Fouladbakhsh Judith M, Stommel Manfred
College of Nursing, Wayne State University, Detroit, MI, USA.
Oncol Nurs Forum. 2010 Jan;37(1):E7-E15. doi: 10.1188/10.ONF.E7-E15.
PURPOSE/OBJECTIVES: To identify relationships among gender, physical and psychological symptoms (pain, insomnia, fatigue, and depression), and use of specific complementary and alternative medicine (CAM) practices among survivors in the U.S. cancer population.
Secondary analysis of the 2002 National Health Interview Survey (NHIS). The CAM Healthcare Model, an extension of the Behavioral Model for Health Services Use, guided the study.
United States.
2,262 adults (aged 18 years and older) diagnosed with cancer representing more than 14.3 million cancer survivors in the United States .
NHIS interview data on use of CAM practices (diet, yoga, tai chi, qigong, meditation, guided imagery, relaxation, and deep breathing) were examined in relationship to gender and symptoms. Analysis was conducted using Stata 9.2 software for population estimation. Binary logistic regression, the primary statistical model employed in the analysis, focused on between-subject differences in practice use.
Dichotomous outcome variables included use of at least one CAM practice and use of specific individual CAM practices. Independent variables included gender, age, education, race, provider contact, cancer diagnosis, pain, insomnia, fatigue, depression, and health status.
CAM practice use was more prevalent among female, middle-aged, Caucasian, and well-educated subjects. Pain, depression, and insomnia were strong predictors of practice use, with differences noted by gender and practice type.
CAM practices are widely used in the U.S. cancer population, especially among women. Symptom experience influences likelihood of use, with increased odds when men report symptoms.
Study findings inform oncology nurses on the benefits of integrating self-care CAM practices in relationship to gender into the symptom management care plan for cancer survivors. Findings reported in this study will help guide future CAM practice intervention studies.
目的/目标：确定美国癌症患者群体中幸存者的性别、身体和心理症状（疼痛、失眠、疲劳和抑郁）以及特定补充和替代医学（CAM）疗法的使用之间的关系。
对2002年美国国家健康访谈调查（NHIS）进行二次分析。健康服务使用行为模型的扩展——补充和替代医学健康模型指导了该研究。
美国
2262名18岁及以上被诊断患有癌症的成年人，代表美国超过1430万癌症幸存者。
检查NHIS关于补充和替代医学疗法（饮食、瑜伽、太极、气功、冥想、引导式意象、放松和深呼吸）使用情况的访谈数据与性别和症状之间的关系。使用Stata 9.2软件进行人口估计分析。二元逻辑回归是分析中使用的主要统计模型，重点关注疗法使用的个体间差异。
二分结果变量包括至少使用一种补充和替代医学疗法以及使用特定的个体补充和替代医学疗法。自变量包括性别、年龄、教育程度、种族、与医疗服务提供者的接触、癌症诊断、疼痛、失眠、疲劳、抑郁和健康状况。
补充和替代医学疗法的使用在女性、中年、白种人和受过良好教育的受试者中更为普遍。疼痛、抑郁和失眠是疗法使用的有力预测因素，在性别和疗法类型方面存在差异。
补充和替代医学疗法在美国癌症患者群体中广泛使用，尤其是在女性中。症状体验会影响使用的可能性，男性报告症状时使用几率增加。
研究结果告知肿瘤护理人员将与性别相关的自我护理补充和替代医学疗法纳入癌症幸存者症状管理护理计划的益处。本研究报告的结果将有助于指导未来的补充和替代医学疗法干预研究。
