Determinants of the use of complementary therapies by patients with cancer
Determinants of the use of complementary therapies by patients with cancer
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DOI：
10.1200/jco.2001.19.9.2439
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发表时间：
2001-05-01
影响因子：
45.3
通讯作者：
Soskolne, V
中科院分区：
文献类型：
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作者：
Paltiel, O;Avitzour, M;Soskolne, V
目的：我们对以色列肿瘤患者进行了一项调查，以检查他们使用补充疗法 (CT) 的程度，并比较 CT 使用者和非使用者的社会人口统计学、心理和医疗特征、态度和生活质量。 患者和方法：对三家医院的门诊和住院血液科或肿瘤科机构的 1,027 名患者进行了问卷调查。医疗信息是从图表中提取的。对 CT 使用者和非使用者进行单变量和多变量比较。结果：共有 526 名参与者（51.2%）自诊断以来使用过 CT，其中 357 名患者（34.9%）最近（过去 3 个月）使用过 CT。多变量分析发现与近期 CT 使用显着相关 (P < .05) 的因素如下： 女性；年龄35至59岁；更多的教育；乘坐私家车来医院；晚期疾病状态；有一位亲密的朋友或亲戚患有癌症；参加支持小组或个人咨询。控制这些因素后，单独检查的与近期 CT 使用相关的心理社会变量包括以下内容（比值比 [OR]，95% 置信区间 [CI]）： 传统医学未满足的需求（OR，2.76；95% CI，1.95 至 3.89）；无助（OR，1.39；95% CI，1.0 至 1.91）；对医生不完全信任（OR，1.49；95% CI，1.08 至 2.06）；自诊断出癌症以来，观点或信念发生了变化（OR，1.47；95% CI，1.07 至 2.02）。在控制年龄、性别和当前疾病状况的情况下，最近使用 CT 的人的功能生活质量（包括身体、情绪、社交和角色功能）和症状（疲劳和腹泻）评分显着较差。结论：与 CT 使用相关的特征包括年龄、性别、教育程度和晚期疾病。 CT 的使用与参加支持性心理治疗、未满足的需求、无助以及较差的情绪和社会功能之间存在显着关联，表明存在相当大的痛苦，这表明有必要增加对肿瘤环境中社会心理需求的关注。 J 临床肿瘤杂志 19：2439-2448。 (C) 2001 年美国临床肿瘤学会。
Purpose: We performed a survey of Israeli oncology patients to examine the extent of their use of complementary therapies (CT) and to compare sociodemographic, psychologic, and medical characteristics, attitudes, and quality of life of users and nonusers of CT.Patients and Methods: Questionnaires were administered to 1,027 patients attending ambulatory and inpatient hematology or oncology facilities at three hospitals. Medical information was extracted from charts. Univariate and multivariate comparisons of users and nonusers of CT were performed.Results: A total of 526 participants (51.2%) had used CT since their diagnosis, and 357 patients (34.9%) had used CT recently (in the past 3 months). Factors that multivariate analysis found to be significantly associated (P < .05) with recent CT use were as follows: female sex; age 35 to 59 years; more education; coming to the hospital by private car; advanced disease status; having a close friend or a relative with cancer; and attending support groups or individual counseling. After controlling for these factors, individually examined psychosocial variables associated with recent CT use included the following (odds ratios [OR] with 95% confidence intervals [CI]): needs unmet by conventional medicine (OR, 2.76; 95% CI, 1.95 to 3.89); helplessness (OR, 1.39; 95% CI, 1.0 to 1.91); incomplete trust in the doctor (OR, 1.49; 95% CI, 1.08 to 2.06); and changed outlook or beliefs since the diagnosis of cancer (OR, 1.47; 95% CI, 1.07 to 2.02). Functional quality of life (including physical, emotional, social, and role function) and symptom (fatigue and diarrhea) scores were significantly worse for recent CT users compared with nonusers, controlling for age, sex, and current disease status.Conclusion: Characteristics associated with CT use include age, sex, education, and advanced disease. Significant associations between CT use and attending supportive psychotherapy, unmet needs, helplessness, and worse emotional and social function indicate considerable distress, suggesting that increased attention to psychosocial needs within oncologic settings is warranted. J Clin Oncol 19:2439-2448. (C) 2001 by American Society of Clinical Oncology.