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土耳其乳腺癌患者使用补充和替代医学后的抑郁、焦虑及生活质量

Depression, anxiety and quality of life through the use of complementary and alternative medicine among breast cancer patients in Turkey.

作者信息

Kalender Mehmet Emin, Buyukhatipoglu Hakan, Balakan Ozan, Suner Ali, Dirier Ahmet, Sevinc Alper, Bulbul Feridun, Tatli Ali Murat, Ulas Turgay, Camci Celaletdin

机构信息

Department of Medical Oncology, Medical Faculty, Gaziantep Oncology Hospital, Gaziantep, Turkey.

出版信息

J Cancer Res Ther. 2014 Oct-Dec;10(4):962-6. doi: 10.4103/0973-1482.138010.

Abstract

BACKGROUND AND AIM

Breast cancer is the most common type of cancer amongst women today. The aim of this study was to examine the association between complementary and alternative medicine (CAM) and the quality of life (QoL), anxiety and depression and demographic characteristics of women with breast cancer.

MATERIALS AND METHODS

QoL was measured by the European Organization for Treatment and Research of Cancer quality of life core questionnaire (QLQ-C30, version 3.0) and anxiety and depression was measured by the hospital anxiety and depression scale.

RESULTS

In total, 122 patients with breast cancer were enrolled in the study and 50% (n=61) of them reported that they were using CAM. The most commonly used CAM methods were stinging nettle (57%) and prayer and spiritual healing (49%). No relationship was found between the use of CAM and the patient's age, time to diagnosis, cancer stage, chemotherapy use, smoking and residence. However, the analyses showed a positive association between CAM and role functioning (P=0.014) and financial difficulties (P=0.011); and a negative association between CAM and emotional functioning (P=0.033).

CONCLUSIONS

Based on the previous studies, 20-83.3% of breast cancer patients among different countries and cultures used CAM. Our results suggested that the use of CAM among women is quite popular, but they showed no correlation between CAM usage and anxiety and depression. In addition, CAM usage was more common in breast cancer patients with a poor emotional and financial status.

摘要

背景与目的

乳腺癌是当今女性中最常见的癌症类型。本研究的目的是探讨补充替代医学(CAM)与乳腺癌女性患者的生活质量(QoL)、焦虑和抑郁以及人口统计学特征之间的关联。

材料与方法

生活质量通过欧洲癌症治疗与研究组织生活质量核心问卷(QLQ-C30,第3.0版)进行测量,焦虑和抑郁通过医院焦虑抑郁量表进行测量。

结果

共有122例乳腺癌患者纳入本研究,其中50%(n = 61)报告使用补充替代医学。最常用的补充替代医学方法是荨麻(57%)以及祈祷和心灵治愈(49%)。未发现补充替代医学的使用与患者年龄、诊断时间、癌症分期、化疗使用、吸烟及居住情况之间存在关联。然而,分析显示补充替代医学与角色功能(P = 0.014)和经济困难(P = 0.011)呈正相关;与情绪功能呈负相关(P = 0.033)。

结论

基于先前的研究,不同国家和文化背景下20% - 83.3%的乳腺癌患者使用补充替代医学。我们的结果表明,补充替代医学在女性中的使用相当普遍,但未显示其使用与焦虑和抑郁之间存在相关性。此外,补充替代医学在情绪和经济状况较差的乳腺癌患者中使用更为常见。

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