Dept. of Learning, Informatics, Management and Ethics, Medical Management Center, Karolinska Institutet, Stockholm, Sweden.
Eur J Oncol Nurs. 2011 Sep;15(4):311-7. doi: 10.1016/j.ejon.2010.10.004. Epub 2010 Nov 18.
Little is known about relationships between quality of care (QoC) and use of complementary and alternative medicine (CAM) among patients with lung cancer (LC).
This study examines CAM-use among patients with LC in Sweden, associations between QoC and CAM-use among these patients, and reported aspects of LC-care perceived as particularly positive and negative by patients, as well as suggestions for improving QoC.
Survey data from 94 patient members of the Swedish LC patient organization about CAM-use and QoC as measured by the instrument "Quality from the patient's perspective" were analyzed.
Fifty (53%) LC-patients used CAM, with 40 of the CAM-users reporting that CAM helped them. The most common CAMs used were dietary supplements and natural remedies, followed by prayer. Significantly more patients reported using prayer and meditation for cure than was the case for other types of CAM used. Less than half the CAM-users reported having spoken with staff from the biomedical health care system about their CAM-use. Patients provided numerous suggestions for improving LC-care in a variety of areas, aiming at a more effective and cohesive care trajectory. No differences in QoC were found between CAM-users and non-CAM-users, but differences in CAM-use i.e. type of CAM, reasons for using CAM, and CAM-provider consulted could be associated with different experiences of care.
It is important to recognize that CAM-users are not a homogeneous group but might seek different types of CAMs and CAM-providers in different situations depending on experiences of care.
对于肺癌（LC）患者的护理质量（QoC）与补充和替代医学（CAM）的使用之间的关系，人们知之甚少。
本研究调查了瑞典 LC 患者的 CAM 使用情况、这些患者中 QoC 与 CAM 使用之间的关联，以及患者报告的 LC 护理中被认为特别积极和消极的方面，以及改善 QoC 的建议。
对 94 名瑞典 LC 患者组织的患者成员关于 CAM 使用和 QoC 的调查数据进行了分析，使用的工具是“从患者角度看质量”。
50 名（53%）LC 患者使用了 CAM，其中 40 名 CAM 用户报告 CAM 对他们有帮助。使用最多的 CAM 是膳食补充剂和天然药物，其次是祈祷。与其他类型的 CAM 相比，报告使用祈祷和冥想进行治疗的患者明显更多。不到一半的 CAM 用户报告与生物医学保健系统的工作人员谈论过他们的 CAM 使用情况。患者在多个领域提出了许多改善 LC 护理的建议，旨在实现更有效的、连贯的护理轨迹。CAM 用户和非 CAM 用户之间的 QoC 没有差异，但 CAM 使用的差异，即 CAM 的类型、使用 CAM 的原因以及咨询的 CAM 提供者，可能与护理体验不同有关。
重要的是要认识到，CAM 用户不是一个同质的群体，而是可能根据护理体验在不同情况下寻求不同类型的 CAM 和 CAM 提供者。
