最近接受治疗的癌症患者中使用大麻:感知和经验
Talya Salz1, Akriti Mishra Meza2, Fumiko Chino3
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA. salzt@mskcc.org.
概括
近三分之一的癌症患者使用大麻来缓解症状,主要用于睡眠,压力和疼痛. 然而,很少有患者与瘤学家讨论这种使用,这突出了沟通上的差距以及对大麻益处和危害的进一步研究的需要.
科学领域:
- 在瘤学瘤学.
- 医学大麻研究 医学大麻研究
- 患者报告的结果
背景情况:
- 大麻使用在癌症患者中越来越普遍.
- 了解患者的动机和对大麻的体验对于综合护理至关重要.
研究的目的:
- 在癌症患者中描述大麻使用模式.
- 为了确定大麻使用的感知目标,益处和危害.
- 评估患者和医疗保健提供者之间关于大麻的沟通.
主要方法:
- 对1258名患有9种不同类型癌症的患者进行了一项调查.
- 收集的数据包括大麻使用,态度和与医疗保健提供者的沟通.
- 多变量逻辑回归分析了与大麻使用相关的因素.
主要成果:
- 31%的癌症患者报告诊断后使用大麻,因癌症类型而异 (25%的肺癌至59%的丸癌症).
- 使用的主要原因是睡眠困难 (48%),压力/焦虑/抑郁 (46%) 和疼痛 (42%).
- 大多数使用者 (70-90%) 报告症状改善,副作用最小;只有25%与提供者讨论使用.
结论:
- 大麻被癌症患者广泛用于症状管理.
- 患者和瘤学家之间存在着关于大麻使用的重大沟通差距.
- 进一步的研究对于确定大麻在癌症治疗中的益处和风险至关重要.
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