The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia.

The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia.
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DOI:
10.1186/s12906-018-2150-8
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发表时间:
2018-03-12
影响因子:
--
通讯作者:
Jazieh AR
Jazieh AR
中科院分区:
医学3区
文献类型:
--
作者:
Abuelgasim KA;Alsharhan Y;Alenzi T;Alhazzani A;Ali YZ;Jazieh AR

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相当比例的癌症患者在常规治疗(CT)的同时使用补充和替代医学(CAM),而较小比例的患者推迟或推迟CT,转而使用CAM。先前对中东地区癌症患者使用辅助治疗的研究显示了不同的结果。本研究调查了沙特阿拉伯癌症患者使用CAM的流行程度和模式。它还讨论了癌症患者使用辅助辅助治疗可能带来的好处和危害,并探讨了患者持有的信念以及他们对医疗保健提供者关于他们使用辅助辅助治疗的透明度。横断面研究在肿瘤病房和门诊诊所进行,采用面对面访谈的参与者。共有156例患者参与研究,中位年龄为50岁(18-84岁)。辅助治疗使用率为69.9%;最突出的CAM类型是宗教性质的CAM,如祈祷(95.4%),古兰经诵读(88.1%),饮用赞赞水(84.4%)和诵读古兰经的水(63.3%)。据报告,24.1%的CAM使用者饮用骆驼奶,而15.7%的使用者饮用骆驼尿。使用CAM的原因多种多样:75%的人说他们使用CAM是为了治疗癌症、改善情绪(18.3%)、控制疼痛(11.9%)、增强免疫系统(11%)、增强体质(6.4%)和改善食欲(4.6%)。30%的CAM使用者曾与医生讨论过这个问题;只有7.7%的人对他们的护士这样做。中东地区的癌症患者普遍使用包括骆驼制品在内的辅助农业药物,但这些患者并不一定会向主治医生和护士透露他们使用辅助农业药物的情况。虽然CAM的使用可能是有益的,但有些可能是非常有害的,特别是对癌症患者。已知骆驼产品与布鲁氏菌病和中东呼吸综合征冠状病毒之间存在关联。两者都可导致免疫功能低下患者的巨大发病率。在癌症治疗中,医患之间的沟通是至关重要的。本文的在线版本(10.1186/s12906-018-2150-8)包含补充资料,仅供授权用户使用。
A significant proportion of cancer patients use complementary and alternative medicine (CAM) along with conventional therapies (CT), whereas a smaller proportion delay or defer CT in favor of CAM. Previous studies exploring CAM use among cancer patients in the Middle East region have shown discrepant results. This study investigates the prevalence and pattern of CAM use by Saudi cancer patients. It also discusses the possible benefits and harm related to CAM use by cancer patients, and it explores the beliefs patients hold and their transparency with health care providers regarding their CAM use. A cross-sectional study was conducted in oncology wards and outpatient clinics by using face-to-face interviews with the participants. A total of 156 patients with a median age of 50 years (18–84) participated in the study. The prevalence of CAM use was 69.9%; the most prominent types of CAM were those of a religious nature, such as supplication (95.4%), Quran recitation (88.1%), consuming Zamzam water (84.4%), and water upon which the Quran has been read (63.3%). Drinking camel milk was reported by 24.1% of CAM users, whereas camel urine was consumed by 15.7%. A variety of reasons were given for CAM use: 75% reported that they were using CAM to treat cancer, enhance mood (18.3%),control pain (11.9%), enhance the immune system (11%),increase physical fitness (6.4%), and improve appetite (4.6%). Thirty percent of CAM users had discussed the issue with their doctors; only 7.7% had done so with their nurses. The use of CAM, including camel products, is highly prevalent among cancer patients in the Middle East, but these patients do not necessarily divulge their CAM use to their treating physicians and nurses. Although CAM use can be beneficial, some can be very harmful, especially for cancer patients. Association is known between camel products and brucellosis and Middle East respiratory syndrome coronavirus (MERS-CoV). Both can lead to tremendous morbidity in immune-compromised patients. Doctor–patient communication regarding CAM use is of paramount importance in cancer care. The online version of this article (10.1186/s12906-018-2150-8) contains supplementary material, which is available to authorized users.
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