Can Gulbeyaz, Demir Melike, Aydiner Adnan
Istanbul University, Nursing Faculty, Istanbul, Istanbul, Turkey.
Namik Kemal University Medical Health School, Tekirdag, Istanbul, Turkey.
Breast Care (Basel). 2012 Dec;7(6):471-5. doi: 10.1159/000345462.
Most breast cancer patients use complementary and alternative medicine (CAM), usually in parallel with their conventional treatments. This study was planned to determine the prevalence and determining factors for use of CAM by breast cancer patients undergoing chemotherapy.
This descriptive study was carried out between October 2010 and May 2011, and included 96 patients at the Istanbul University Institute of Oncology. The Patient Characteristics form and Complementary and Alternative Medicine Scale were used for data collection. Descriptive and non-parametric tests were performed, and logistic regression analysis was used to predict factors affecting CAM use.
Praying was the most frequently used form of CAM, and most of the herbal supplements used by patients were harmless. Herbal use was higher among patients who had local disease (relative risk (RR) 4.48%, 95% confidence interval (CI) 1.12-17.95), and worship was more common among those who had not undergone surgery (RR 4.66%, 95% CI 1.64-13.20).
The CAM approaches used by patients were found to be safe. However, sage and flax seed usage for estrogen-and progesterone-positive patients and exercise for patients with spinal metastasis can be inappropriate approaches. It is important to question and inform patients about CAM use during treatment.
大多数乳腺癌患者使用补充和替代医学(CAM),通常与他们的传统治疗同时进行。本研究旨在确定接受化疗的乳腺癌患者使用CAM的患病率及其决定因素。
这项描述性研究于2010年10月至2011年5月进行,纳入了伊斯坦布尔大学肿瘤研究所的96名患者。使用患者特征表和补充与替代医学量表收集数据。进行了描述性和非参数检验,并使用逻辑回归分析来预测影响CAM使用的因素。
祈祷是最常用的CAM形式,患者使用的大多数草药补充剂是无害的。局部疾病患者的草药使用率较高(相对风险(RR)4.48%,95%置信区间(CI)1.12 - 17.95),未接受手术的患者中崇拜更为常见(RR 4.66%,95% CI 1.64 - 13.20)。
发现患者使用的CAM方法是安全的。然而,雌激素和孕激素阳性患者使用鼠尾草和亚麻籽以及脊柱转移患者进行锻炼可能是不合适的方法。在治疗期间询问并告知患者关于CAM的使用情况很重要。