Gender, symptom experience, and use of complementary and alternative medicine practices among cancer survivors in the U.S. cancer population.
Gender, symptom experience, and use of complementary and alternative medicine practices among cancer survivors in the U.S. cancer population.
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DOI：
10.1188/10.onf.e7-e15
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发表时间：
2010-01-01
影响因子：
1.9
通讯作者：
Stommel, Manfred
中科院分区：
文献类型：
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作者：
Fouladbakhsh, Judith M;Stommel, Manfred
目的/目的：在美国癌症幸存者中确定性别、生理和心理症状（疼痛、失眠、疲劳和抑郁）以及特定补充和替代医学（CAM）实践的使用之间的关系。设计：对2002年全国健康访谈调查（NHIS）进行二次分析。CAM医疗保健模型是卫生服务使用行为模型的延伸，指导了这项研究。背景：美国。样本：在美国，2262名被诊断患有癌症的成年人（18岁及以上）代表了1430多万癌症幸存者。方法：NHIS对使用CAM练习（饮食、瑜伽、太极、气功、冥想、引导意象、放松和深呼吸）的访谈数据进行了性别和症状关系的检查。统计学分析采用Stata 9.2软件进行总体估计。二元逻辑回归是分析中使用的主要统计模型，主要关注受试者在实践使用方面的差异。主要研究变量：二分类结果变量包括使用至少一种CAM实践和使用特定的个人CAM实践。自变量包括性别、年龄、教育程度、种族、服务提供者接触、癌症诊断、疼痛、失眠、疲劳、抑郁和健康状况。研究结果：CAM的实践使用在女性、中年、白种人和受过良好教育的受试者中更为普遍。疼痛、抑郁和失眠是练习使用的强烈预测因子，在性别和练习类型上存在差异。结论：CAM实践在美国癌症人群中广泛应用，尤其是在女性中。症状经历影响使用的可能性，当男性报告症状时可能性增加。对护理的启示：研究结果告知肿瘤护士将自我护理与性别相关的CAM实践纳入癌症幸存者症状管理护理计划的好处。本研究结果将有助于指导今后CAM实践干预研究。
PURPOSE/OBJECTIVES: To identify relationships among gender, physical and psychological symptoms (pain, insomnia, fatigue, and depression), and use of specific complementary and alternative medicine (CAM) practices among survivors in the U.S. cancer population.DESIGN: Secondary analysis of the 2002 National Health Interview Survey (NHIS). The CAM Healthcare Model, an extension of the Behavioral Model for Health Services Use, guided the study.SETTING: United States.SAMPLE: 2,262 adults (aged 18 years and older) diagnosed with cancer representing more than 14.3 million cancer survivors in the United States .METHODS: NHIS interview data on use of CAM practices (diet, yoga, tai chi, qigong, meditation, guided imagery, relaxation, and deep breathing) were examined in relationship to gender and symptoms. Analysis was conducted using Stata 9.2 software for population estimation. Binary logistic regression, the primary statistical model employed in the analysis, focused on between-subject differences in practice use.MAIN RESEARCH VARIABLES: Dichotomous outcome variables included use of at least one CAM practice and use of specific individual CAM practices. Independent variables included gender, age, education, race, provider contact, cancer diagnosis, pain, insomnia, fatigue, depression, and health status.FINDINGS: CAM practice use was more prevalent among female, middle-aged, Caucasian, and well-educated subjects. Pain, depression, and insomnia were strong predictors of practice use, with differences noted by gender and practice type.CONCLUSIONS: CAM practices are widely used in the U.S. cancer population, especially among women. Symptom experience influences likelihood of use, with increased odds when men report symptoms.IMPLICATIONS FOR NURSING: Study findings inform oncology nurses on the benefits of integrating self-care CAM practices in relationship to gender into the symptom management care plan for cancer survivors. Findings reported in this study will help guide future CAM practice intervention studies.