Determining the Relationship Between Intolerance of Uncertainty and Attitudes Toward Complementary and Alternative Medicine in Patients With Cancer.

IF 1.3 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Holistic Nursing Practice Pub Date : 2023-09-01 DOI:10.1097/HNP.0000000000000600
Yeliz Akkuş, Tuğba Menekli
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Abstract

Disease-related uncertainty and the factors associated with uncertainty in patients with cancer have not been adequately investigated. This study aimed to determine the relationship between intolerance of uncertainty and attitudes toward complementary and alternative medicine (CAM) in patients with cancer. This cross-sectional descriptive study included 351 patients treated in the oncology clinic of a university hospital. All participants completed the Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) and the 12-item Intolerance of Uncertainty Scale (IUS-12). Most patients (84.3%) said that they had information about CAM, 39.7% reported obtaining this information from their social environment, 83.2% said that they believed that CAM methods are effective, and 76.0% reported not telling health care professionals about their CAM use. Mean IUS-12 and HCAMQ total scores were 46.53 ± 2.05 and 32.11 ± 2.32, respectively, and showed a weak negative correlation. The patients in our study showed high intolerance of uncertainty and a moderately positive attitude toward CAM, and most patients did not notify health care professionals of their CAM use. Therefore, we recommend assessing intolerance of uncertainty and CAM use in this patient group. By identifying patients experiencing uncertainty and seeking different treatment, nurses can support patients physiologically, psychologically, and socially, and can explain the effects of CAM use.

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确定癌症患者对不确定性的不容忍与对补充和替代医学的态度之间的关系。
癌症患者的疾病相关不确定性和与不确定性相关的因素尚未得到充分调查。本研究旨在确定癌症患者对不确定性的不容忍与对补充和替代药物(CAM)的态度之间的关系。这项横断面描述性研究包括351名在大学医院肿瘤诊所接受治疗的患者。所有参与者完成了整体补充和替代医学问卷(HCAMQ)和12项不确定性不容忍量表(IUS-12)。大多数患者(84.3%)表示他们有关于CAM的信息,39.7%的患者表示从他们的社会环境中获得了这些信息,83.2%的患者表示他们相信CAM方法是有效的,76.0%的患者表示没有告诉医疗保健专业人员他们的CAM使用情况。IUS-12和HCAMQ的平均总分分别为46.53±2.05和32.11±2.32,呈弱负相关。我们研究中的患者表现出对不确定性的高度不容忍和对CAM的适度积极态度,大多数患者没有通知医疗保健专业人员他们的CAM使用情况。因此,我们建议评估该患者组对不确定性的不耐受性和CAM的使用情况。通过识别经历不确定性的患者并寻求不同的治疗,护士可以在生理、心理和社会上支持患者,并可以解释CAM的使用效果。
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来源期刊
Holistic Nursing Practice
Holistic Nursing Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-NURSING
CiteScore
1.90
自引率
7.70%
发文量
120
期刊介绍: Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.
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