Kuo Ya-Hui, Tsay Shiow-Luan, Chang Chun-Chi, Liao Yen-Chi, Tung Heng-Hsin
1 Nursing Department, Chiayi Christian Hospital , Chiayi City, Taiwan, Republic of China.
2 College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan, Republic of China.
J Altern Complement Med. 2018 Mar;24(3):276-281. doi: 10.1089/acm.2016.0396. Epub 2017 Sep 6.
The purpose of this study was to explore the relationships among cancer impact, belief in complementary and alternative medicine (CAM), CAM use, and quality of life (QOL).
The study used a cross-sectional, descriptive correlational design with convenience sampling. A total of 122 cancer patients participated. Data were collected at a medical center in Chunghua, Taiwan. The questionnaires included the Chinese version of the Cancer Problem in Living Scale (CPILS), Complementary and Alternative Medicine Belief Inventory (CAMBI), Complementary and Alternative Medicine scale, and Chinese versions of QOL scales, including the Functional Assessment of Cancer Therapy-General (FACT-G).
The mean age was 56.5 years, and most participants were male (n = 69, 56.6%), had completed high school or above (n = 56, 45.9%), and were married (n = 109, 89.3%). The most common type of cancer was oral (n = 17, 13.9%), followed by esophageal (n = 15, 12.3%) and colorectal (n = 13, 10.7%). Cancer patients, on average, use one or two types of CAM. The impact of cancer is significantly related to age (F = 7.12, p < 0.05), and income is related to QOL (F = 3.61, p < 0.05). Pearson correlations showed that the use of CAM was positively associated with belief in CAM (CAMBI) (r = 0.26, p = 0.01), and the impact of cancer was highly negatively associated with QOL (r = -0.71, p = 0.001). The predictors of QOL were the impact of cancer and use of CAM, and the impact of cancer accounted for 51% of the variance in QOL.
This study supports research on the impact of cancer, belief in CAM, and use of CAM as related to QOL in cancer patients. These results can be used to provide options to clinicians and cancer patients.
本研究旨在探讨癌症影响、对补充替代医学（CAM）的信念、CAM的使用与生活质量（QOL）之间的关系。
本研究采用横断面描述性相关设计，采用便利抽样。共有122名癌症患者参与。数据在台湾彰化的一家医疗中心收集。问卷包括中文版的《生活中的癌症问题量表》（CPILS）、《补充替代医学信念量表》（CAMBI）、《补充替代医学量表》以及中文版的生活质量量表，包括《癌症治疗功能评估通用量表》（FACT-G）。
平均年龄为56.5岁，大多数参与者为男性（n = 69，56.6%），完成高中及以上学历（n = 56，45.9%），已婚（n = 109，89.3%）。最常见的癌症类型是口腔癌（n = 17，13.9%），其次是食管癌（n = 15，12.3%）和结直肠癌（n = 13，10.7%）。癌症患者平均使用一两种CAM。癌症影响与年龄显著相关（F = 7.12，p < 0.05），收入与生活质量相关（F = 3.61，p < 0.05）。Pearson相关性分析表明，CAM的使用与对CAM的信念（CAMBI）呈正相关（r = 0.26，p = 0.01），癌症影响与生活质量呈高度负相关（r = -0.71，p = 0.001）。生活质量的预测因素是癌症影响和CAM的使用，癌症影响占生活质量变异的51%。
本研究支持关于癌症影响、对CAM的信念以及CAM的使用与癌症患者生活质量之间关系的研究。这些结果可用于为临床医生和癌症患者提供选择。
