Complementary and alternative medicine use among patients with thoracic malignancies
Complementary and alternative medicine use among patients with thoracic malignancies
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DOI：
10.1007/s00520-014-2144-0
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发表时间：
2014-07-01
影响因子：
3.1
通讯作者：
Mahoney, Martin C.
中科院分区：
文献类型：
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作者：
Bismark, Rashmi S.;Chen, Hongbin;Mahoney, Martin C.
癌症患者对补充和替代医学 (CAM) 的使用不断增加。本研究描述了 CAM 在胸部恶性肿瘤患者中的应用。这项横断面研究是在美国国家癌症研究所指定的综合癌症中心针对诊断为胸部恶性肿瘤的成年患者进行的。主要结果是自我报告的 CAM 使用情况，定义为除了常规维生素/矿物质补充之外，使用任何类型的 CAM。开发了逻辑回归模型来探索 CAM 使用的预测因素。共有 108 名患者完成了标准化调查（响应率为 59%）。总体而言，42% 的受访者表示至少使用一种类型的 CAM。 CAM 用户和非用户在人口统计、诊断、分期、吸烟状况、生活质量或对癌症诊断的认知理解方面没有差异。在多变量分析中，报告对自己的未来感到恐惧的患者成为 CAM 用户的可能性是那些没有明确表达这种情绪的患者的四倍（比值比 = 4.18；95 % CI = 1.23-14.12；p = 0.02）。使用 CAM 的常见原因是支持自我、增强免疫力以及改善情绪和/或精神健康。本研究中癌症患者使用 CAM 的流行率与美国普通人群相似。对未来的恐惧与 CAM 的使用有关。结果表明，患者可能会将 CAM 作为一种治疗辅助手段，以积极应对癌症经历带来的情绪困扰。
Complementary and alternative medicine (CAM) use has been increasing among cancer patients. This study characterizes the use of CAM among patients with thoracic malignancies.This cross sectional study was conducted at a National Cancer Institute-designated comprehensive cancer center among adult patients diagnosed with thoracic malignancies. The primary outcome was a self-reported use of CAM, defined as the use of any type of CAM beyond routine vitamin/mineral supplementation alone. A logistic regression model was developed to explore predictors of CAM use.A total of 108 patients completed a standardized survey (59 % response rate). Overall, 42 % of respondents reported the use of at least one type of CAM. Users and non-users of CAM did not differ based upon demographics, diagnosis, staging, smoking status, quality of life, or perceived understanding of cancer diagnosis. In the multivariate analysis, patients who reported feeling fearful about their future were four times more likely to be CAM users when compared to those who did not specify this emotion (odds ratio = 4.18; 95 % CI = 1.23-14.12; p = 0.02). Commonly cited reasons for CAM use were to support one's self, boost immunity, and for improvements in emotional and/or spiritual well-being.Prevalence of CAM use among cancer patients in this study was similar to the general US population. Feeling fearful about the future was associated with CAM use. Results suggest that patients may be turning to CAM as a therapeutic adjunct to actively cope with emotional distress surrounding the cancer experience.