Association of complementary methods with quality of life and life satisfaction in patients with gynecologic and breast malignancies
Association of complementary methods with quality of life and life satisfaction in patients with gynecologic and breast malignancies
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DOI：
10.1007/s00520-007-0231-1
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发表时间：
2007-11-01
影响因子：
3.1
通讯作者：
Bani, M. R.
中科院分区：
文献类型：
--
作者：
Fasching, P. A.;Thiel, F.;Bani, M. R.
工作目标在妇科肿瘤学中，人们对补充和替代医学（CAM）方法的使用越来越感兴趣。缺乏关于副作用的数据，缺乏任何生存优势，以及这些方法的成本似乎对患者是否使用CAM的决定没有影响。我们的兴趣是评估CAM的使用和患者的生活质量/生活满意度（QoL/LS）之间的关联。材料和方法1030名女性乳腺癌的妇科恶性肿瘤被要求参加这项研究，其中包括问卷调查和个人访谈CAM。用户状态进行了比较，与患者自己的描述她的生活质量/LS和癌症type.Main结果CAM使用的48.7%的所有妇女（n=502）。50.1%的乳腺癌患者表示他们使用CAM，44.0%的妇科癌症患者表示他们使用CAM。槲寄生的使用是广泛的（77.3%），更常见于乳腺癌患者比妇科癌症患者（74.4%比67.0%）。与非使用者（50.1%）相比，CAM使用者（35.1%）较少表示其健康状况总体恶化。CAM的使用导致在一个声明的改善家庭条件（6%）相比，nonusers（2%）。结论关于患者的健康状况的看法，CAM的使用与更好地应对他们的疾病。大多数其他类别的LS不受CAM使用的影响。应广泛提供比较标准疗法与CAM方法的患者导向信息，医生和患者之间应讨论患者对CAM使用的期望。
Goals of work In gynecological oncology, there is growing interest in the use of complementary and alternative medicine (CAM) methods. The lack of data regarding side effects, the lack of any survival advantages, and the costs of these methods appear to have no influence on patients' decisions on whether to use CAM. Our interest was to evaluate the association between CAM use and the patients' quality of life/life satisfaction (QoL/LS).Materials and methods One thousand thirty women with breast cancer of gynecologic malignancies were asked to participate in this study, which included a questionnaire and a personal interview on CAM. User status was compared with the patient's own description of her QoL/LS and with the cancer type.Main results CAM was used by 48.7% of all women (n=502). Breast cancer patients stated that they used CAM in 50.1% and women with gynecological cancer in 44.0%. The use of mistletoe was widespread (77.3%) and was more often seen in breast cancer patients than in gynecological cancer patients (74.4% vs 67.0%). CAM users less frequently stated an overall deterioration of their health status (35.1%) compared to nonusers (50.1%). CAM use resulted in a stated improvement in family conditions (6%) in comparison with the nonusers (2%).Conclusions With regard to patients' perception of health status, CAM use is associated with a better coping with their disease. Most other categories of LS are not affected by CAM use. Patient-oriented information comparing standard therapies with CAM methods should be made widely available, and patients' expectations of CAM use should be discussed between the physician and the patient.