Centre for Quality Management of Medicines, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Centre for Quality Management of Medicines, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Complement Ther Med. 2020 May;50:102343. doi: 10.1016/j.ctim.2020.102343. Epub 2020 Mar 8.
Complementary and alternative medicine (CAM) use among cancer patients is increasing over the years. Some types of CAM may interact with conventional cancer therapy or may cause serious adverse effects. This study was designed to determine the prevalence of CAM use among cancer patients during cancer therapy and to identify CAM users' characteristics, perception, reasoning, expectation and disclosure of CAM use.
This cross-sectional study was conducted between July 2017 to October 2017, on 121 cancer patients in oncology and hematology clinics and daycare of a tertiary hospital in Kuala Lumpur, Malaysia. Study data was collected using a self-administered questionnaire.
The prevalence of CAM use among cancer patients was found to be 61.2 %. Multivariate logistic regression analysis showed that CAM use was associated with change in outlook on life after development of cancer. The most frequently used types of CAM were vitamins and Islamic medical practices. Majority of patients were guided by family and friends' suggestions towards using CAM. Most patients expected CAM to cure their disease. The percentage of patients who disclosed CAM use to the doctors was slightly higher than those who did not disclose CAM use.
The use of CAM was found to be remarkably high. Rate of non-disclosure of CAM use was high indicating the need for enhancement of doctor- patient relationship for effective patient's care. Future research is needed with large sample of patients to provide better representation of the population and to help understand patients' beliefs and perception more.
癌症患者对补充和替代医学（CAM）的使用逐年增加。某些类型的 CAM 可能会与常规癌症治疗相互作用，或者可能会引起严重的不良反应。本研究旨在确定癌症患者在癌症治疗期间使用 CAM 的流行率，并确定 CAM 用户的特征、认知、推理、期望和 CAM 使用的披露情况。
本横断面研究于 2017 年 7 月至 10 月在马来西亚吉隆坡一家三级医院的肿瘤学和血液学诊所和日间护理中心进行，共纳入 121 名癌症患者。使用自我管理问卷收集研究数据。
发现癌症患者使用 CAM 的流行率为 61.2%。多变量逻辑回归分析表明，CAM 使用与癌症发生后人生观的改变有关。最常使用的 CAM 类型是维生素和伊斯兰医疗实践。大多数患者是根据家人和朋友的建议选择使用 CAM。大多数患者期望 CAM 能治愈他们的疾病。向医生披露 CAM 使用情况的患者比例略高于未披露 CAM 使用情况的患者。
发现 CAM 的使用非常高。CAM 使用情况未披露的比例较高，表明需要加强医患关系，以提供有效的患者护理。需要进行未来的研究，纳入更多的患者样本，以更好地代表人群，并帮助更深入地了解患者的信念和认知。
