Bonacchi Andrea, Fazzi Lorenzo, Toccafondi Alessandro, Cantore Maurizio, Mambrini Andrea, Muraca Maria Grazia, Banchelli Grazia, Panella Mauro, Focardi Francesca, Calosi Roberto, Di Costanzo Francesco, Rosselli Massimo, Miccinesi Guido
Clinical and Descriptive Epidemiology Unit, Institute for Cancer Research and Prevention (ISPO), Florence, Italy; Centro Studi e Ricerca Synthesis, Florence, Italy.
Centro Studi e Ricerca Synthesis, Florence, Italy.
J Pain Symptom Manage. 2014 Jan;47(1):26-34. doi: 10.1016/j.jpainsymman.2013.03.014. Epub 2013 Jul 31.
In Italy, data regarding the use of complementary therapies (CTs) among patients with cancer are sparse and discordant.
The present study aimed to investigate the demographic and psychological characteristics of Italian cancer patients who use CTs and the perceived benefit of users.
Eight hundred three patients from six Italian oncology departments were interviewed about CT use and completed two questionnaires to explore psychological distress and the resilience trait called sense of coherence (SOC). Patients included in the study had different primary tumor sites and were in different phases of the disease and care process.
At the time of measurement, 37.9% of patients were using one or more types of CTs. The most commonly used CTs were diets and dietary supplements (27.5%), herbs (10.8%), homeopathy (6.4%), and mind-body therapies (5.5%). The Italian context is characterized by a high percentage of patients who informed their physicians about CT use (66.3%) and who experienced benefits (89.6%); 75.2% of the patients had used CTs in the past. Multivariate analysis revealed that young, female patients, who previously used complementary and alternative medicine in the past, appear more likely to use at least one type of CT in the present. Predictors of the use of CTs varied according to the type of CT. Among psychological factors, SOC was positively associated with both past and present CT use.
Overall prevalence of CTs among Italian cancer patients is high and is in accordance with the European average. In addition to clinical and sociodemographic factors, the resilience trait SOC also was associated with CT use.
在意大利，关于癌症患者使用补充疗法（CTs）的数据稀少且不一致。
本研究旨在调查使用补充疗法的意大利癌症患者的人口统计学和心理特征以及使用者所感知到的益处。
对来自意大利六个肿瘤科室的803名患者进行了关于补充疗法使用情况的访谈，并完成了两份问卷，以探究心理困扰和被称为连贯感（SOC）的复原力特质。纳入研究的患者有不同的原发肿瘤部位，处于疾病和治疗过程的不同阶段。
在测量时，37.9%的患者正在使用一种或多种类型的补充疗法。最常用的补充疗法是饮食和膳食补充剂（27.5%）、草药（10.8%）、顺势疗法（6.4%）和身心疗法（5.5%）。意大利的情况特点是，有很高比例的患者告知医生他们使用补充疗法（66.3%）并从中受益（89.6%）；75.2%的患者过去曾使用过补充疗法。多变量分析显示，年轻的女性患者，以及过去曾使用过补充和替代医学的患者，目前似乎更有可能使用至少一种类型的补充疗法。补充疗法使用的预测因素因补充疗法的类型而异。在心理因素中，连贯感与过去和现在的补充疗法使用均呈正相关。
意大利癌症患者中补充疗法的总体患病率较高，与欧洲平均水平一致。除了临床和社会人口统计学因素外，复原力特质连贯感也与补充疗法的使用有关。
