Use of Complementary and Alternative Medicine (CAM) in Patients With Colorectal Cancer.

Clinical nutrition research Pub Date : 2022-10-27 eCollection Date: 2022-10-01 DOI:10.7762/cnr.2022.11.4.255
Jeongwon Yeom, Jung Mi Lee
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Abstract

This study was conducted to analyze the relationship between cancer-related stress and the types of complementary and alternative medicine (CAM) used by subjects diagnosed with colorectal cancer. The number of study subjects was 142, and for data analysis, descriptive statistics, t-test, χ2 test, logistic regression procedures were performed. Of the subjects, 114 were CAM users, who accounted for 79.6%. When it came to using CAM, 82 (72.6%) said they did "to prevent cancer recurrence." The most popular reason for not using CAM was "to focus on treatment as instructed by the doctor," with 22 (75.8%) respondents selecting the answer. Of those who used CAM, 79 (55.6%) said they took "dietary supplements," followed by 65 (45.8%) who picked "vitamins and minerals." Regarding CAM usage, ginger, aloe, swimming, and walking had the highest satisfaction (4.25 ± 0.71). The cancer-related stress of subjects who use CAM (18.21 ± 15.37) was higher than that of subjects who did not use CAM (10.11 ± 12.08). Logistic regression analysis determined that cancer-related stress were factors significantly associated with CAM use. Patients using CAM had higher cancer-related stress, suggesting that stress on cancer increased CAM interest. Safe and reliable CAM information and standardized recommendations should be provided to cancer survivors. We propose the development of training programs for CAM to improve communication between medical staff and patients and to protect patients.

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大肠癌患者使用补充和替代医学 (CAM)。
本研究旨在分析癌症相关压力与确诊为结直肠癌的受试者所使用的补充和替代医学(CAM)类型之间的关系。研究对象人数为 142 人,数据分析采用了描述性统计、t 检验、χ2 检验和逻辑回归程序。研究对象中,114 人为 CAM 使用者,占 79.6%。在谈到使用 CAM 时,82 人(72.6%)表示是为了 "预防癌症复发"。不使用 CAM 的最普遍原因是 "按照医生的指示专注于治疗",有 22 位受访者(75.8%)选择了这一答案。在使用 CAM 的受访者中,79 人(55.6%)表示他们服用 "膳食补充剂",其次是 65 人(45.8%)选择了 "维生素和矿物质"。关于 CAM 的使用,生姜、芦荟、游泳和散步的满意度最高(4.25 ± 0.71)。使用 CAM 的受试者的癌症相关压力(18.21 ± 15.37)高于未使用 CAM 的受试者(10.11 ± 12.08)。逻辑回归分析表明,癌症相关压力是与使用 CAM 显著相关的因素。使用 CAM 的患者与癌症相关的压力更大,这表明癌症压力增加了对 CAM 的兴趣。应向癌症幸存者提供安全可靠的 CAM 信息和标准化建议。我们建议制定 CAM 培训计划,以改善医务人员与患者之间的沟通并保护患者。
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