Oh Byeongsang, Butow Phyllis, Mullan Barbara, Clarke Stephen, Tattersall Martin, Boyer Michael, Beale Philip, Vardy Janette, Pavlakis Nick, Larke Linda
J Soc Integr Oncol. 2010 Spring;8(2):56-64.
The purpose of this survey was to examine patient-doctor communication about the use of complementary and alternative medicine (CAM) by adult patients with cancer and compare patients' satisfaction with the consultation between patients who had and those who had not discussed the use of CAM with their doctors. Oncologists from three hospitals screened patients for eligibility. Eligible patients were mailed a letter of invitation with a questionnaire (N = 1,323). Three hundred eighty-one questionnaires were returned. Sixty-five percent of cancer patients used at least one form of CAM. Use of CAM was not discussed with the oncologist by 55% of respondents using biologically based CAM and by 80% of those using non-biologically based CAM since the diagnosis of cancer. Patients who discussed the use of biologic CAM with their oncologists were more satisfied with the consultation than those who had not (p = .027), whereas there were no significant differences between patients who discussed or did not discuss use of non-biologically based CAM (p = .102). A substantial proportion of cancer patients do not discuss the use of CAM with their oncologists. It is important to improve patient-doctor communication about the use of CAM to increase patients' satisfaction with the oncology consultation.
本次调查的目的是研究成年癌症患者与医生之间关于使用补充和替代医学（CAM）的沟通情况，并比较已与医生讨论过使用CAM和未讨论过的患者对咨询的满意度。来自三家医院的肿瘤学家对患者进行资格筛查。符合条件的患者收到一封附有问卷的邀请函（N = 1323）。共收回381份问卷。65%的癌症患者至少使用过一种形式的CAM。自确诊癌症以来，55%使用基于生物的CAM的受访者以及80%使用非基于生物的CAM的受访者未与肿瘤学家讨论过CAM的使用情况。与肿瘤学家讨论过使用生物CAM的患者比未讨论过的患者对咨询更满意（p = 0.027），而讨论或未讨论过使用非基于生物的CAM的患者之间没有显著差异（p = 0.102）。相当一部分癌症患者未与肿瘤学家讨论过CAM的使用情况。改善患者与医生之间关于使用CAM的沟通对于提高患者对肿瘤咨询的满意度很重要。
