Women's Health Program, Department of Medicine, Monash University, Alfred Hospital, Prahran, Victoria, Australia.
Menopause. 2010 Sep-Oct;17(5):1004-9. doi: 10.1097/gme.0b013e3181d991dd.
Our aim was to document patterns of consultation with alternative practitioners, use of complementary and alternative medicine (CAM) commonly used to alleviate menopausal symptoms, and lifestyle changes made by women in the first 2 years after their diagnosis with invasive breast cancer.
A total of 1,588 women in the MBF Foundation Health and Wellbeing After Breast Cancer Study completed both the enrollment questionnaire and the first follow-up questionnaire (FQ1), on average, 41 and 92 weeks after diagnosis, respectively. The Menopause Quality of Life Questionnaire and the Psychological General Wellbeing Index were included in the FQ1. Logistic regression analysis was used to examine characteristics associated with consulting a CAM practitioner or using CAMs.
At the time of completion of the FQ1, 16.4% of women had consulted a CAM practitioner and 10.6% reported using at least one CAM commonly used to alleviate menopausal symptoms. Women who consulted a CAM practitioner and women who were using at least one CAM at the time of completion of the FQ1 were, on average, younger and more educated and had a higher Menopause Quality of Life Questionnaire score than did women who did not. Of the women, 33.6% reported having made a dietary change, and the most common lifestyle change was an increase in physical activity, which was reported by 29.0% of women.
The frequency of use of CAMs in common usage for menopausal symptoms by women with breast cancer was lower than anticipated, increased with time from diagnosis, and is associated with more severe menopausal symptoms.
本研究旨在记录女性在确诊浸润性乳腺癌后 2 年内，向替代医学从业者咨询的模式、使用缓解更年期症状的常见补充和替代医学（CAM）方法，以及生活方式的改变。
在 MBF 基金会乳腺癌患者健康和生活质量研究中，共有 1588 名女性完成了入组问卷和第一次随访问卷（FQ1），平均在确诊后 41 周和 92 周完成。FQ1 中包含了更年期生活质量问卷和一般心理幸福感指数。采用逻辑回归分析来检查与咨询 CAM 从业者或使用 CAM 相关的特征。
在完成 FQ1 时，16.4%的女性咨询了 CAM 从业者，10.6%的女性报告使用了至少一种缓解更年期症状的常见 CAM 方法。在完成 FQ1 时咨询了 CAM 从业者和正在使用至少一种 CAM 的女性，平均年龄较小、教育程度较高，且更年期生活质量问卷的评分较高，而未咨询 CAM 从业者的女性评分较低。在这些女性中，33.6%报告了饮食方面的改变，最常见的生活方式改变是增加了身体活动，有 29.0%的女性报告了这种改变。
乳腺癌女性使用 CAM 缓解更年期症状的频率低于预期，且随着诊断后时间的延长而增加，与更严重的更年期症状相关。
