Karadag Ezgi, Yüksel Seda
Department of Oncology Nursing, Faculty of Nursing, Dokuz Eylul University, 35340, Inciraltı/Izmir, Turkey.
SBÜ Ankara Dr.Sami Ulus Women, Children's Health And Diseases Education and Research Hospital, Ankara, Turkey.
J Relig Health. 2021 Aug;60(4):2784-2798. doi: 10.1007/s10943-021-01276-9. Epub 2021 May 14.
This study was conducted to determine the complementary and traditional-spiritual practices applied by individuals diagnosed with cancer when experiencing significant pain. This descriptive and cross-sectional study was conducted with 110 patients who were receiving chemotherapy treatment in a university hospital outpatient treatment unit (Chemotherapy Unit) between 1st March and 30th June 2019. The study sample size was calculated using the 'unknown-population sample selection formula' (n = t·p·q·/d). Study data were collected using a patient information form comprising 13 questions about the participants' sociodemographic characteristics, diseases, and complementary practices. The data were analyzed using descriptive percentage tests and the Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) software. The study found that 45.5% of the cancer patients took a walk, 38.2% listened to music, 27.3% watched movies, 24.5% received massages, 20.0% read newspapers or books, 20.0% did sports, and 10.9% dreamed in painful situations. Spiritual practices used by the patients were determined as praying (46.4%), engaging in salat (the daily ritual prayers of Islam) (30.9%) and reading religious books (23.6%). The herbal practices applied by the patients include the use of garlic, mulberry molasses, pomegranate, green tea; furthermore, herbs such as honey, sage, lime, black cumin, ginger, centaury, thyme, nettle, flaxseeds, and rosehip were also used. Most of the patients learned complementary practices from television programs (62.7%); only 8.2% learned these practices from healthcare professionals. Nurses should investigate patients' use of complementary practices and provide them with the necessary evidence-based information to prevent unconscious use of these practices. Considering that determining patients' spiritual needs and practices is seen as the first step in the holistic care of patients, it is important to satisfy cancer patients by providing necessary healthcare services and help them improve their physical and mental health.
本研究旨在确定被诊断患有癌症的个体在经历剧痛时所采用的补充疗法和传统精神疗法。这项描述性横断面研究是在2019年3月1日至6月30日期间，对在一所大学医院门诊治疗单元（化疗科）接受化疗的110名患者进行的。研究样本量使用“未知总体样本选择公式”（n = t·p·q·/d）计算得出。研究数据通过一份患者信息表收集，该表包含13个关于参与者社会人口学特征、疾病和补充疗法的问题。数据使用描述性百分比检验和社会科学统计软件包（SPSS Inc.，美国伊利诺伊州芝加哥）进行分析。研究发现，45.5%的癌症患者会散步，38.2%会听音乐，27.3%会看电影，24.5%会接受按摩，20.0%会阅读报纸或书籍，20.0%会进行体育锻炼，10.9%会在疼痛状态下做梦。患者采用的精神疗法确定为祈祷（46.4%）、进行礼拜（伊斯兰教的日常仪式祈祷）（30.9%）和阅读宗教书籍（23.6%）。患者采用的草药疗法包括使用大蒜、桑椹糖浆、石榴、绿茶；此外，还使用了蜂蜜、鼠尾草、酸橙、黑孜然、生姜、矢车菊、百里香、荨麻、亚麻籽和玫瑰果等草药。大多数患者从电视节目中学到补充疗法（62.7%）；只有8.2%的患者从医护人员那里学到这些疗法。护士应调查患者对补充疗法的使用情况，并为他们提供必要的循证信息，以防止无意识地使用这些疗法。鉴于确定患者的精神需求和疗法被视为患者整体护理的第一步，通过提供必要的医疗服务来满足癌症患者的需求并帮助他们改善身心健康非常重要。
