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乳腺癌女性患者使用补充替代医学和应对压力方法的情况:一项横断面研究。

The use of complementary and alternative medicine and approaches to coping with stress in women with breast cancer: a cross-sectional study.

机构信息

Department of Obstetrics and Gynecology Nursing, Izmir Katip Celebi University Faculty of Health Science, Izmir, 35000, Turkey.

Izmir Health Sciences University Tepecik Training and Research Hospital/Oncology Unit/Surgical Oncology-1 Service, İzmir, Turkey.

出版信息

Enferm Clin (Engl Ed). 2024 Sep-Oct;34(5):386-401. doi: 10.1016/j.enfcle.2024.04.007. Epub 2024 Apr 22.

Abstract

OBJECTIVE

The study aimed to reveal the approaches to coping with stress of women with breast cancer and the factors predicting these approaches, to determine the prevalence and characteristics of Complementary and Alternative Medicine (CAM), and to examine the relationship between use of CAM and approaches to coping with stress.

METHODS

A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the "Descriptive Information Form" and the "Stress Coping Styles Scale (SCSS)".

RESULTS

Women's SCSS score was 47.26±6.39 (effective) and 37.76±6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (p>0.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (p<0.05, adjusted R=0.08, 0.05, and 0.33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (p<0.05, adjusted R=0.14 and 0.11 respectively).

CONCLUSIONS

One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.

摘要

目的

本研究旨在揭示乳腺癌女性应对压力的方法以及预测这些方法的因素,确定补充和替代医学(CAM)的流行程度和特点,并研究 CAM 的使用与应对压力的方法之间的关系。

方法

在土耳其一家培训和研究医院,对 328 名乳腺癌女性进行了描述性和横断面研究。使用“描述性信息表”和“压力应对方式量表(SCSS)”收集数据。

结果

女性的 SCSS 评分为 47.26±6.39(有效)和 37.76±6.33(无效)。CAM 使用者和非 CAM 使用者的 SCSS 评分无显著差异(p>0.05)。CAM 的使用率为 36%,最常见的 CAM 类型是草药产品(55.1%)和祈祷(33.8%),使用 CAM 的原因是为了放松(对症)(43.2%)。多变量逻辑回归分析结果显示,收入水平、工作、子女数量、接受化疗、接受手术、有癌症家族史以及患病后伴侣的兴趣与有效应对压力有关(p<0.05,调整后的 R 值分别为 0.08、0.05 和 0.33)。工作、接受化疗、接受手术、癌症分期和社会环境中的癌症史与无效应对压力有关(p<0.05,调整后的 R 值分别为 0.14 和 0.11)。

结论

三分之一的女性正在使用 CAM,并且有很好的应对压力的方法。医疗保健提供者,特别是妇科肿瘤护士,应提供关于 CAM 的咨询,并为乳腺癌女性制定应对压力的策略。

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