Les traitements traditionnels et les compléments alimentaires chez le patient atteint de cancer: État des lieux en Tunisie.

The Canadian journal of hospital pharmacy Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI:10.4212/cjhp.3586
Nawres Makhlouf, Imen Ben Jedidia, Marwa Bel Haj Ali, Mariem Chedly, Amani Cherif
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Abstract

Context: Alternative and complementary medicines are currently experiencing a real boom worldwide, especially among cancer patients who are looking to improve their physical and mental well-being.

Objectives: To provide an overview of the use of traditional treatments and dietary supplements by cancer patients and to assess the impact of these approaches on cancer care.

Methods: This prospective cross-sectional descriptive study was conducted at the oncology day hospital of a Tunisian medical centre. Data were collected from February 1 to March 30, 2022.

Results: In the study population, the prevalence of complementary medicine use was 71%; users were predominantly female, and average age was 54 years. Herbal medicine was most commonly used (69.7%); animal-derived products, diet, massage therapy, and dietary supplements were also common, with percentages ranging between 20% and 40%. Cupping therapy (12.4%) and mind-body therapies (such as rokia charia and physical activity; 10%) were noted to a lesser extent. Of the plants identified, the most frequently consumed was Nigella sativa L. (44.9%), followed by Ephedra foeminea Forssk. (42.7%) and Curcuma longa L. (32.6%). Among the identified herb-drug interactions, 33.4% were classified as contraindicated, while 56.7% were classified as beneficial.

Conclusions: The survey revealed a significant prevalence of alternative medicine use, which requires careful attention and further research.

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癌症患者的传统疗法和食物补充剂:突尼斯的现状。
背景:替代药物和补充药物目前在全球范围内蓬勃发展,尤其是在希望改善身心健康的癌症患者中:概述癌症患者使用传统疗法和膳食补充剂的情况,并评估这些方法对癌症治疗的影响:这项前瞻性横断面描述性研究在突尼斯一家医疗中心的肿瘤日间医院进行。数据收集时间为 2022 年 2 月 1 日至 3 月 30 日:在研究人群中,使用辅助药物的比例为 71%;使用者主要为女性,平均年龄为 54 岁。最常使用的是草药(69.7%);动物源性产品、饮食、按摩疗法和膳食补充剂也很常见,比例在 20% 至 40% 之间。拔罐疗法(12.4%)和身心疗法(如罗汉果和体育锻炼;10%)的使用率较低。在已确认的植物中,最常食用的是黑麦草(44.9%),其次是麻黄(42.7%)和莪术(44.9%)。(42.7%)和莪术(32.6%)。在已确定的草药与药物相互作用中,33.4%被归类为禁忌,56.7%被归类为有益:调查显示,替代药物的使用非常普遍,需要认真关注和进一步研究。
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