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韩国乳腺癌女性对补充和替代医学的使用:这与症状严重程度有关吗?

The Use of Complementary and Alternative Medicine by Korean Breast Cancer Women: Is It Associated with Severity of Symptoms?

作者信息

Hwang Jung Hye, Kim Woon-Yong, Ahmed Mansoor, Choi Soojeung, Kim Jiwoo, Han Dong Woon

机构信息

Department of Obstetrics and Gynecology, Hanyang University, College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea; Institute of Health Services Management, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea.

Institute of Health Services Management, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea.

出版信息

Evid Based Complement Alternat Med. 2015;2015:182475. doi: 10.1155/2015/182475. Epub 2015 Dec 3.

Abstract

Background. Use of complementary and alternative medicine (CAM) among patients with breast cancer could be associated with severity of the cancer symptoms experienced, but there is little evidence to prove this. This study tried to investigate any difference in the severity of breast cancer symptoms between CAM users and nonusers. Methods. The study followed cross-sectional design using structured survey questionnaire. Survey participants were recruited from four different healthcare settings in Seoul, South Korea. The survey instrument comprised 39 items including questions on demographics, use of CAM, and six main symptoms associated with breast cancer and cancer treatment. Results. Out of 288 participants, 67% stated using one or more modalities of CAM. Age, education, and time duration since diagnosis of cancer were significantly associated with use of CAM. About 90% of the CAM users experienced side effects of cancer treatment. CAM users reported more severe anxiety and skin/hair changes than nonusers. Conclusions. CAM was used by those breast cancer patients who experience more severe symptoms to alleviate the conditions associated with breast cancer and cancer treatment. Our findings revealed motivation behind the CAM use, which has profound implications for clinicians to recognize patient-perceived needs.

摘要

背景。乳腺癌患者使用补充和替代医学(CAM)可能与所经历的癌症症状严重程度相关,但几乎没有证据能证明这一点。本研究试图调查使用CAM者与不使用者在乳腺癌症状严重程度上的差异。方法。本研究采用结构化调查问卷的横断面设计。调查参与者从韩国首尔的四个不同医疗保健机构招募。调查问卷包括39个项目,涉及人口统计学、CAM使用情况以及与乳腺癌和癌症治疗相关的六种主要症状。结果。在288名参与者中,67%表示使用过一种或多种CAM方式。年龄、教育程度以及确诊癌症后的时间与CAM使用显著相关。约90%的CAM使用者经历过癌症治疗的副作用。与不使用者相比,CAM使用者报告有更严重的焦虑和皮肤/毛发变化。结论。那些症状更严重的乳腺癌患者使用CAM来缓解与乳腺癌和癌症治疗相关的状况。我们的研究结果揭示了使用CAM背后的动机,这对临床医生认识患者感知到的需求具有深远意义。

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