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欧洲头颈部癌症患者使用补充和替代医学的情况。

Complementary and alternative medicine use in patients with head and neck cancers in Europe.

作者信息

Molassiotis A, Ozden G, Platin N, Scott J A, Pud D, Fernandez-Ortega P, Milovics L, Panteli V, Gudmundsdottir G, Browall M, Madsen E, Patiraki E, Kearney N

机构信息

School of Nursing, University of Manchester, Manchester, UK.

出版信息

Eur J Cancer Care (Engl). 2006 Mar;15(1):19-24. doi: 10.1111/j.1365-2354.2005.00615.x.

Abstract

The aim of the present study was to examine the patterns of complementary and alternative medicine (CAM) use in a sample of head and neck cancer patients, forming part of a larger study. A cross-sectional survey design was used collecting data through a descriptive 27-item questionnaire in nine countries in Europe. The participants were 75 patients with head and neck cancers. The prevalence rate of CAM use was 22.7%. The most common therapies used were herbal medicine (47%), medicinal teas (23.5%), use of vitamins/minerals (11.8%) and visualization (11.8%). Use of CAM dramatically increased after the diagnosis with cancer (i.e. eightfold increase in the use of herbs). A profile of CAM users was not evident in this sample. Patients used CAM for a variety of reasons together, with counteracting the ill effects from cancer and its treatment being the most common one. Information about CAM was obtained mostly from friends and family. As one in five head and neck cancer patients use CAM it is important that clinicians explore practices with their patients, improve communication about CAM with them and assist those who want to use CAM in using appropriate and safe therapies.

摘要

本研究的目的是调查头颈癌患者样本中补充和替代医学(CAM)的使用模式,该样本是一项更大规模研究的一部分。采用横断面调查设计,通过一份包含27个条目的描述性问卷在欧洲9个国家收集数据。参与者为75名头颈癌患者。CAM的使用率为22.7%。最常用的疗法是草药(47%)、药茶(23.5%)、维生素/矿物质的使用(11.8%)以及可视化疗法(11.8%)。确诊癌症后CAM的使用显著增加(例如草药的使用增加了八倍)。在这个样本中,CAM使用者的特征并不明显。患者使用CAM的原因多种多样,其中最常见的是抵消癌症及其治疗的不良影响。关于CAM的信息大多来自朋友和家人。由于五分之一的头颈癌患者使用CAM,临床医生与患者探讨相关做法、改善与他们关于CAM的沟通,并协助那些想使用CAM的患者采用适当且安全的疗法,这一点很重要。

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