Patients with advanced cancer and their usage of complementary and alternative medicine
Patients with advanced cancer and their usage of complementary and alternative medicine
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DOI：
10.1007/s00432-013-1460-y
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发表时间：
2013-09-01
影响因子：
3.6
通讯作者：
Huebner, Jutta
中科院分区：
文献类型：
--
作者：
Paul, Magda;Davey, B.;Huebner, Jutta
共有40%的癌症患者使用补充和替代医学（CAM），晚期癌症患者比其他患者更频繁地使用CAM。本研究的目的是收集住院姑息治疗的晚期癌症患者及其家属使用CAM的数据和使用CAM的原因，分别对25名患者和25名患者家属进行了结构化访谈，根据德国癌症预防和综合肿瘤学工作组的标准化问卷，患者的中位年龄为64.5岁（亲属：53.5岁）; 15例患者为男性，10例为女性（亲属：7岁和18岁）。总的来说，40%的患者在研究时使用某种CAM方法，补充剂和祈祷是最常见的方法。使用CAM的主要原因是维持自己的力量（52%的患者和72%的亲属）和能够自己做一些事情（36%和40%）。信息来源是电视/广播（48%和28%）和家人/朋友（40%和48%）。亲属也使用互联网（40%）。对于接受姑息治疗的患者及其亲属来说，CAM也很重要。使用CAM的原因与晚期癌症患者相似。由于大多数患者不会与医生讨论使用CAM，因此基于生物学的治疗的副作用和相互作用可能是危险的。应鼓励患者自主行动的愿望。然而，医生应确保安全管理的补充方法，包括CAM在他们的沟通与病人和家庭。
A total of 40 % of cancer patients use complementary and alternative medicine (CAM), and patients with advanced cancer use CAM more often than others. The aim of our study was to gather data on CAM use and reasons to use CAM of patients with advanced cancer being admitted for residential palliative care and their relatives.Structured interviews were carried out with 25 patients and 25 relatives of those patients, respectively, of a German comprehensive cancer center based on a standardized questionnaire of the working group Prevention and Integrative Oncology of the German Cancer Society.Median age of patients was 64.5 years (relatives: 53.5); 15 patients were male and 10 were female (relatives: 7 and 18). In total, 40 % of all patients used some CAM method at the time of the study, supplements and prayer being the most frequent method. Main reasons for using CAM were to sustain one's own strength (52 % for patients and 72 % for relatives) and to be able to do something by oneself (36 and 40 %). Sources of information were television/radio (48 and 28 %) and family/friends (40 and 48 %). Relatives also use the Internet (40 %).Also for patients in palliative care and their relatives, CAM is important. Reasons for using CAM are similar for patients with less advanced cancer. As most patients do not discuss using CAM with their physician, side effects and interactions of biologically based treatments may be dangerous. The desire of patients to act autonomously should be encouraged. Yet, physicians should ensure safe administration of complementary methods by including CAM in their communication with the patient and the family.