Department of General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Cancer. 2013 Oct 1;119(19):3514-22. doi: 10.1002/cncr.28240. Epub 2013 Jul 3.
The use of complementary and alternative medicine (CAM) is widespread, yet there is relatively little discussion regarding its use between oncology patients and their health care practitioners.
This multisite randomized trial examined the efficacy of an educational intervention designed to encourage oncology nurses to discuss CAM use with their patients. A total of 175 nurses completed questionnaires about discussing CAM use with patients at baseline and 2 months after the intervention. Patients at baseline (N = 699) and different patients at follow-up (N = 650) completed questionnaires regarding CAM.
At the 2-month follow-up, nurses in the intervention reported they were more likely to ask about CAM use than those in the control group (odds ratio, 4.2; P = .005). However, no significant effect was found for the percentage of patients who indicated that they were asked about CAM use (odds ratio, 2.1; P > .10). Approximately 40% of patients reported using CAM after their cancer diagnosis, yet the majority of nurses estimated that < 25% of their patients were using CAM.
CAM use in community-based oncology patients is common and is underestimated by oncology nurses. The brief, low-intensity intervention presented herein was found to be sufficiently powerful to change nurses' perceptions of their behavior but may not have been intensive enough to yield changes that were evident to patients.
补充和替代医学（CAM）的应用非常广泛，但肿瘤患者及其医疗保健从业者之间关于其使用的讨论相对较少。
本多中心随机试验研究了一种教育干预措施的效果，该措施旨在鼓励肿瘤护士与患者讨论 CAM 的使用。共有 175 名护士在干预前和干预后 2 个月完成了关于与患者讨论 CAM 使用的问卷调查。基线时的患者（N=699）和随访时不同的患者（N=650）完成了关于 CAM 使用的问卷调查。
在 2 个月的随访中，干预组的护士比对照组更有可能询问 CAM 使用情况（优势比，4.2；P=.005）。然而，对于表示被询问 CAM 使用情况的患者比例，没有发现显著影响（优势比，2.1；P>.10）。大约 40%的患者在癌症诊断后使用了 CAM，但大多数护士估计他们的患者中使用 CAM 的比例<25%。
社区肿瘤患者中 CAM 的使用很常见，并且被肿瘤护士低估了。本文提出的简短、低强度的干预措施被发现足以改变护士对其行为的看法，但可能强度不够，患者没有明显的变化。
