Titel:Frequency of use of complementary and alternative medicine in women with breast cancer.
Kategori:Massage, Onkologi
Författare:Lengacher CA, Bennett MP, Kip KE, Keller R, LaVance MS, Smith LS, Cox CE.
Källa:Oncol Nurs Forum
År:2002
Sidor:1445-52
Sammanfattning:
PURPOSE/OBJECTIVES: To estimate the frequency of use of complementary andalternative medicine (CAM) therapies among women diagnosed with breast cancerand to identify demographic and clinical factors associated with CAM use inthese patients. DESIGN: A descriptive, cross-sectional survey. SAMPLE: Aconvenience sample of 105 predominantly Caucasian women (mean age = 59 years)with a diagnosis of breast cancer was recruited from the Tampa Bay area and arural midwestern area. METHODS: Utilizing the "Use of Complementary TherapiesSurvey," frequency of CAM use was calculated for 33 individual therapies listedon the survey and among three survey-defined subscales of CAM therapies (i.e.,diet and nutritional supplements, stress-reducing techniques, and traditionaland ethnic medicines). MAIN RESEARCH VARIABLES: Use of CAM therapies and typesof treatment in women with breast cancer. FINDINGS: Among diet and nutritionalsupplements, 64% of all participants reported regular use of vitamins andminerals and 33% regularly used antioxidants, herbs, and health foods. Amongstress-reducing techniques, 49% of all participants regularly used prayer andspiritual healing, followed by support groups (37%) and humor or laughtertherapy (21%). Traditional and ethnic medicine therapies rarely were used withthe exception of massage, which 27% of all participants used at least once afterdiagnosis. More frequent CAM use was observed among study participants who hadundergone previous chemotherapy treatment and those with more than a high schooleducation. Also, being less satisfied with their primary physician wasassociated with patients' more frequent CAM use. CONCLUSIONS: CAM use isincreasing among women with breast cancer, and frequency of specific useaccording to type of CAM is higher than what has been reported in other studies.Use increased in patients who had undergone chemotherapy and in those with ahigh school education. IMPLICATIONS FOR NURSING: Oncology nurses are in a keyposition to identify what treatments patients are using and implement CAMtherapies that can be helpful to relieve patient symptoms related to treatmentand psychological distress.
 
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