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乳腺癌患者对补充和替代医学的使用:一项医疗保健调查的观察结果

Use of complementary and alternative medicine by patients with breast cancer: observations from a health-care survey.

作者信息

Nagel G, Hoyer H, Katenkamp D

机构信息

Comprehensive Cancer Center/Field Study Breast Cancer, Friedrich-Schiller-University Jena, 07740 Jena, Germany.

出版信息

Support Care Cancer. 2004 Nov;12(11):789-96. doi: 10.1007/s00520-004-0675-5.

Abstract

GOALS OF THE WORK

The aim of this study was to assess the period prevalence and identify predictors of the use of complementary and alternative medicine (CAM) among women with breast cancer.

PATIENTS AND METHODS

In a cross-sectional study, 263 women participating in a quality of life survey reported on CAM use. Differences between CAM users and nonusers were evaluated using logistic regression.

RESULTS

About 3 years after diagnosis the period prevalence of CAM use among women with breast cancer was 36%. Younger women reported usage of CAM more often than older women. Associations between remote disease, pain and psychosocial variables were found. Involvement in self-help groups and active participation in leisure activities were associated with CAM use; this may indicate differences in the patients' ability to cope with the disease. Most patients were informed of CAM by a physician.

CONCLUSIONS

Involvement in self-help groups and leisure activities were associated with CAM use, indicating differences in the patients' ability to cope. Further research is necessary to evaluate the safety of CAM and to determine the value of CAM in health care.

摘要

研究目的

本研究旨在评估乳腺癌女性中补充和替代医学(CAM)的期间患病率,并确定其使用的预测因素。

患者与方法

在一项横断面研究中,263名参与生活质量调查的女性报告了CAM的使用情况。使用逻辑回归评估CAM使用者和非使用者之间的差异。

结果

诊断后约3年,乳腺癌女性中CAM的期间患病率为36%。年轻女性比年长女性更常报告使用CAM。发现了远处疾病、疼痛与心理社会变量之间的关联。参与自助小组和积极参与休闲活动与CAM使用有关;这可能表明患者应对疾病的能力存在差异。大多数患者是由医生告知CAM相关信息的。

结论

参与自助小组和休闲活动与CAM使用有关,表明患者应对能力存在差异。有必要进一步研究以评估CAM的安全性,并确定CAM在医疗保健中的价值。

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