Üstündağ Sema, Demir Zencirci Ayten
Dr Suat Seren Chest Diseases and Surgery Training Research Hospital, İzmir, Turkey (Ms Üstündağ); and Nursing Department, Ankara University Health Sciences Faculty, Ankara, Turkey (Dr Demir Zencirci). Ms Üstündağ is now at Nursing Department, Kütahya School of Health, Dumlupınar Üniversity, Kütahya, Turkey.
Holist Nurs Pract. 2015 Nov-Dec;29(6):357-69. doi: 10.1097/HNP.0000000000000113.
This descriptive and cross-sectional study was conducted to determine the use and effects of complementary and alternative medicine on cancer patients receiving chemotherapy. The research was conducted in Daytime Chemotherapy Unit of the College District Outpatients in the Ankara Numune Education and Research Hospital and comprised 397 patients in the oncology outpatients. Written informed consents were obtained from all participants. Among the participants, 52.6% were women, 85.1% married, 10.6% illiterate, 41.1% housewife, and 8.8% civil servants. Among the patients participated in the study, 27.7% had cancer in the family, 22.6% had gastrointestinal cancer, and 22.1% had breast cancer. Most of the patients (92.2%) resorted to religious and cultural approaches, and some patients (33.8%) used nutritional and herbal products besides medical treatment. The nutritional and herbal products used as remedy included stinging nettle (22.3%), fennel flower (20.1%), and herbal products that were advertised by herbalists in media (9.7%). It was determined that most of the patients resorting to complementary or alternative medicine were women (52.6%), housewife (51.5%), and patients with a history of cancer in the family (37.7%). Complementary and alternative medicine use as a remedy for cure is common among patients in Turkey. But when it is considered that many of these products had the potential to negatively affect cancer therapy, it is crucial that nurses providing care to cancer patients should be well informed about complementary therapies, be aware of the potential risks and benefits, and communicate openly with patients on their health care choices.
本描述性横断面研究旨在确定补充替代医学对接受化疗的癌症患者的使用情况及效果。该研究在安卡拉努穆内教育与研究医院学区门诊日间化疗科进行，纳入了397名肿瘤门诊患者。所有参与者均签署了书面知情同意书。参与者中，52.6%为女性，85.1%已婚，10.6%为文盲，41.1%为家庭主妇，8.8%为公务员。参与研究的患者中，27.7%有家族癌症病史，22.6%患有胃肠道癌，22.1%患有乳腺癌。大多数患者（92.2%）采用宗教和文化方法，一些患者（33.8%）除医疗外还使用营养和草药产品。用作治疗的营养和草药产品包括荨麻（22.3%）、茴香花（20.1%）以及媒体上草药师宣传的草药产品（9.7%）。结果发现，采用补充替代医学的患者大多为女性（52.6%）、家庭主妇（51.5%）以及有家族癌症病史的患者（37.7%）。在土耳其患者中，使用补充替代医学作为治疗手段很常见。但鉴于这些产品中的许多都可能对癌症治疗产生负面影响，为癌症患者提供护理的护士必须充分了解补充疗法，意识到潜在风险和益处，并就患者的医疗选择与他们进行坦诚沟通，这一点至关重要。
