Complementary therapy use among older cancer patients
Complementary therapy use among older cancer patients
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DOI：
10.1046/j.1523-5394.1999.07305.x
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发表时间：
1999-05-01
期刊：
影响因子：
--
通讯作者：
Christensen, K
中科院分区：
文献类型：
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作者：
Wyatt, GK;Friedman, LL;Christensen, K
目的：本研究的目的是评估老年癌症患者补充疗法的使用情况，报告使用模式并了解谁更有可能使用补充疗法。研究描述：对 699 名老年癌症患者在癌症治疗第 4 周和第 6 周进行了一项调查。所有参与者均年龄在 64 岁或以上，均被诊断患有乳腺癌、结直肠癌、前列腺癌或肺癌，并且是从密歇根州的社区癌症治疗中心招募的。感兴趣的测量包括自我报告的身体症状、抑郁症状、乐观、灵性以及使用传统和补充医疗服务。结果：大约 33% 的老年癌症患者报告使用补充疗法。这些人更有可能是女性、乳腺癌患者，并且受教育程度较高。最常用的三种疗法是运动、草药疗法和精神治疗。补充疗法使用者比非使用者更加乐观。此外，使用者和非使用者在经历的身体症状类型上存在显着差异，但在报告的抑郁症状或精神方面没有差异。 临床意义：肿瘤科医生需要意识到，三分之一的老年患者可能会通过补充疗法来补充常规护理。因此，提供者应该了解安全性和有效性，特别是各种锻炼计划、草药和维生素疗法以及精神治疗的安全性和有效性。在癌症中心内开发一个系统将是有益的，通过该系统，患者可以轻松报告他们使用补充疗法的情况，从而使提供者能够与患者合作。
PURPOSE: The purpose of this study was to assess the use of complementary therapies among older cancer patients, to report patterns of use and to understand who is more likely to use complementary therapies.DESCRIPTION OF STUDY: A survey was conducted of 699 older cancer patients at 4 weeks and 6 weeks into cancer treatment. All participants were 64 years of age or older, had received a diagnosis of breast colorectal prostate, or lung cancer, and were recruited from community cancer treatment centers throughout Michigan. Measures of interest included self-reported physical symptoms, depressive symptomatology, optimism, spirituality, and use of conventional and complementary health services.RESULTS: Approximately 33% of older cancer patients reported using complementary therapies. these individuals were more likely to be women, to be breast cancer patients, and to have a higher level of education. The three most frequently used therapies were exercise, herbal therapy, and spiritual healing. Complementary therapy users were significantly more optimistic than nonusers. Also, there were significant differences between users and nonusers on types of physical symptoms experienced, but no differences on reported depressive symptomatology or spirituality.CLINICAL IMPLICATIONS: Oncology providers need to be aware that one third of their older patients were likely to supplement conventional care with complementary therapies. Therefore, providers should be knowledgeable about the safety and efficacy, in particular, of various exercise programs, herbal and vitamin therapies, and spiritual healing. It would be beneficial to develop a system within cancer centers by which patients could easily report on their use of complementary therapies allowing providers to work in partnership with their patients.