School of Pharmacy and Pharmacology, Quality Use of Medicines Network, Griffith University, Gold Coast Campus, Southport, Queensland, 4222, Australia.
Gold Coast Hospital and Health Service, Gold Coast University Hospital, Southport, Queensland, Australia.
J Cancer Educ. 2021 Oct;36(5):1061-1068. doi: 10.1007/s13187-020-01734-0.
Complementary and alternative medicine (CAM) usage amongst cancer patients is high globally and in Australia. CAM use in cancer care has the ability to increase chemotherapy toxicity or cause sub-therapy due to altered metabolism as well as increase a patient's bleeding risk. Furthering these risks, people with cancer are largely obtaining their CAM use information from non-evidence-based sources. This study aimed to determine whether the implementation of a CAM education influenced decision-making with regard to CAM usage amongst cancer patients. Twenty people with cancer were recruited for participation in this study. The aims of this study were achieved by surveying patients via questionnaire, both prior to and following receiving an evidence-based CAM education, in either or both written or audiovisual format. This exploratory study found, consistent with the literature, that the majority of participants were obtaining their CAM use information from non-evidenced-based sources. Additionally, it found that the participants wanted more CAM use information and that they demonstrated some altered decision-making after receiving evidenced-based information. On the post-educational questionnaire, the number of participants that stated that they would use CAMs decreased by almost 14%, and some participants made CAM use decisions in accordance with the information provided in the resources. Furthermore, a small increase in CAM knowledge was demonstrated, and it was reported that the resource had prompted them to look further into CAM information. Lastly, the participants in this study found the resource to be mostly useful and helpful and preferred the animated video to the written information.
补充和替代医学(CAM)在全球和澳大利亚的癌症患者中使用率都很高。CAM 在癌症治疗中的应用有可能因代谢改变而增加化疗毒性或导致治疗不足,以及增加患者出血风险。由于这些风险,癌症患者主要从非基于证据的来源获取他们的 CAM 使用信息。本研究旨在确定实施 CAM 教育是否会影响癌症患者对 CAM 使用的决策。本研究招募了 20 名癌症患者参与。通过问卷调查的方式来实现本研究的目的,在接受基于证据的 CAM 教育之前和之后,以书面或视听形式中的一种或两种形式对患者进行调查。这项探索性研究发现,与文献一致,大多数参与者从非基于证据的来源获取 CAM 使用信息。此外,研究发现参与者希望获得更多的 CAM 使用信息,并且在接受基于证据的信息后,他们表现出一些决策的改变。在教育后的调查问卷中,声称将使用 CAM 的参与者数量减少了近 14%,一些参与者根据资源中提供的信息做出了 CAM 使用决策。此外,CAM 知识略有增加,据报道,该资源促使他们进一步了解 CAM 信息。最后,本研究的参与者认为该资源非常有用,并喜欢动画视频而不是书面信息。