Uso de la medicina complementaria y alternativa y enfoques para hacer frente al estrés en las mujeres con cáncer de mama: un estudio transversal

IF 0.7 Q4 NURSING Enfermeria Clinica Pub Date : 2024-09-01 DOI:10.1016/j.enfcli.2024.02.002
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Abstract

Objective

The study aimed to reveal the approaches to coping with stress of women with breast cancer and the factors predicting these approaches, to determine the prevalence and characteristics of Complementary and Alternative Medicine (CAM), and to examine the relationship between use of CAM and approaches to coping with stress.

Methods

A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the Descriptive Information Form and the Stress Coping Styles Scale (SCSS).

Results

Women's SCSS score was 47.26 ± 6.39 (effective) and 37.76 ± 6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (P>.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (P<.05, adjusted R2=.08, .05, and .33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (P<.05, adjusted R2=.14 and .11 respectively).

Conclusions

One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.
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乳腺癌妇女使用辅助和替代医学以及应对压力的方法:一项横断面研究。
研究旨在揭示乳腺癌女性患者应对压力的方法以及预测这些方法的因素,确定补充和替代医学(CAM)的流行程度和特点,并研究使用 CAM 与应对压力的方法之间的关系。方法 在土耳其一家培训和研究医院对 328 名乳腺癌女性患者进行了描述性横断面研究。结果 妇女的 SCSS 得分为 47.26 ± 6.39(有效)和 37.76 ± 6.33(无效)。使用 CAM 的女性与未使用 CAM 的女性在 SCSS 评分上无明显差异(P> .05)。使用 CAM 的比例为 36%,最常见的 CAM 类型是草药产品(55.1%)和祈祷(33.8%),使用 CAM 的原因是放松(对症)(43.2%)。多变量逻辑回归分析结果显示,收入水平、工作、在世子女数量、接受化疗、接受手术、有癌症家族史以及伴侣在患病后的兴趣与有效应对压力有关(P< .05,调整后的 R2 分别为 0.08、0.05 和 0.33)。工作、接受化疗、接受手术、癌症分期以及在社会环境中有癌症病史与无效应对压力有关(P<.05,调整后的 R2=.14 和 .11)。医疗服务提供者,尤其是妇科肿瘤科护士,应为乳腺癌妇女提供 CAMs 咨询,并制定应对压力的策略。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
74
期刊介绍: Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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