安纳托利亚中部癌症患者使用补充/替代医学的相关因素。
Factors related to complementary/alternative medicine use among cancer patients in central Anatolia.
作者信息
Er Ozlem, Mistik Selcuk, Ozkan Metin, Ozturk Ahmet, Altinbas Mustafa
机构信息
Department of Medical Oncology, Erciyes University Medical Faculty, Kayseri, Turkey.
出版信息
Tumori. 2008 Nov-Dec;94(6):833-7. doi: 10.1177/030089160809400610.
AIMS AND BACKGROUND
We aimed to evaluate the prevalence of and factors related to the use of complementary/alternative medicine among cancer patients undergoing or following conventional treatment at the Erciyes University Oncology Hospital in Central Anatolia.
STUDY DESIGN AND PATIENTS
Face-to-face interview and a questionnaire were carried out with cancer patients attending the outpatient clinic of Medical Oncology. Questionnaire items included patients' demographic data, treatment, use of complementary/alternative medicine and possible related factors. Multivariate analysis was performed to compare the factors related to use of complementary/alternative medicine.
RESULTS
A total of 268 consecutive cancer patients were enrolled in the study. Overall, 43% of the patients were using or had used complementary/alternative medicine. Totally, 90% of the patients using complementary/alternative medicine utilized herbs, and most of the herbs used were stinging nettle. Nearly half of the patients using complementary/alternative medicine (46.1%) were aiming to fight the disease. Among users, nearly half of them regarded the method used as effective and 54 (50.5%) suggested the use of complementary/alternative medicine to other patients. Only 23.1% of the patients discussed the use of complementary/alternative medicine with their physician. In logistic regression analysis, younger age, higher educational status, advanced stage of the disease, longer duration of the disease and current treatment status were significantly associated with the use of complementary/alternative medicine. In our regression model, the predictivity rate of these variables was 72.2% for use of complementary/alternative medicine according to the backward Wald test.
CONCLUSIONS
Use of complementary/alternative medicine among cancer patients in our center is modestly high, and the most common method is herbal therapy. Communication between the patient and the physician should be improved on this subject.
目的与背景
我们旨在评估安纳托利亚中部埃尔西耶斯大学肿瘤医院正在接受或接受过传统治疗的癌症患者使用补充/替代医学的患病率及相关因素。
研究设计与患者
对肿瘤内科门诊的癌症患者进行面对面访谈并发放问卷。问卷项目包括患者的人口统计学数据、治疗情况、补充/替代医学的使用情况及可能的相关因素。进行多变量分析以比较与补充/替代医学使用相关的因素。
结果
共有268例连续的癌症患者纳入本研究。总体而言,43%的患者正在使用或曾经使用过补充/替代医学。使用补充/替代医学的患者中,90%使用草药,且使用最多的草药是荨麻。使用补充/替代医学的患者中,近一半(46.1%)旨在对抗疾病。使用者中,近一半认为所使用的方法有效,54例(50.5%)建议其他患者使用补充/替代医学。只有23.1%的患者与医生讨论过补充/替代医学的使用。在逻辑回归分析中,年龄较小、教育程度较高、疾病晚期、病程较长和当前治疗状态与补充/替代医学的使用显著相关。在我们的回归模型中,根据向后 Wald 检验,这些变量对补充/替代医学使用的预测率为72.2%。
结论
我们中心癌症患者补充/替代医学的使用率适度偏高,最常见的方法是草药疗法。在这个问题上,患者与医生之间的沟通应得到改善。