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补充和替代医学(CAM):新西兰北地实体器官和血液恶性肿瘤患者的使用情况和观点。

Complementary and Alternative Medicine (CAM): use and views among patients with solid organ and haematological malignancies in Northland, New Zealand.

机构信息

Jim Carney Cancer Treatment Centre, Whangārei Base Hospital, Te Whatu Ora - Health New Zealand, Te Tai Tokerau.

出版信息

N Z Med J. 2023 Mar 10;136(1571):20-29. doi: 10.26635/6965.6010.

Abstract

AIMS

Complementary Alternative Medicine (CAM) use among patients with malignant diagnosis has been rising globally. This study assesses the prevalence of CAM among patients with solid organ or haematological malignancy at a regional outpatient cancer and blood service in Northland, New Zealand. Secondary objectives include determining: i) types of CAM used, ii) sources of information, and iii) patient perspectives on CAM.

METHOD

In this single-centre cross-sectional study, patients attending treatment or follow-up appointments at the Jim Carney Cancer Treatment Centre (JCC) between 25 September to 20 October 2017 were invited to complete an anonymous self-administered questionnaire.

RESULTS

Of the 306 assessable entries, 29% (n=89) respondents were using CAM, 10% had intentions to use CAM in the future, while 45% were undecided. Word-of-mouth (58%) was the most common source of CAM information, followed by internet sources (36%) and healthcare professionals (27%). Biologically based therapies were the most popular form of CAM used. Common reasons for CAM use include symptom relief (65%), perceived lower toxicity (62%), holistic (52%), natural (51%) and potential for cure (45%). Only 49% of CAM users felt comfortable discussing their CAM use with their oncologist/ haematologist.

CONCLUSION

CAM use is common and has relevance across oncology treatment centres nationwide. Local research into CAM use can serve to raise awareness and to assist healthcare professional training in addressing CAM use in a specific patient population.

摘要

目的

在全球范围内,恶性诊断患者对补充替代医学(CAM)的使用呈上升趋势。本研究评估了新西兰北地地区一家门诊癌症和血液服务中心的实体器官或血液恶性肿瘤患者中 CAM 的使用情况。次要目标包括确定:i)使用的 CAM 类型,ii)信息来源,以及 iii)患者对 CAM 的看法。

方法

在这项单中心横断面研究中,邀请 2017 年 9 月 25 日至 10 月 20 日在吉姆·卡尼癌症治疗中心(JCC)接受治疗或随访的患者参加匿名自我管理问卷调查。

结果

在 306 项可评估的条目,29%(n=89)的受访者正在使用 CAM,10%有在未来使用 CAM 的意向,而 45%的受访者未决定。口口相传(58%)是 CAM 信息的最常见来源,其次是互联网来源(36%)和医疗保健专业人员(27%)。基于生物学的疗法是最受欢迎的 CAM 形式。使用 CAM 的常见原因包括缓解症状(65%)、认为毒性更低(62%)、整体治疗(52%)、自然(51%)和潜在治愈(45%)。只有 49%的 CAM 用户愿意与他们的肿瘤学家/血液学家讨论他们的 CAM 使用情况。

结论

CAM 的使用很常见,并且在全国的肿瘤治疗中心都有相关应用。针对 CAM 使用的本地研究可以提高认识,并协助医疗保健专业人员在特定患者群体中处理 CAM 使用问题的培训。

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