Balneaves L G, Kristjanson L J, Tataryn D
School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Patient Educ Couns. 1999 Oct;38(2):143-53. doi: 10.1016/s0738-3991(99)00061-0.
Using a descriptive survey design, 52 women living with breast cancer were interviewed to explore their use of complementary therapy and the relationships between complementary therapy use and key demographic variables and health beliefs. Sixty-seven percent of the women reported complementary therapy use, with meditation/relaxation therapies, vitamins and spiritual healing being the three most frequently reported treatments. Women using complementary therapies were more likely to have completed post-secondary education than women using only conventional medical treatment (chi 2 = 7.1, P = 0.008). Preferred decisional role was found to be significantly associated with the use of complementary therapies (chi 2 = 11.7, P = 0.003); women using complementary therapies preferred a more active/collaborative role in treatment decisions than women using only conventional medical treatment. No significant associations were found between complementary therapy use and beliefs about cause of cancer, treatments, satisfaction with health care providers, and perceived quality of life. The findings point to the pervasiveness of complementary therapy use by women living with breast cancer and contradict past research which has supported a distinct demographic profile of complementary therapy users and associated belief system.
采用描述性调查设计，对52名乳腺癌患者进行了访谈，以探讨她们对辅助疗法的使用情况，以及辅助疗法的使用与关键人口统计学变量和健康信念之间的关系。67%的女性报告使用过辅助疗法，其中冥想/放松疗法、维生素和精神疗法是最常报告的三种治疗方法。与仅使用传统医学治疗的女性相比，使用辅助疗法的女性更有可能完成高等教育（卡方 = 7.1，P = 0.008）。研究发现，首选决策角色与辅助疗法的使用显著相关（卡方 = 11.7，P = 0.003）；与仅使用传统医学治疗的女性相比，使用辅助疗法的女性在治疗决策中更喜欢更积极/合作的角色。在辅助疗法的使用与对癌症病因的信念、治疗方法、对医疗服务提供者的满意度以及感知生活质量之间未发现显著关联。研究结果表明，乳腺癌患者使用辅助疗法的情况很普遍，这与过去支持辅助疗法使用者具有独特人口统计学特征和相关信念体系的研究相矛盾。
