在生命的最后一年使用补充和替代医学:COMPASS癌症队列研究
Irene Teo1, Michelle Chow2, Isha Chaudhry2
1Department of Psychosocial Oncology (I.T.), National Cancer Centre Singapore, Singapore; Lien Centre for Palliative Care (I.T., M.C., I.C., C.M., S.O., E.A.F.), Duke-NUS Medical School, Singapore; Programme in Health Services and Systems Research (I.T., C.M., E.A.F.), Duke-NUS Medical School, Singapore.
新加坡一半的末期癌症患者在生命的最后一年使用了补充和替代医学 (CAM). 使用CAM与更好的社会福祉有关,并且经常与传统治疗一起使用.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体的医学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 越来越多的人对辅助和替代医学 (CAM) 对终身护理的兴趣.
- 越来越多地探索将CAM纳入息护理.
研究的目的:
- 确定CAM在癌症末期患者中使用的患病率,预测因素和结果.
- 检查CAM使用与生命的最后一年的生活质量之间的关联.
主要方法:
- 在12个月内对新加坡427名癌症患者进行前性研究.
- 使用混合效应后勤回归来分析社会人口统计学,临床和治疗因素.
- 研究了CAM使用与患者生活质量之间的关系.
主要成果:
- 50%的患者在生命的最后一年至少使用过一次CAM;36%在过去3个月.
- 西方草药补充剂 (67%) 和传统中医药 (56%) 是常见的CAM方式.
- 使用CAM与更高的社会福利相关 (β:0.60) 并由中国族裔预测,较少的财务困难,以及对其他癌症治疗的信念.
结论:
- 绝症癌症患者中很大一部分使用CAM.
- 主要用CAM作为生命末期癌症护理中的补充治疗.
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