Naja Farah, Anouti Bilal, Shatila Hibeh, Akel Reem, Haibe Yolla, Tfayli Arafat
Department of Nutrition and Food Sciences, American University of Beirut, Riad El Solh, Beirut 1107 2020, Lebanon.
Department of Internal Medicine, Division of Hematology/Oncology, American University of Beirut Medical Center, Riad El Solh, Beirut 1107 2020, Lebanon.
Evid Based Complement Alternat Med. 2017;2017:8434697. doi: 10.1155/2017/8434697. Epub 2017 Aug 24.
Patients with lung cancer are increasingly seeking complementary and alternative medicine (CAM) to improve their physiological and psychological well-being. This study aimed to assess CAM use among lung cancer patients in Lebanon. Using a cross-sectional design, 150 lung cancer patients attending the Basile Cancer Institute at the American University of Beirut Medical Center were interviewed. Participants completed a questionnaire addressing sociodemographic characteristics, lung cancer condition, and use of CAM. The main outcome of interest was "use of any CAM therapy since diagnosis." Prevalence of CAM use was 41%. The most commonly used CAM modality among study participants was "dietary supplements/special foods." Results of the multiple logistic regression analyses showed that CAM use was positively associated with Lebanese nationality and paying for treatment out of pocket and was negatively associated with unemployment and having other chronic diseases. About 10% of patients used CAM on an alternative base, 58% did not disclose CAM use to their physician, and only 2% cited health professionals as influencing their choice of CAM. This study revealed a prevalent CAM use among lung cancer patients in Lebanon, with a marginal role for physicians in guiding this use. Promoting an open-communication and a patient-centered approach regarding CAM use is warranted.
肺癌患者越来越多地寻求补充和替代医学(CAM)来改善他们的生理和心理健康。本研究旨在评估黎巴嫩肺癌患者对补充和替代医学的使用情况。采用横断面设计,对150名在贝鲁特美国大学医学中心巴兹尔癌症研究所就诊的肺癌患者进行了访谈。参与者完成了一份关于社会人口学特征、肺癌病情以及补充和替代医学使用情况的问卷。主要关注的结果是“自确诊以来使用任何补充和替代医学疗法”。补充和替代医学的使用率为41%。研究参与者中最常用的补充和替代医学方式是“膳食补充剂/特殊食品”。多元逻辑回归分析结果显示,补充和替代医学的使用与黎巴嫩国籍以及自费支付治疗费用呈正相关,与失业和患有其他慢性病呈负相关。约10%的患者将补充和替代医学作为一种替代选择,58%的患者未向其医生透露使用补充和替代医学的情况,只有2%的患者表示健康专业人员影响了他们对补充和替代医学的选择。本研究揭示了黎巴嫩肺癌患者中补充和替代医学的普遍使用情况,而医生在指导这种使用方面所起的作用微乎其微。有必要推广一种关于补充和替代医学使用的开放沟通和以患者为中心的方法。