College of Nursing, Michigan State University, East Lansing, MI 48824, USA.
Nurs Res. 2010 Jan-Feb;59(1):58-66. doi: 10.1097/NNR.0b013e3181c3bd26.
Up to 80% of women with breast cancer use complementary and alternative medicine (CAM) therapies to improve quality of life (QOL) during treatment.
The objective of this study was to explore the association between CAM therapy use, spending on CAM therapies, demographic variables, surgical treatment, and QOL.
A secondary analysis was conducted for women with early stage breast cancer (N = 222) who were enrolled in a nursing intervention study after breast surgery. The complementary therapy utilization instrument included specific CAM therapies used, number of treatments, and spending. The number of major categories of CAM and the specific CAM therapies used were analyzed in relation to study variables using proportional odds logistic regression models. The outcome of spending for major CAM categories was analyzed using linear mixed effects modeling.
A majority of women (56.8%) used at least one CAM therapy, and the biologically based therapies category was most frequently used (43.7%). Women with less than a college level of education were less likely to use CAM (odds ratio [OR] = 0.36, 95% confidence interval [CI] = 0.15-0.86, p < .01). Women who were employed were more likely to use therapies from multiple CAM categories (OR = 2.42, 95% CI = 1.00-5.88, p < .05), and those with lower QOL were more likely to use CAM (OR = 0.97, 95% CI = 0.95-0.99, p < .01). The results support that women with early stage breast cancer, especially those with lower QOL, are highly likely to use CAM therapies. Further research is needed on CAM interventions to enhance supportive care for breast cancer.
多达 80%的乳腺癌女性在治疗期间使用补充和替代医学（CAM）疗法来提高生活质量（QOL）。
本研究旨在探讨 CAM 疗法的使用、CAM 疗法的支出、人口统计学变量、手术治疗与生活质量之间的关系。
对 222 名接受过乳房手术后参加护理干预研究的早期乳腺癌女性进行了二次分析。补充治疗利用工具包括使用的特定 CAM 疗法、治疗次数和支出。使用比例优势逻辑回归模型分析了与研究变量相关的 CAM 疗法的主要类别数量和特定 CAM 疗法的使用情况。使用线性混合效应模型分析了主要 CAM 类别支出的结果。
大多数女性（56.8%）至少使用了一种 CAM 疗法，其中最常使用的是基于生物学的疗法（43.7%）。受教育程度低于大学水平的女性使用 CAM 的可能性较小（比值比 [OR] = 0.36，95%置信区间 [CI] = 0.15-0.86，p <.01）。有工作的女性更有可能使用多种 CAM 类别疗法（OR = 2.42，95% CI = 1.00-5.88，p <.05），而生活质量较低的女性更有可能使用 CAM（OR = 0.97，95% CI = 0.95-0.99，p <.01）。结果表明，患有早期乳腺癌的女性，尤其是生活质量较低的女性，极有可能使用 CAM 疗法。需要进一步研究 CAM 干预措施，以增强对乳腺癌的支持性护理。
