unconventional treatment by patients with cancer have focused on unconventional treatment as a joint group of therapies. The objective of this study is to gather preliminary information about the use of different modes of unconventional cancer treatment by patients with cancer and to describe user profiles of standardized and individualized treatments.

DESIGN

Data originate from an ongoing explorative 5-year study of 441 consecutively registered cancer patients who have consulted medical doctors and alternative therapists practicing unconventional treatment in Denmark. This paper is based on data from the first and second of six questionnaires. The unconventional treatments included in this study are categorized into two forms of treatment: standardized and individualized treatment.

SUBJECTS

Four hundred and forty-one (441) Danish patients with cancer who use unconventional cancer treatment.

OUTCOMES MEASURES

The analysis shows significant correlations between type of treatment and the following variables: gender, education, occupational status, type of cancer, purpose of seeking unconventional treatment, metastatic spread, opinion regarding appropriate unconventional treatment, and simultaneous use of unconventional treatment.

RESULTS

The study shows that there are significant differences between patients with cancer choosing standardized and those choosing individualized unconventional treatment. The probability of choosing standardized unconventional treatment is greatest among male participants, patients having shorter school education, and for patients who have recovery as the goal of seeking unconventional treatment. The probability of choosing individualized unconventional treatment is greatest among women, for patients with longer school education, and for patients wanting relief from symptoms, information, and improvement of general condition as the purpose of seeking unconventional cancer treatment. Patients with breast and gynecologic cancer are more inclined to seek individualized treatment than patients with all other cancer diseases.

CONCLUSIONS

The study points to the fact that it might be essential to differentiate between different forms of unconventional treatment to understand the use by patients with cancer and the outcomes of these treatments.

摘要

目的

既往针对癌症患者使用非常规治疗的研究主要将非常规治疗作为一组联合疗法。本研究的目的是收集有关癌症患者使用不同模式非常规癌症治疗的初步信息,并描述标准化和个体化治疗的使用者特征。

设计

数据源自一项正在进行的为期5年的探索性研究,该研究对441名连续登记的癌症患者进行了调查,这些患者咨询过丹麦从事非常规治疗的医生和替代疗法治疗师。本文基于六份问卷中第一份和第二份问卷的数据。本研究纳入的非常规治疗分为两种治疗形式:标准化治疗和个体化治疗。

研究对象

441名使用非常规癌症治疗的丹麦癌症患者。

观察指标

分析显示治疗类型与以下变量之间存在显著相关性:性别、教育程度、职业状况、癌症类型、寻求非常规治疗的目的、转移扩散情况、对适当非常规治疗的看法以及同时使用非常规治疗的情况。

结果

研究表明,选择标准化非常规治疗的癌症患者与选择个体化非常规治疗的患者之间存在显著差异。在男性参与者、受教育年限较短的患者以及以康复为寻求非常规治疗目标的患者中,选择标准化非常规治疗的可能性最大。在女性、受教育年限较长的患者以及以缓解症状、获取信息和改善总体状况为寻求非常规癌症治疗目的的患者中,选择个体化非常规治疗的可能性最大。与所有其他癌症疾病患者相比,乳腺癌和妇科癌症患者更倾向于寻求个体化治疗。

结论

该研究指出,区分不同形式的非常规治疗对于理解癌症患者的使用情况及其治疗结果可能至关重要。

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