Use of complementary and alternative medicine by patients with cancer in northern Turkey: analysis of cost and satisfaction
Use of complementary and alternative medicine by patients with cancer in northern Turkey: analysis of cost and satisfaction
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DOI：
10.1111/j.1365-2702.2011.03732.x
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发表时间：
2012-03-01
影响因子：
4.2
通讯作者：
Saglam, Zeynep
中科院分区：
文献类型：
--
作者：
Avci, Ilknur Aydin;Koc, Zeliha;Saglam, Zeynep
目的和目标。本研究的目的是确定（1）癌症患者使用补充和替代药物的流行率，（2）使用特定治疗的方法，（3）使用补充和替代药物治疗的原因，（4）使用补充和替代药物的益处，（5）补充和替代医学治疗的信息来源;（6）补充和替代医学的满意度和成本。补充和替代医学包括目前不被认为是传统医学的一部分的各种医疗和保健系统，实践和产品。大多数使用补充和替代医学的患者使用一种以上的方法。补充和替代药物的使用更常见于晚期疾病或预后不良的病例。这是一个描述性研究的补充和替代医学。本研究于2008年3月18日至2008年6月30日在土耳其Samsun Ondokuz Mayis大学医学院化疗科进行。在这些日期之间申请化疗诊所的281名患者中，有253名癌症患者同意参加研究，并与之联系。提供了一份调查问卷，包括收集数据的描述性特征、疾病及其治疗的特征、补充和替代医学信息和实施情况以及补充和替代医学实施的控制列表。所得资料以描述性统计、卡方检定及学生t检定进行电脑分析。94.1%的患者对药物治疗表示满意，58.9%的患者使用了辅助和替代药物治疗，41.1%的患者未使用任何辅助和替代药物治疗。补充和替代医学方法的患者的满意度略高于平庸（2 33 SD 0 64，在1-3级）。使用补充和替代医学的患者在所有不同方法上的人均花费为28826美元。据确定，虽然病人没有足够的知识，补充和替代医学的方法，补充和替代医学的流行和满意度很高，补充和替代医学的用户花费大量的钱，这些方法。与临床实践相关。为了维持癌症的治疗和预后，护士与病人就一些补充和替代药物的使用和潜在风险进行磋商是很重要的。
Aims and objectives. The aims of this study were to determine (1) the prevalence of complementary and alternative medicine use among patients with cancer, (2) the method of use of the particular therapy, (3) the reasons for using complementary and alternative medicine therapies, (4) the benefits experienced by the use of complementary and alternative medicine, (5) the source of information about complementary and alternative medicine therapies and, (6) the satisfaction and cost of complementary and alternative medicine.Background. Complementary and alternative medicine consists of diverse medical and healthcare systems, practices and products that are not considered at present to be a part of conventional medicine. The majority of patients who use complementary and alternative medicine use more than one method. Complementary and alternative medicine use is more common in cases of advanced disease or poor prognosis.Design. This is a descriptive study of complementary and alternative medicine.Methods. This study was conducted in the Chemotherapy Unit at Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey, between 18 March 2008-30 June 2008. Two hundred fifty-three patients with cancer, among 281 patients who applied to the chemotherapy clinic between these dates, agreed to take part in the study with whom contact could be made were included. A questionnaire including descriptive characteristics in collecting data, characteristics about diseases and their treatments, complementary and alternative medicine information and implementation situations and a control list about complementary and alternative medicine implementations were given. The collected data were evaluated by computer using descriptive statistics, the chi-square test and Student's t-test.Results. In this study, 94 1% of the patients were content with medical treatment, 58 9% of them used complementary and alternative medicine treatments, 41 1% did not use any complementary and alternative medicine treatments. The satisfaction level of the patients with complementary and alternative medicine methods was slightly above mediocre (2 33 SD 0 64, on a scale of 1-3). The average cost per capita spent by the patients using complementary and alternative medicine for all the different methods was US$ 288 26.Conclusions. It was determined that although patients did not have enough knowledge about complementary and alternative medicine methods, the prevalence of complementary and alternative medicine and satisfaction levels are high that complementary and alternative medicine users spend substantial sums of money for these methods. Relevance to clinical practice. To sustain medical treatment and prognosis of cancer, it is important for nurses to consult with their patients regarding the use and potential risks of some complementary and alternative medicine.