Koncz Zsuzsa, Győrffy Zsuzsa, Girasek Edmond, Mátrai Zoltán
1 Semmelweis Egyetem, Általános Orvostudományi Kar, Magatartástudományi Intézet Budapest, Nagyvárad tér 4., XX. emelet, 1089 Magyarország.
2 Országos Onkológiai Intézet, Emlő- és Lágyrészsebészeti Osztály Budapest Magyarország.
Orv Hetil. 2022 Feb 27;163(9):350-361. doi: 10.1556/650.2022.32380.
Introduction: The popularity of complementary and alternative medicine (CAM) is increasing among cancer patients worldwide. 45% of women diagnosed with breast cancer use CAM, 62.5% of younger patients do so. So far, only one study has been published in Hungary, according to which 84.4% of Hungarian women with breast cancer use some form of complementary medicine. The utilization of some CAM modalities carries risks due to drug interactions. It is important to get to know the needs and habits of Hungarian patients in relation to CAM, which knowledge can be directly used in clinical practice. Objective: The aim of our study was to assess the extent of CAM utilization among Hungarian breast cancer patients, to examine the reasons behind this choice, and to see the relating/connecting demographic, psychological and clinical factors. Method: In a cross-sectional survey, a self-administered questionnaire was used among inpatients at the Department of Breast and Soft Tissue Surgery in the National Institute of Oncology (n = 146). We assessed socio-demographic data, characteristics of CAM use, attitudes toward CAM, and the need for health control. Clinical data were added to the questionnaire data. Results: 36% of the respondents visited some CAM providers, 71% used CAM preparation and 64% utilized self-help practices. Most patients are informed about these by a healthcare professional. The holistic approach is dominant in the sample as well as internal and social external control. Visitors to CAM providers and CAM preparation users have a stronger need for internal control. Visitors to CAM providers and self-help practitioners judge their own health status more favorable. Conclusion: The information that patients receive from people who are important to them, especially the caregiver, is crucial in their health-related behavior, including the choice of CAM. It is important to see such a high level of patient trust in health professionals and a strong need to discuss information about CAM, as well as a sense of responsibility for their health and active participation in treatment. Orv Hetil. 2022; 163(9): 350–361.
补充替代医学(CAM)在全球癌症患者中的受欢迎程度正在上升。45%被诊断为乳腺癌的女性使用补充替代医学,62.5%的年轻患者使用。到目前为止,匈牙利仅发表了一项研究,根据该研究,84.4%的匈牙利乳腺癌女性使用某种形式的补充医学。由于药物相互作用,使用某些补充替代医学模式存在风险。了解匈牙利患者在补充替代医学方面的需求和习惯很重要,这些知识可直接应用于临床实践。目的:我们研究的目的是评估匈牙利乳腺癌患者使用补充替代医学的程度,检查这种选择背后的原因,并了解相关的人口统计学、心理和临床因素。方法:在一项横断面调查中,对国家肿瘤研究所乳腺和软组织外科的住院患者(n = 146)使用了自填式问卷。我们评估了社会人口统计学数据、补充替代医学的使用特征、对补充替代医学的态度以及健康控制需求。临床数据被添加到问卷数据中。结果:36%的受访者拜访过一些补充替代医学提供者,71%使用过补充替代医学制剂,64%采用过自助疗法。大多数患者是从医疗保健专业人员那里了解到这些的。整体方法在样本以及内部和社会外部控制中占主导地位。拜访补充替代医学提供者的人和使用补充替代医学制剂的人对内部控制有更强的需求。拜访补充替代医学提供者的人和自助从业者对自己健康状况的评价更积极。结论:患者从对他们重要的人,尤其是护理人员那里获得的信息,对他们与健康相关的行为,包括补充替代医学的选择,至关重要。看到患者对健康专业人员有如此高的信任度,以及强烈需要讨论补充替代医学的信息,以及对自身健康的责任感和积极参与治疗的意识,很重要。《匈牙利医学周报》。2022年;163(9): 350–361。