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埃塞俄比亚接受化疗的癌症患者补充与替代医学的使用及其与生活质量的关联:一项横断面研究

Complementary and Alternative Medicine Use and Its Association with Quality of Life among Cancer Patients Receiving Chemotherapy in Ethiopia: A Cross-Sectional Study.

作者信息

Erku Daniel Asfaw

机构信息

Department of Pharmaceutical Chemistry, School of Pharmacy, University of Gondar, Lideta Kebele 16, P.O. Box 196, Gondar, Ethiopia.

出版信息

Evid Based Complement Alternat Med. 2016;2016:2809875. doi: 10.1155/2016/2809875. Epub 2016 Jun 28.

Abstract

Background. Today, complementary and alternative medicine (CAM) use is being routinely practiced by cancer patients worldwide. This study aimed at examining the prevalence of CAM use in patients with cancer and comparing the quality of life (QoL) in CAM users and nonusers. Methods. A cross-sectional study was employed on 195 cancer patients receiving chemotherapy at Gondar University Referral Hospital (GURH) chemotherapy center. Interviewer-administered questionnaires were used and the collected data were analyzed by the Statistical Package for the Social Sciences (SPSS) software version 21.0 for Windows. Results. 154 (79%) patients were found to be users of CAM. Educational status, average monthly income, disease stage, and comorbidity were strong predictors of use of CAM. The most commonly utilized types of CAM were traditional herbal based medicine (72.1%) and only 20.8% of patients discuss with their doctors CAM use. No significant difference was found in QoL between CAM users and nonusers except in financial difficulties (p = 0.020). Conclusions. This study revealed a high rate of CAM use with very low disclosure rate to their health care providers. Health care providers should be open to discuss the use of CAM with their patients as it will lead to better health outcome.

摘要

背景。如今,全球癌症患者普遍常规使用补充和替代医学(CAM)。本研究旨在调查癌症患者使用CAM的流行情况,并比较使用CAM和不使用CAM的患者的生活质量(QoL)。方法。在贡德尔大学转诊医院(GURH)化疗中心对195名接受化疗的癌症患者进行了一项横断面研究。采用访谈式问卷,并使用适用于Windows的社会科学统计软件包(SPSS)21.0版对收集的数据进行分析。结果。发现154名(79%)患者使用CAM。教育程度、月平均收入、疾病阶段和合并症是使用CAM的有力预测因素。最常用的CAM类型是传统草药(72.1%),只有20.8%的患者与医生讨论使用CAM的情况。除了经济困难方面(p = 0.020),使用CAM和不使用CAM的患者在生活质量方面没有发现显著差异。结论。本研究显示CAM使用率很高,但向医疗保健提供者披露的比例很低。医疗保健提供者应乐于与患者讨论CAM的使用,因为这将带来更好的健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d718/4940514/178e8134d698/ECAM2016-2809875.001.jpg

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