Caughey Lucy, Sanjida Saira, Obermair Andreas, Janda Monika
Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Support Care Cancer. 2020 Nov;28(11):5479-5489. doi: 10.1007/s00520-020-05404-1. Epub 2020 Mar 13.
The use of complementary and alternative medicines (CAM) has been reported to be frequent and increasing in the general population and among cancer survivors. Very few studies have investigated the use of CAM among long-term endometrial cancer survivors. To address this gap in evidence, this qualitative study aimed to understand the use of CAM and factors motivating the use among long-term survivors of endometrial cancer.
Semi-structured qualitative interviews were conducted with 17 women diagnosed with endometrial cancer 7-10 years previously, to understand their CAM use and its impact on their wellbeing. Thematic analysis was performed by two researchers to extract the most relevant quotes related to CAM products, practices, and practitioners.
All 17 women interviewed used some type of CAM practices, practitioners, or products, specifically 94% concentrated on their diet, 88% focused on their exercise, 59% used a CAM product, 53% visited a CAM practitioner, and 18% used a CAM psychological approach. The main motivators for CAM use included to reduce physical and psychological symptoms, and to stop or reduce medications. Women reported a lack of lifestyle advice from their traditional medical healthcare team which they therefore tried to obtain from other sources.
Our findings suggest CAM practices, practitioners, or products form an important part of women's healthcare options and are commonly used by long-term endometrial cancer survivors. Our data can be of importance to health care professionals and hospitals, as it reflects an unfulfilled need among cancer survivors that does not currently appear to be met by their traditional healthcare team.
据报道,补充和替代医学(CAM)在普通人群以及癌症幸存者中使用频繁且呈上升趋势。很少有研究调查长期子宫内膜癌幸存者对补充和替代医学的使用情况。为了填补这一证据空白,本定性研究旨在了解长期子宫内膜癌幸存者对补充和替代医学的使用情况以及促使其使用的因素。
对17名7至10年前被诊断为子宫内膜癌的女性进行了半结构化定性访谈,以了解她们对补充和替代医学的使用情况及其对健康的影响。两名研究人员进行了主题分析,以提取与补充和替代医学产品、疗法及从业者相关的最相关引述。
所有17名接受访谈的女性都使用了某种类型的补充和替代医学疗法、从业者或产品,具体而言,94%的人注重饮食,88%的人专注于锻炼,59%的人使用了补充和替代医学产品,53%的人拜访了补充和替代医学从业者,18%的人采用了补充和替代医学心理疗法。使用补充和替代医学的主要动机包括减轻身体和心理症状,以及停用或减少药物。女性报告称,她们从传统医疗团队那里缺乏生活方式方面的建议,因此试图从其他渠道获取。
我们的研究结果表明,补充和替代医学疗法、从业者或产品构成了女性医疗保健选择的重要组成部分,并且被长期子宫内膜癌幸存者普遍使用。我们的数据对医疗保健专业人员和医院可能具有重要意义,因为它反映了癌症幸存者中一种未得到满足的需求,而目前其传统医疗团队似乎并未满足这一需求。