对癌症患者暴露,感知和对信息来源的信任的多机构分析关于补充和替代医学的信息来源
Ryan J Hutten1, Christopher R Weil1, Andy J King2,3
1Department of Radiation Oncology, University of Utah School of Medicine, Huntsman Cancer Institute, Salt Lake City, UT.
JCO oncology practice
|September 18, 2023
概括
许多癌症患者使用补充和替代医学 (CAM) 进行症状管理或癌症治疗. 尽管从非医生来源了解CAM,但患者仍然对他们的医生保持高度信任,强调需要更好的沟通.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体医学.
- 患者护理 患者护理
背景情况:
- 补充和替代医学 (CAM) 在癌症护理中的使用是一个复杂且经常有争议的领域.
- 了解患者的动机,信息来源和信任对于有效的患者瘤学家沟通至关重要.
研究的目的:
- 评估癌症患者当前补充和替代医学 (CAM) 使用模式.
- 调查患者对CAM相关信息来源的看法,态度和信任.
- 确定影响对医生和非医生信息提供商对CAM信任的因素.
主要方法:
- 一个多机构问卷调查了749名癌症患者的人口统计,CAM使用和信息来源.
- 统计分析包括千二测试,单向ANOVA和多变量逻辑回归.
- 在CAM用户和非用户之间进行了比较,以确定显著的差异.
主要成果:
- 大多数CAM使用者试图控制症状 (42.2%) 或治疗癌症 (30.4%).
- 对于大多数用户来说,非医生来源是CAM信息的主要来源.
- 27%的CAM使用者没有与瘤学家讨论他们的使用情况,但对医生的整体信任仍然很高.
结论:
- 相当数量的癌症患者使用CAM,其中一些人旨在直接治疗癌症.
- 尽管依赖非医生信息,但医生信任率始终很高.
- 加强关于CAM的患者-临床医生对话对于最佳的癌症护理和安全至关重要.
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