Can Gulbeyaz, Erol Ozgul, Aydiner Adnan, Topuz Erkan
Istanbul University Florence Nightingale School of Nursing, Abide-i Hurriyet Cad. Caglayan, Istanbul, Turkey.
Eur J Oncol Nurs. 2009 Sep;13(4):287-94. doi: 10.1016/j.ejon.2009.03.007. Epub 2009 Apr 22.
The purpose of this study was to assess the relationships between quality of life and use of complementary and alternative medicine (CAM) among Turkish cancer patients.
This cross-sectional study was conducted in Istanbul University Institute of Oncology, Turkey. Two-hundred patients were invited and informed consent was obtained, however 179 cancer patients completed the study. The Patient Characteristics form, The Nightingale Symptom Assessment Scale and The Functional Assessment of Cancer Therapy Scale were used in the evaluation of the patients' characteristics and quality of life.
Some form of CAM had been used by 71.5% of the sample. Frequently used CAM methods appeared to be religious practices (68.2%) and only 37.4% of the patients used herbs. However, female patients, single patients, and individuals with metastatic disease and worse quality of life showed a tendency to use CAM more often. More than one-third of our patients began to use CAM immediately after being diagnosed with cancer and factors associated with CAM use varied according to the type of CAM. Although CAM use did not affect the patients' quality of life, logistic regression analysis revealed that gender, type of cancer diagnosis and education level were important factors to be considered in different CAM therapies.
CAM use is common in cancer patients in Turkey. More discussion about CAM use should take place between patients and health professionals to inform the patients' decisions.
本研究旨在评估土耳其癌症患者的生活质量与补充和替代医学(CAM)使用之间的关系。
本横断面研究在土耳其伊斯坦布尔大学肿瘤研究所进行。邀请了200名患者并获得了知情同意,然而179名癌症患者完成了研究。在评估患者特征和生活质量时使用了患者特征表、夜莺症状评估量表和癌症治疗功能评估量表。
71.5%的样本使用了某种形式的补充和替代医学。常用的补充和替代医学方法似乎是宗教活动(68.2%),只有37.4%的患者使用草药。然而,女性患者、单身患者以及患有转移性疾病且生活质量较差的个体更倾向于使用补充和替代医学。超过三分之一的患者在被诊断患有癌症后立即开始使用补充和替代医学,且与补充和替代医学使用相关的因素因补充和替代医学类型而异。虽然补充和替代医学的使用并未影响患者的生活质量,但逻辑回归分析显示,性别、癌症诊断类型和教育水平是不同补充和替代医学疗法中需要考虑的重要因素。
在土耳其,癌症患者使用补充和替代医学很常见。患者和健康专业人员之间应就补充和替代医学的使用进行更多讨论,以便为患者的决策提供信息。